New York State Medical Treatment Guidelines for
Bursitis in workers compensation patients

The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Bursitis.

These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.

The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.

Description of Bursitis

Palpable, tender and enlarged bursa, decreased range of motion, warmth. May have increased pain with range of motion.

Mechanism of Injury for Bursitis

Possible causes of this condition include a sudden shift in work habits, repeated motions performed frequently during non-routine work profiles, postural alterations, contusions, frequent climbing, soft tissue damage, fractures, and continuous labour on uneven surfaces.

Specific Physical Findings of Bursitis

Tendinitis/tenosynovitis diagnostic testing is not advised because it is rarely necessary.

Diagnostic Testing Procedures of Bursitis

Bursal Fluid Aspiration

Bursal Fluid Aspiration is recommended clinically appropriate in a subset of patients.

Indications: Patients who require testing for infections, rheumatic diseases, or connective tissue abnormalities may be able to get it.

Non-Operative Treatment

Non-Operative Treatment is recommended clinically appropriate in a subset of patients.

Operative Treatment of Bursitis

Surgical Excision of the Bursa

Surgical Excision of the Bursa is recommended clinically appropriate in a subset of patients.

Indications: following the failure of conservative treatment, bursa excision

Post-Operative Therapy

Post-Operative Therapy is recommended clinically appropriate in a subset of patients.

What our office can do if you have workers compensation injuries

We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.

We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.

We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.


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Dr. Nakul Karkare

I am fellowship trained in joint replacement surgery, metabolic bone disorders, sports medicine and trauma. I specialize in total hip and knee replacements, and I have personally written most of the content on this page.

You can see my full CV at my profile page.