New York State Medical Treatment Guidelines for
Tendinitis/Tenosynovitis 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 Tendinitis / Tenosynovitis.

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 / Definition of Tendinitis / Tenosynovitis

Tenosynovitis means Inflammation of the lining of the tendon sheath or of the enclosed tendon. Usually occurs at the point of insertion into bone or a point of muscular origin. Can be associated with bursitis, or calcium deposits or systemic connective diseases.

Mechanism of Injury for Tendinitis / Tenosynovitis

Tenosynovitis may be brought on by severe or repeated stress, strain, or prodigious amounts of unusually hard effort.

Specific Physical Findings of Tendinitis / Tenosynovitis

The tendons that are affected may have visible swelling, probable fluid buildup, inflammation, popping or crepitus, and reduced range of motion.

Diagnostic Testing Procedures of Tendinitis / Tenosynovitis

Diagnostic Testing Procedures of Tendinitis / Tenosynovitis is not recommended tendinitis/tenosynovitis diagnostic testing is not advised because it is rarely necessary.

Non-Operative Treatment

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

Surgical Indications of Tendinitis / Tenosynovitis

Substantial functional impairment that is refractory to conservative therapy or suspected avulsion fracture.

Operative Treatment of Tendinitis / Tenosynovitis

Operative Treatment of Tendinitis / Tenosynovitis is recommended – in very select patients.

Indications: substantial functional impairment that is refractory to conservative therapy or suspected avulsion fracture.

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 injury related Tendinitis / Tenosynovitis

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.