General Guideline Principles for Discectomy, Microdiscectomy,
Sequestrectomy, Endoscopic Decompression
for 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 Elbow Injury.

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.

Discectomy, Microdiscectomy, Sequestrectomy, Endoscopic Decompression of Therapeutic Procedures: Operative

Lumbar Discectomy

Lumbar Discectomy are recommended in certain cases when clinically necessary

Indications: Patients with radiculopathy caused by continuous nerve root compression, who continue to have considerable pain and functional limitations, are advised to have a lumbar discectomy as an effective procedure to hasten recovery. restriction after six to twelve weeks and have received the necessary care conservative therapy, during which they received no further advancement neural deficiencies.

Every one of the following requirements must be met:

• Syndrome of radicular discomfort with present myotome muscular weakness, dermatomal pain, or numbness – reliable signs of a bulging disc at the relevant level;
• p\Picture MRI or CT results that confirm persistent myelopathy, with or without myelography compression of a nerve root at the level as well as on the side foreseen by history clinical assessment
• Persistent severe discomfort and functioning restriction following six to 12 months and Patients who are candidates for surgical removal should be advised that there is evidence indicating there is no reason to hasten surgical decisions (apart from cauda equina disease and the uncommon progressive significant neurologic disability) since whether undergoing surgery or not, long-term functional recovery is the same being carried out sooner or later. Microdiscectomy, Open Discectomy, and endoscopic discectomy is one possible method that could be used. discectomy.

Selecting one of these techniques should be the decision be left to the discretion of the surgeon as well as the patient until reliable proof is available to offer advice based on solid evidence.

Lumbar Discectomy are not recommended – as treatment of acute or non-acute back pain without radiculopathy.

Percutaneous Discectomy are not recommended – Percutaneous discectomy (nucleoplasty), laser discectomy, and disc coblation therapy are not recommended as treatment for any back or radicular pain syndrome.

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.