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.
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NY MTG for Mid and Low Back
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- General Guideline Principles for Sacroiliac Surgery for workers compensation patients
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- General Guideline Principles for Radiofrequency Ablation, Neurotomy, Facet Rhizotomy for workers compensation patients
- General Guideline Principles for Other Tests / Procedures of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Medications for workers compensation patients
- General Guideline Principles for Laboratory Testing of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Intraoperative Monitoring / Image Guidance / Robotic Surgery for workers compensation patients
- General Guideline Principles for Imaging Studies of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Imaging / Anatomical Tests of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Injections: Therapeutic Spinal for workers compensation patients
- General Guideline Principles for History Taking and Physical Examination of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for History Taking and Physical Examination of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Follow-Up Diagnostic Imaging and Testing Procedures of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Electrical Therapies for workers compensation patients
- General Guideline Principles for Electrical Bone Growth Stimulators for workers compensation patients
- General Guideline Principles for Discectomy, Microdiscectomy, Sequestrectomy, Endoscopic Decompression for workers compensation patients
- General Guideline Principles for Disc Replacement for workers compensation patients
- General Guideline Principles for Decompressive Surgery (Laminotomy / Facetectomy Laminectomy for workers compensation patients
- General Guideline Principles for Bed Rest for workers compensation patients
- General Guideline Principles for Appliances for workers compensation patients
- General Guideline Principles for Acupuncture for workers compensation patients
Workers Compensation
- Workers Comp Main Hub
- Workers Comp FAQs
- Medical Treatment Guidelines (MTGs)
- COVID-19 and Workers’ Compensation
- Workers’ Compensation Provider Billing FAQs
- Settling Your Workers’ Compensation Claim
- Short-Term Disability Workers’ Compensation Patients and Paid Family Leave
- The Role of Medical Providers in Workers’ Compensation
- When Should Employers Purchase Workers’ Compensation Insurance?
- Workers’ Compensation Injury Billing Forms
- Workers’ Compensation Insurance: What a Business Owner Needs to Know
- Scheduled Loss of Use
- Scheduled Loss of Use for Hand and Wrist
- Scheduled Loss of Use for Ankle and Foot
- Scheduled Loss of Use for Elbow
- Scheduled Loss of Use for Great and Lesser Toes
- Scheduled Loss of Use for Determining Hip and Femoral Impairment
- Scheduled Loss of Use for Knee and Tibia
- Scheduled Loss of Use for Shoulder
- Scheduled Loss of Use for Upper Extremities – Thumb and Fingers
- Scheduled Loss of Use for Visual System/Auditory System/Facial Scars and Disfigurement
- Scheduled Loss of Use for Central Nervous System Conditions, Peripheral Nerve Injuries and Entrapment / Compression Neuropathies
- Workers’ Compensation Fraud
- Workers’ Compensation State Laws
- Workers’ Compensation Pays Primary to Medicare When a Medicare Beneficiary Has a Work-Related Medical Claim
- Workers’ Compensation Origin
- Workers’ Compensation Issues of Concern, Clinical Significance and Enhancing Healthcare Team Outcomes
- Workers’ Compensation History in the United States
- The Effect of Workers’ Compensation Status on the Patient Experience
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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.
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