General Guideline Principles for Pain Outcomes and
Endpoints of Non-Acute Pain 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 Pain Outcomes and Endpoints of Non-Acute Pain.

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.

Pain Outcomes and Endpoints of Non-Acute Pain

Pain is personal. It is difficult to evaluate or quantify objectively. It is crucial to record the degree to which function is thought to be impaired by pain since subjective assessments of pain intensity may not correspond well with their functional impact.

The patient’s health and any additional information on the cause of pain or the patient’s health status should be reviewed by the doctor on a regular basis. Continuation or adjustment of pain management relies on how well the doctor feels the patient is responding to the treatment plan.

The patient’s reduced pain, decreased need for analgesics, and improved level of function might all be indicators of progress. If the patient’s development is poor, the doctor should determine if the existing treatment plan should be continued and explore using other therapeutic methods.

During an injury’s natural history, a patient’s state is likely to fluctuate. During the non-acute clinical course, exacerbations and/or “breakthrough” pain may occur, necessitating the need to modify the course of treatment.

It’s crucial to keep in mind that wounded employees still have a right to adequate medical attention even after they have attained the highest level of medical improvement.

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.