General Guideline Principles for Peripheral Nerve Stimulation
(PNS) 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 Peripheral Nerve Stimulation (PNS).

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.

Peripheral Nerve Stimulation (PNS) of Spinal Cord Stimulator and Intrathecal Drug Delivery

A physician who needs to carry out this strategy should demand pre-approval previously carrying out the methodology.

  • To be pre-approved, the patient should be assessed by a doctor (MD or DO) properly prepared or experienced in the utilization of such gadgets (normally a trained professional in Actual Medication, Agony The board or Spine Medical procedure) in counsel with the essential treating doctor/specialist.

  • The methodology should be performed by a doctor with the recorded preparation or experience as verified previously.

Indication: Like spinal string feeling, a transient preliminary or a symptomatic block of the impacted nerve might be expected preceding implantation of the gadget.

NOTE: This rule doesn’t matter to cranial nerves (for example vague nerve, trigeminal nerve), gastric, sacral nerve and additionally back tibial nerve. PNS can be thought about when there is:

  • Documentation of serious and unremitting central nerve torment, in a characterized neuronal appropriation, for no less than 90 days; and

  • Recorded disappointment of various other treatment modalities, as clinically demonstrated, counting yet not really restricted to for example exercise-based recuperation, supports, drugs or medical procedure; and

  • Absence of careful contraindications including diseases and clinical dangers; and

  • Suitable patient instruction, conversation and revelation of dangers and advantages; and

  • No dynamic substance uses issues or use problems; and

  • Formal mental screening by an emotional wellness proficient has been finished and verified that the patient is a suitable possibility for this system.

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.