General Guideline Principles for Medical versus Self-
Management Model 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 the Medical versus Self-Management Model.
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.
Medical versus Self-Management Model of Non-Acute Pain
Patients understandably desire their non-acute pain “cured” or gone. Non-acute pain, however, must be managed rather than treated. The self-management method lays the primary duty on the individual experiencing the non-acute pain, in contrast to the medical paradigm, where the physician bears most of the obligation.
To prevent continuous and illusory hopes for an evasive cure when none exists, it is crucial to educate patients about this distinction and promote self-management.
Unrealistic curative views, which are frequently unintentionally promoted by healthcare professionals or others, can result in costly failures, long recovery times, and avoidable impairment.
The wounded worker is kept from recovering because of the never-ending examinations and treatments they get. A prominence on the injury rather than the healing might impede the patient’s ability to receive effective pain relief.
Appointment cancellations or difficulty to reach the doctor might also be factors. Delays might make the situation appear “hopeless” and aggravate the suffering of the injured worker.
Overinterpreting or focusing on imaging or electrodiagnostic data that may or may not have clinical value can lead to a clinical trap. For instance, the patient could be told, “Your back is a wreck and there’s nothing I can do about it,” rather than being informed that the MRI shows typical injury, and that surgery is not necessary at this time.
The MRI revealed a significant, irreversible back issue, the patient recalls. The patient declares that they suffer from non-acute, incurable agony.
The Medical Therapy Guidelines mandate diagnostic time periods for the execution of imaging studies as a result. It has been shown that MRIs performed too soon or without the proper criteria frequently cause patients’ anxiety to rise instead of diminish.
Other phrases that might intensify the discomfort a patient is feeling include:
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“I’m certain we can solve this.”
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“More testing need to be conducted,”
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“I am aware of a physician in another state; perhaps she might help you.”
An alternative strategy would be to explain to the patient that while explosive growth may help with pain management, it does not always mean that options available, such as returning to work, will cause more damage. Instead, there are ways to successfully manage pain rather than completely getting rid of it.
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 Non-Acute Pain
- General Guideline Principles for Types of Programs of – Non-Acute Pain for workers compensation patients
- General Guideline Principles for Summary of Non-Acute Pain for workers compensation patients
- General Guideline Principles for Psychological Evaluation and Intervention of Non-Acute Pain for workers compensation patients
- General Guideline Principles for Pharmacological Approaches for workers compensation patients
- General Guideline Principles for Personality / Psychological / Psychosocial Clinical Evaluation for Pain Management for workers compensation patients
- General Guideline Principles for Peripheral Nerve Stimulation (PNS) for workers compensation patients
- General Guideline Principles for Pain Outcomes and Endpoints of Non-Acute Pain for workers compensation patients
- General Guideline Principles for Opioids: Initiating Transitioning and Managing Long-Term Oral Opioids for workers compensation patients
- General Guideline Principles for Opioid-Related Medications: Tramadol, Methadone, Buprenorphine and Tapentadol for workers compensation patients
- General Guideline Principles for Non-Pharmacological Treatment Options of Non-Acute Pain for workers compensation patients
- General Guideline Principles for Non-Opioid Medications and Medical Management for workers compensation patients
- General Guideline Principles for Non-Acute Pain Management Programs (Interdisciplinary or Functional Restoration Pain Management Program) for workers compensation patients
- General Guideline Principles for Multidisciplinary Programs of Non-Acute Pain for workers compensation patients
- General Guideline Principles for Medical versus Self-Management Model for workers compensation patients
- General Guideline Principles for Intrathecal Drug Delivery (Pain Pumps) for workers compensation patients
- General Guideline Principles for Importance of Early Intervention of Non-Acute Pain for workers compensation patients
- General Guideline Principles for Implantable Spinal Cord Stimulator (SCS) for workers compensation patients
- General Guideline Principles for History Taking and Physical Examination of Non-Acute Pain for workers compensation patients
- General Guideline Principles for Guidelines for Optimizing Opioid Treatment for workers compensation patients
- General Guideline Principles for Goals of Pain Management Programs of Non-Acute Pain for workers compensation patients
- General Guideline Principles for General Recommendations for Functional Maintenance Care for workers compensation patients
- General Guideline Principles for Non-Acute Pain for workers compensation patients
- General Guideline Principles for Functional Restoration Approach to Non-Acute Pain Management for workers compensation patients
- General Guideline Principles for Functional Maintenance Care for workers compensation patients
- General Guideline Principles for Evaluation and Diagnostic Procedures of Non-Acute Pain for workers compensation patients
- General Guideline Principles for Duration of Programs / Interventions of Non-Acute Pain for workers compensation patients
- General Guideline Principles for Diagnostic Studies (Imaging, Electrodiagnostic Studies (EDX), Special Studies, Laboratory Testing) for workers compensation patients
- General Guideline Principles for Delayed Recovery of Non-Acute Pain for workers compensation patients
- General Guideline Principles for Definition of Non-Acute Pain for workers compensation patients
- General Guideline Principles for Biomedical vs. Biopsychosocial Approaches to the Diagnosis, Treatment and Management of Pain 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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