General Guideline Principles for Coal Workers’
Pneumoconiosis (CWP) 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 Coal Workers’ Pneumoconiosis (CWP).

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.

Coal Workers’ Pneumoconiosis (CWP) of Occupational Interstitial Lung Disease

In addition to complex organic compounds and minerals, including varying concentrations of silica and silicates, coal dust is a mixture of carbon.

Condition Considerations of Coal Workers’ Pneumoconiosis (CWP)

  • CWP is a distinct illness that can be distinguished pathologically from silicosis, despite the fact that the two conditions can coexist, especially in miners who have drilled or cut through rock.

  • CWP differs histologically from silicosis in the morphology of the lesion.

  • The pneumoconiosis (CWP) of coal miners is frequently accompanied by bronchitis and some degree of airway blockage.

  • Large intrathoracic fibrotic masses that are associated with severe respiratory impairment and are typically apparent on chest x-rays in the upper and mid lung fields may develop as a result of CWP.

Comorbidities CWP is associated with an elevated risk of:

  • Immune conditions, including rheumatoid arthritis (sometimes known as “Caplan’s syndrome”).

  • Workers with CWP may experience systemic clinical symptoms and related autoimmune illnesses.

Latency of Coal Workers’ Pneumoconiosis (CWP)

  • CWP Pneumoconiosis generally takes decades to manifest clinically.

  • Although they are uncommon, CWP linked to high exposure levels is one exception.

Diagnosis of Coal Workers’ Pneumoconiosis (CWP)

Occupational history with significant exposure with acceptable latency, objective radiographic evidence (chest radiograph and/or HRCT), assessment of pulmonary function, and investigation of potential differential diagnoses are commonly used to make the diagnosis of CWP.

What our office can do if you have workers compensation Coal Workers’ Pneumoconiosis (CWP)

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.