New York State Medical Treatment Guidelines for
Follow-Up Diagnostic Imaging / Testing
in 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 Follow-Up Diagnostic Imaging / Testing.

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.

Follow-Up Diagnostic Imaging / Testing of Shoulder Injury

The choice of diagnostic imaging studies is based on both clinical judgement and the case-specific clinical presentation, which is covered in depth in General Principles section A-13.Additionally, repeat or alternative diagnostic imaging may occasionally be clinically necessary.

These circumstances include, but are not limited to: where an earlier test was subpar and/or nondiagnostic;changes in the clinical environment (e.g., emergence of new or worsening symptoms, preparation for an operation or therapeutic injections, etc.); It’s important to keep track of any clinical improvement (such as post-operatively) or decline.

The best possible diagnostic accuracy, the least amount of negative side effects for patients, and clinical effectiveness are all ensured by careful procedure selection or by doing many operations in the right order. The cumulative radiation exposure and related dangers rise as a result of repeated procedures.

The sensitivity and specificity of diagnostic imaging methods for any diagnosis can vary. The selection and interpretation of imaging studies should be based on the clinical history, physical examination, and clinical judgement.

Plain X-rays are typically a good place to start, but they are not always sufficient.Many shoulder diseases may benefit from arthrography, computed axial tomography (CT) scanning after arthrography, or magnetic resonance imaging (MRI).

Repeat imaging or alternative imaging may be necessary in some situations, as mentioned above.Choosing one method over another typically involves a number of considerations.

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.