New York State Medical Treatment Guidelines for Therapy:
Ongoing Maintenance Care 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 Therapy: Ongoing Maintenance Care.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.

Therapy: Ongoing Maintenance Care of Shoulder Injury

  • In some circumstances, following the diagnosis of MMI, a maintenance programme of physical therapy or occupational therapy may be advised when linked to maintenance of functional status.


  • Although the reviewed body of scientific evidence does not support the routine use of this intervention, certain circumstances may call for the use of maintenance therapy modalities to maintain functional status if no objective decline in function has already been noticed and recorded in the medical record.


  • To establish the necessity for continuing maintenance treatment, specific objective goals should be set and measured.


  • To determine whether therapeutic goals can be upheld in the absence of clinical interventions, longer and longer therapeutic withdrawal trials will be tried.


  • A trial without maintenance treatment needs to start within a year and then every year after that.


  • An ongoing patient self-management plan carried out by the patient on a regular basis and a self-directed pain management plan started as indicated should be included in the treatment of chronic shoulder symptoms:


  • To encourage physical activity and/or work activities despite persistent pain, with the aim of preserving function, an ongoing clinically appropriate self-management plan should be put into place. This plan is typically independent, home-based, and self-directed, and it is developed jointly by the provider and patient.


  • A self-directed pain management strategy should be created in addition to the self-management plan so that the patient can start it if their symptoms get worse and their ability to function declines.


  • Resuming ongoing maintenance may be appropriate if a decline in ability to maintain function is proven.

Frequency: Following the assessment of MMI, the maximum number of visits per year is 10, provided that the preservation of functional status is objectively documented. There can be no deviation from the maximum frequency.

The Functional Maintenance Care recommendations outlined in the New York Non-Acute Pain Medical Treatment Guidelines include Ongoing Maintenance Care as one of their components.

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.