New York State Medical Treatment Guidelines for
Orthotics and Prosthetics 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 Charcot Joint.
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.
Orthotics and Prosthetics Fabrication / Modification
Orthotics and Prosthetics Fabrication / Modification of Orthotics are recommended clinically appropriate in a subset of patients.
Indications: Used to restore normal weight bearing, improve motion responsiveness, support a joint with limited muscular or proprioceptive/reflex abilities, safeguard subacute conditions as required during movement, and fix biomechanical issues.
Frequency: Typically once to twice a week, with one to three treatments need to obtain results (wearing schedule evaluation included).
Optimum/maximum duration: Casting, fitting, and reevaluation took place over the course of four sessions.
Orthotic / Prosthetic Training
Orthotic / Prosthetic Training is recommended in select patients as clinically indicated.
Frequency: Three times a week, requiring two to six sessions to have an impact.
Optimum/maximum duration: Two to four months.
Splints or Adaptive Equipment
Splints or Adaptive Equipment are recommended in select patients as clinically indicated.
Indications: The need to control neurological and orthopaedic injuries for less stress during functional activities and modify tasks through instruction in the use of a device or physical modification of a device, which reduces stress on the injury, are examples of design, fabrication, and/or modification indications.
Equipment ought to increase safety and lower the chance of further injury. This covers both high-tech and low-tech assistive choices, such as workplace adjustments, computer interface or seating, training for crutches or walkers, and self-care assistance.
Frequency: To develop independent use, one to three sessions are recommended or as needed.
Optimum/maximum duration: One to three sessions.
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.
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.