New York State Medical Treatment Guidelines for
Mid-Tarsus Pain and Sprains 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 Mid-Tarsus Pain and Sprains.

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.

Mid-Tarsus Pain and Sprains

The ligaments in the mid-foot are frequently involved in mid-tarsal or mid-foot pain and sprains. Eliminating the diagnosis of midfoot fracture is the main diagnostic objective. This group includes sprains of the metatarsophalangeal joint as well as metatarsalgia. However, the term “metatarsalgia” is a general one that covers a wide range of foot pain problems, such as Morton’s neuroma.

Diagnostic Studies for Mid-Tarsus Pain and Sprains

1. Diagnostic Studies for Mid-Tarsus Pain and Sprains in workers compensation patients for Weight Bearing X-Rays

   Diagnostic Studies for Mid-Tarsus Pain and Sprains in workers compensation patients for Weight Bearing X-Rays are recommended lateral and AP views without obliques; frequently bilateral for comparison:

    

   • Frequently typical in minor injuries (Grade 1 Sprains).

      

   • generally unusual in mild (Grade 2 Sprains).

      

   • Always unusual with serious wounds (Grade 3 Sprains).

      

2. CT Scans for Mid-Tarsus Pain and Sprains

   CT Scans for Mid-Tarsus Pain and Sprains are recommended in doubtful situations and in a few preoperative situations.

Mobilization / Immobilization for Mid-Tarsus Pain and Sprains

1. Immobilization in a Short-Leg Walking Boot or Cast

   Immobilization in a Short-Leg Walking Boot or Cast is recommended when there is no diastasis in mild to moderate cases.

    

2. Surgery of Mid-Tarsus Pain and Sprains

   Surgery of Mid-Tarsus Pain and Sprains is recommended for all severe situations, unstable injuries, and diastases that are considerable (i.e., >2mm).

What our office can do if you have Mid-Tarsus Pain and Sprains

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.