General Guideline Principles for Hip and Groin Disorders
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 Hip and Groin Disorders.

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.

Electrodiagnostic Studies (EDX) of Other Tests

Motor and sensory evoked potentials, peripheral nerve depolarization velocity investigations, and needle electromyograms are all examples of EDX research.Physicians board-certified in neurology or physical medicine and rehabilitation are encouraged to perform and interpret EDX in outpatient situations.

Electrodiagnostic investigations often work in conjunction with imaging techniques like CT, MRI, and/or myelography. Electrodiagnostic investigations represent a neurologic functioning state in contrast to X-ray, CT, and MRI which reflect structural changes.

Electrodiagnostic Studies (EDX)

Electrodiagnostic Studies (EDX) is recommended individuals with neck discomfort and/or symptoms of the upper extremities should have a needle EMG to confirm the cure of radiculopathy or spinal stenosis. The presence of acute or chronic radiculopathy can also be determined by needle EMG.

Electrodiagnostic Studies (EDX)

Electrodiagnostic Studies (EDX) is recommended NCV to confirm radiculopathy and assist rule out other possible explanations of the symptoms (co-morbidity or other diagnoses involving peripheral nerves).

1. Portable Automated Electrodiagnostic Device (also known as Surface EMG)

   Portable Automated Electrodiagnostic Device (also known as Surface EMG) is recommended Using surface EMG to diagnose neck discomfort or neck injuries

   Portable Automated Electrodiagnostic Device (also known as Surface EMG)

   Portable Automated Electrodiagnostic Device (also known as Surface EMG) is not recommended to identify radiculopathy

2. Somatosensory Evoked Potential (SSEP)

   Somatosensory Evoked Potential (SSEP) is recommended It is frequently utilised intraoperatively for the evaluation of myelopathy in a subset of patients.

   Somatosensory Evoked Potential (SSEP)

   Somatosensory Evoked Potential (SSEP) is not recommended to recognise the radiculopathy.

   Indications: Electrodiagnostic investigations may be necessary if severe radiating arm symptoms persist for more than four to six weeks following the start of the injury and no obvious amount of nerve root damage is visible on examination.

   When a patient already has a certain amount of injury, electrodiagnostic investigations may be helpful to identify the severity of the injury.

   Indication: Electrodiagnostic investigations may be necessary if severe radiating arm symptoms persist for more than four to six weeks following the start of the injury and no clear amount of nerve root damage is seen on examination.

   When a patient already has a certain amount of damage, electrodiagnostic investigations may be helpful to identify the severity of the injury.

3. Current Perception Threshold Evaluation (CPT)

   Current Perception Threshold Evaluation (CPT) is not recommended as a diagnostic tool

   Injections – Diagnostic

   Atlanto-axial/atlanto-occipital.

   Injections – Diagnostic is not recommended Atlanto-axial/atlanto-occipital.

4. Provocative Discography

   Provocative Discography is not recommended,

5. Thermography

   Thermography is not recommended.

What our office can do if you have workers compensation Hip and Groin Disorders

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.