New York State Medical Treatment Guidelines for Oral NSAIDs in workers compensation patients

The guidelines from the New York State Workers Compensation Board provide general principles for the use of oral Nonsteroidal Anti-Inflammatory Drugs (NSAIDs). These directives aim to assist healthcare professionals in determining appropriate strategies for incorporating oral NSAIDs into a comprehensive treatment plan.

Healthcare practitioners specializing in the use of oral NSAIDs can rely on the guidance from the Workers Compensation Board to make well-informed decisions about the most suitable approaches for integrating these medications into the care of their patients.

It is crucial to emphasize that these guidelines are not intended to replace clinical judgment or professional expertise. The ultimate decision regarding the use of oral NSAIDs should involve collaboration between the patient and their healthcare provider.


The guidelines established by the New York State Workers Compensation Board are designed to assist physicians, podiatrists, and other healthcare professionals in delivering appropriate treatment involving Oral NSAIDs for patients with ankle and foot disorders within the workers’ compensation context.

These guidelines aim to support healthcare professionals in making informed decisions about the appropriate level of care. However, it’s crucial to note that these guidelines do not replace the valuable insights gained from clinical judgment and professional experience. The ultimate decision regarding care should be a collaborative one between the patient and their healthcare provider.


Oral NSAIDs of Medications for the Treatment of CRPS

Indications: NSAIDs are recommended for CRPS symptoms that are severe enough to warrant medication. They are suggested as a supplement to aerobic, strengthening, and conditioning workouts. As first-line treatments, generic ibuprofen, naproxen, or other NSAIDs from an earlier generation are typically advised. Acetaminophen, though marginally less effective, is an acceptable substitute or can be taken in conjunction.

Begin with over-the-counter (OTC) medications to assess their efficacy. Additional generic medicines could be considered as second-line treatments. If other NSAIDs are contraindicated or there is a risk of gastrointestinal problems, COX-2 selective drugs are recommended as a third- or fourth-line treatment; however, alternative options for gastro-protection include abortion, sucralfate, and proton pump inhibitors. Refer to the Non-Acute Pain Medical Treatment Guideline’s NSAID-related cautions.

Frequency/Dose/Duration: For most patients, scheduled doses are advised over as-needed use to prevent negative side effects from other treatment options, but it is acceptable to prescribe NSAIDs for mild to moderate symptoms. Due to the potential side effects of long-term (greater than two months) NSAID use, patients should be made aware and regularly monitored for negative consequences such as hypertension, blood loss, kidney insufficiency, hepatic enzyme deficiency, and elevated creatinine levels.

Older patients or those with co-morbid conditions may require more frequent monitoring. The addition of a cytoprotective drug may also be necessary.


What our office can do if you have workers compensation injuries

We have the expertise to assist you with your workers’ compensation injuries. Recognizing the challenges you are facing, we are committed to meeting your medical needs and adhering to the guidelines set by the New York State Workers Compensation Board.

Understanding the significance of your workers’ compensation cases, we are here to guide you through the complexities of dealing with the workers’ compensation insurance company and your employer.

We acknowledge that this is a stressful time for you and your family. If you would like to schedule an appointment, please reach out to us, and we will make every effort to simplify the process and support you as much as possible.

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