General Guideline Principles for Red Flags for workers compensation patients

The guidelines established by the New York State workers’ compensation board are crafted to aid physicians, podiatrists, and other healthcare professionals in delivering appropriate treatment for Red Flags associated with Complex Regional Pain

These Workers Compensation Board guidelines aim to support healthcare professionals in making informed decisions about the appropriate level of care for their patients.

It’s crucial to note that these guidelines do not replace clinical judgment or professional experience. The final decision about care should be a collaborative effort between the patient and their healthcare provider.


Red Flags of Complex Regional Pain Syndrome

An urgent consultation may be necessary if there is physical evidence of a medical or psychiatric issue consistent with the patient’s history and test results. A history of cancer, infection, endocrinological problems, or systemic ailments may suggest the potential presence of a significant underlying condition.

Investigations unrelated to the work injury but essential for a comprehensive assessment may be required if the medical history indicates pathology originating from an area other than the initially injured one (e.g., shoulder pain from the gall bladder or cervical spine; joint concerns from rheumatological disorders).

Psychosocial red flags, such as dangerousness to oneself or others, extreme drunkenness, psychosis, and homelessness, should be considered. Signs indicating risk factors for delayed recovery are regarded as “yellow” flags.

Table 1 primarily focuses on systemic problems that might have been overlooked in a patient experiencing persistent pain. However, given the high frequency of comorbidity with chronic pain, specialists should still check, evaluate, and inquire about existing psychological disorders if the person has no prior history.



What our office can do if you have workers compensation injuries

We possess the expertise to assist you with your workers’ compensation injuries. We empathize with your situation, ensuring that your medical needs are met while adhering to the guidelines established by the New York State Workers Compensation Board.

Recognizing the significance of your workers’ compensation cases, let us guide you through the complexities of interacting 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, and we will make every effort to simplify the process for you as much as possible.

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