Work Conditioning, Work Hardening, Early Intervention Programs

General Guideline Principles for Work Conditioning, Work
Hardening, Early Intervention Programs for CRPS for workers compensation patients

The guidelines for Work Conditioning, Work Hardening, Early Intervention Programs for Complex Regional Pain Syndrome (CRPS) have been formulated by the New York State Workers Compensation Board. These guidelines aim to support physicians, podiatrists, and other healthcare professionals in delivering suitable treatment for individuals with CRPS-related concerns.

The Workers Compensation Board guidelines serve as a valuable tool for healthcare professionals, providing insights and recommendations to aid in decisions about the optimal level of care for patients dealing with ankle and foot disorders.

It’s crucial to emphasize that these guidelines are not intended to replace clinical judgment or the expertise of healthcare professionals. The responsibility for making the ultimate decision regarding care lies with the patient, who should collaborate with their healthcare provider to determine the most appropriate course of action based on their individual circumstances.

 

Work Conditioning, Work Hardening, Early Intervention Programs for CRPS

Engaging in Work Conditioning, Work Hardening, Early Intervention Programs for Complex Regional Pain Syndrome (CRPS) is recommended for individuals requiring care for CRPS.

Indications:
– Patients who have been completely off work or on modified duty for 6 to 12 weeks, often due to manual materials handling tasks.
– Those who haven’t responded to less intensive interventions, including a four to eight-week physical therapy program or a graded treatment program lasting six to twelve weeks, which includes aerobic and strengthening exercise components.
– Individuals expressing a strong desire and expectation to return to work.
– Participation in the workforce.
– Referral by a qualified physical or occupational therapist.
– Completion of a thorough assessment of their occupational demands.
– Experience either unsuccessful attempts to return to work or a Functional Capacity Evaluation (FCE) indicating appropriate performance effort and consistency at a work level lower than their desired return.

The program should include a psychosocial approach, focusing on capability rather than pain, a conditioning or aerobic exercise component, and simulated graded work tasks. It should be tailored to individual needs, addressing gaps between current skills and job demands. Participation in the Functional Agility and Balance Test (FABT) is often beneficial.

Frequency/Dose/Duration:
– Work conditioning and early intervention programs three to five times per week.
– Work hardening programs on a daily basis.
– Weekly assessments documenting consistency and significant progress toward the return-to-work goal should be recorded to justify continuation.
– Program length and intensity should be individualized based on each patient’s unique rehabilitation needs.

 

What our office can do if you have workers compensation injuries

 

We possess the expertise to assist you with your workers’ compensation injuries. We comprehend the challenges you are facing and are committed to addressing your medical requirements while adhering to the regulations outlined by the New York State Workers Compensation Board.

Recognizing 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 period for you and your family. If you wish to schedule an appointment, please reach out to us, and we will go the extra mile to ensure the process is as convenient for you as possible.

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