Medical Treatment Guidelines

Division of Workers' Compensation


Special Instructions for Rule 17 Medical Treatment Guidelines Exhibits 1-10:

 Rule 17 and the Medical Treatment Guideline Exhibits were revised on September 29, 2005, with an effective date of January 1, 2006. Those revisions were non-substantive changes, i.e. reformatting, renumbering and correcting typographical errors. The 9/29/05 revisions did not include any analysis of medical literature or substantive update of the rules.

The exhibits for Rule 17 are available in both MS Word and PDF (print friendly) formats.  For ease in both copying and pasting text, please use the MS Word version of these documents.  In the PDF documents, there is rapid navigation within each document by using the links provided within the Table of Contents.  To view a desired section within each exhibit, simply click on the corresponding heading within the Table of Contents.  This will take you to the corresponding page in the pdf document.  To return to the Table of Contents at any time, simply click the button "Return to Table of Contents" in the upper-right corner of each page. 

Click here to learn about Medical Treatment Guidelines Desk Reference Tools 

Click here to learn about research methodology, process, and literature used in updating the medical treatment guidelines

Information concerning   Blocks for Sympathetically Mediated Pain   may also be found under the Treatment Guideline Desk Reference Tools page above.

 

 Medical Treatment Guideline

 Formats

Introduction

 PDF  

 MS Word  

 Exhibit 1 - Low Back Pain (LBP)

 PDF 

MS Word  

Exhibit 2 - Carpal Tunnel Syndrome RESERVED.  (Incorporated into Exhibit 5)  

 Exhibit 3 - Thoracic Outlet Syndrome (TOS)

  PDF  

MS Word   

 Exhibit 4 - Shoulder Injury (SHO)

  PDF  

MS Word  

Exhibit 5 - Cumulative Trauma Conditions (CTC) 

(Includes Carpal Tunnel Syndrome Guidelines)

  PDF  

MS Word 

Exhibit 6 - Lower Extremity (LXT) 

  PDF  

 MS Word  

Exhibit 7 - Complex Regional Pain Syndrome/Reflex Sympathetic Dystrophy (CRPS/RSD)* 

  PDF  

 MS Word  

 Exhibit 8 - Cervical Spine Injury (CSI)

PDF

MS Word

Exhibit 9 - Chronic Pain Disorder (CPD)

 PDF  

 MS Word

Exhibit 10 - Traumatic Brain Injury (TBI)

  PDF  

 MS Word