Download Workers’ Compensation Health Care Practice Guidelines:
   PART A – Carpal Tunnel
   PART B – Chronic Pain
   PART C – Cumulative Trauma Disorder
   PART D – Low Back
   PART E – Shoulder
   PART F – Cervical
   PART G – Lower Extremities

1000 DEPARTMENT OF LABOR

1300 Division of Industrial Affairs

1340 The Office of Workers’ Compensation

Statutory Authority: Title 19 Delaware Code, Sections 105 and 2301A (19 Del.C. §§105, 2301A)

19 DE Admin. Code 1342

1342 Health Care Practice Guidelines

Table of Contents

PART A CARPAL TUNNEL SYNDROME GUIDELINES
     1.0 Introduction
     2.0 General Guideline Principles
     3.0 Definition
     4.0 Initial Diagnostic Procedures
     5.0 Follow-Up Diagnostic Testing Procedures
     6.0 Therapeutic Procedures – Non-Operative
     7.0 Therapeutic Procedures – Operative

PART B CHRONIC PAIN TREATMENT GUIDELINES
     1.0 Introduction
     2.0 General Guideline Principles
     3.0 Introduction to Chronic Pain
     4.0 Definitions
     5.0 Initial Evaluation & Diagnostic Procedures
     6.0 Therapeutic Procedures – Non-Operative
     7.0 Therapeutic Procedures – Operative
     8.0 Maintenance Management

PART C CUMULATIVE TRAUMA DISORDER MEDICAL TREATMENT GUIDELINES
     1.0 Introduction
     2.0 General Guideline Principles
     3.0 Definitions and Mechanisms of Injury
     4.0 Initial Diagnostic Procedures
     5.0 Follow-up Diagnostic Imaging and Testing Procedures
     6.0 Therapeutic Procedures – Non-Operative
     7.0 Operative Treatment

PART D LOW BACK TREATMENT GUIDELINES
     1.0 Introduction
     2.0 General Guideline Principles
     3.0 Initial Diagnostic Procedures
     4.0 Follow-up Diagnostic Imaging and Testing Procedures
     5.0 Therapeutic Procedures – Non-Operative
     6.0 Therapeutic Procedures – Operative
     7.0 General Guidelines

PART E SHOULDER TREATMENT GUIDELINES 
     1.0 Introduction
     2.0 General Guideline Principles
     3.0 Introduction to Shoulder Injury
     4.0 History Taking and Physical Examination (Hx & PE)
     5.0 Specific Diagnosis, Testing and Treatment Procedures
     6.0 Therapeutic Procedures – Non-Operative

PART F CERVICAL TREATMENT GUIDELINES
     1.0 Introduction
     2.0 General Guideline Principles
     3.0 Initial Diagnostic Procedures
     4.0 Diagnostic Imaging and Testing Procedures
     5.0 Therapeutic Procedures – Non-Operative
     6.0 Therapeutic Procedures – Operative

PART G LOWER EXTREMITY TREATMENT GUIDELINES 
    1.0 Introduction
    2.0 General Guideline Principles
    3.0 Initial Diagnostic Procedures
    4.0 Follow-up Diagnostic Imaging and Testing Procedures
    5.0 Specific Lower Extremity Injury Diagnosis, Testing, and Treatment
    6.0 Therapeutic Procedures – Non-Operative
    7.0 Therapeutic Procedures – Operative