Massachusetts treatment guidelines and protocols for injured workers

The Department of Industrial Accidents' (DIA) treatment guidelines and protocols cover the majority of tests and treatments for work-related injuries.

Treatment guidelines and protocols are used to evaluate if an injured worker's proposed treatment is medically reasonable and necessary. They give guidance to clinicians, insurers, and others about appropriate diagnostic testing and treatment. Members of the Health Care Services Board (HCSB) draft the guidelines. The full HCSB board votes to endorse the guidelines after soliciting and considering public comment. Thereafter, the DIA director adopts the guideline/protocol. Guidelines are not mandates and it is expected that up to 10% of treatment may deviate from the recommendations in the guidelines/protocols.

Table of Contents

Index of Massachusetts Department of Industrial Accidents' (DIA) Treatment Guidelines/Protocols for Injured Workers

Carpal Tunnel Release Surgical Treatment Guideline

Carpal Tunnel Syndrome (CTS) Treatment Guideline

Cervical Radiculopathy/Single Nerve Root Entrapment Surgical Treatment Guideline

Chronic Neuromuscolo-Skeletal Injury Conservative Treatment Guideline

Chronic Pain Treatment Guideline

General Acupuncture Protocol

Knee Injury Anterior Cruciate Ligament (ACL) Surgical Treatment Guideline

Knee Injury Conservative Treatment Guideline

Knee Injury Patella Tendon Re-Alignment Maquet Procedure Surgical Guideline

Neck and Back Injuries Conservative Treatment Guidelines

Occupational Asthma Treatment Guideline

Opioid Controlled Substance Protocol

Shoulder Injury Treatment Guidelines (Revised October 14, 2015)

Single Lumbar Spinal Nerve Root Entrapment Conservative Treatment Guideline

Single Lumbar Spinal Nerve Root Entrapment Surgical Treatment Guideline