This page, Massachusetts treatment guidelines and protocols for injured workers, is part of
This page, Massachusetts treatment guidelines and protocols for injured workers, is offered by

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.

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. They give guidance to cli9nicians, 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.

Changes to the Massachusetts Treatment Guidelines and Protocols June 2021

Please be advised of the following changes to Massachusetts Treatment Guidelines:

  1. New Neck and Back Treatment Guideline with Appendices replacing
    • Neck and Back Injuries Conservative Treatment Guidelines (Up to 12 Weeks From Date Treatment Commences),
    • Cervical Radiculopathy/Single Nerve Root Entrapment Surgical Treatment Guideline,
    • Single Lumbar Spinal Nerve Root Entrapment Conservative Treatment Guideline,
    • Single Lumbar Spinal Nerve Root Entrapment Surgical Treatment Guideline,
    • Chronic Neuromuscolo-skeletal Injury Conservative Treatment Guideline,
  2. Revised Chronic Pain treatment Guideline which removes treatment recommendations covered by the Neck and Back Pain Treatment Guideline.
  3. Revised Acupuncture Protocol

All Treatment Guidelines which address acupuncture will reflect the changes noted in eh Acupuncture Protocol

Table of Contents

Index of Massachusetts Department of Industrial Accidents' (DIA) Treatment Guidelines/Protocols for Injured Workers (Revised June 2021)

Carpal Tunnel Release Surgical Treatment Guideline (Revised June 2021)

Carpal Tunnel Syndrome (CTS) Treatment Guideline (Revised June 2021)

Chronic Pain Treatment Guideline (Revised June 2021)

General Acupuncture Protocol (Revised June 2021)

Knee Injury Anterior Cruciate Ligament (ACL) Surgical Treatment Guideline (Revised October 2008)

Knee Injury Conservative Treatment Guideline (Revised June 2021)

Knee Injury Patella Tendon Re-Alignment Maquet Procedure Surgical Guideline (Revised October 2008)

Neck and Back Injury Treatment Guideline with Appendices (June 2021)

Occupational Asthma Treatment Guideline (Revised October 1998)

Opioid Controlled Substance Protocol (May 2016)

Shoulder Injury Treatment Guidelines (Revised June 2021)

Feedback