# Hand, Wrist and Forearm

Aggregated by Superinsight from public-domain sources, as of 2026-10-05. Domain: wc/ny.

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## Hand, Wrist and Forearm MTG § A.1 — Medical Care {#a.1}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.1*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=7>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.1 — Medical Care** · page 7 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.2 — Rendering Of Medical Services {#a.2}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.2*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=7>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.2 — Rendering Of Medical Services** · page 7 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.3 — Positive Patient Response {#a.3}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.3*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=7>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.3 — Positive Patient Response** · page 7 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.4 — Re-Evaluate Treatment {#a.4}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.4*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=7>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.4 — Re-Evaluate Treatment** · page 7 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.5 — Education {#a.5}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.5*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=7>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.5 — Education** · page 7 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.6 — Acuity {#a.6}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.6*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=8>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.6 — Acuity** · page 8 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.7 — Initial Evaluation {#a.7}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.7*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=8>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.7 — Initial Evaluation** · page 8 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.8 — Diagnostic Time Frames {#a.8}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.8*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=8>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.8 — Diagnostic Time Frames** · page 8 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.9 — Treatment Time Frames {#a.9}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.9*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=8>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.9 — Treatment Time Frames** · page 8 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.10 — Delayed Recovery {#a.10}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.10*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=8>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.10 — Delayed Recovery** · page 8 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.11 — Active Interventions {#a.11}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.11*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=9>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.11 — Active Interventions** · page 9 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.12 — Active Therapeutic Exercise Program {#a.12}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.12*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=9>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.12 — Active Therapeutic Exercise Program** · page 9 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.13 — Diagnostic Imaging And Testing Procedures {#a.13}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.13*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=9>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.13 — Diagnostic Imaging And Testing Procedures** · page 9 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.14 — Surgical Interventions {#a.14}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.14*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=10>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.14 — Surgical Interventions** · page 10 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.15 — Pre-Authorization {#a.15}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.15*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=10>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.15 — Pre-Authorization** · page 10 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.16 — Psychological/Psychiatric Evaluations {#a.16}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.16*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=10>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.16 — Psychological/Psychiatric Evaluations** · pages 10–11 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.17 — Personality/Psychological/Psychosocial Intervention {#a.17}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.17*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=11>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.17 — Personality/Psychological/Psychosocial Intervention** · page 11 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.18 — Functional Capacity Evaluation (FCE) {#a.18}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.18*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=11>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.18 — Functional Capacity Evaluation (FCE)** · pages 11–12 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.19 — Return To Work {#a.19}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.19*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=12>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.19 — Return To Work** · page 12 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.20 — Job Site Evaluation {#a.20}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.20*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=12>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.20 — Job Site Evaluation** · pages 12–13 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.21 — Guideline Recommendations And Medical Evidence {#a.21}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.21*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=13>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.21 — Guideline Recommendations And Medical Evidence** · page 13 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.22 — Experimental/Investigational Treatment {#a.22}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.22*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=13>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.22 — Experimental/Investigational Treatment** · page 13 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.23 — Injured Workers As Patients {#a.23}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.23*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=13>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.23 — Injured Workers As Patients** · page 13 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § A.24 — Scope Of Practice {#a.24}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § A.24*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=13>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ A.24 — Scope Of Practice** · pages 13–14 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § B.1.a — History Taking and Physical Exam {#b.1.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § B.1.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=14>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ B.1.a — History Taking and Physical Exam** · page 14 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § B.1.b — History Of Present Injury (HPI) {#b.1.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § B.1.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=14>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ B.1.b — History Of Present Injury (HPI)** · page 14 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § B.1.c — Past History {#b.1.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § B.1.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=14>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ B.1.c — Past History** · pages 14–15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § B.1.d — Physical Examination {#b.1.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § B.1.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=15>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ B.1.d — Physical Examination** · page 15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § B.1.d.i — Visual inspection - Examine both hands, wrists and forearms and look for and note asymmetries and for deformities suggestive of degeneration, {#b.1.d.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § B.1.d.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=15>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ B.1.d.i — Visual inspection - Examine both hands, wrists and forearms and look for and note asymmetries and for deformities suggestive of degeneration,** · page 15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § B.1.d.iii — Range of motion/quality of motion (active and passive); The range of motion (ROM) of the hand, wrist and forearm should be determined both {#b.1.d.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § B.1.d.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=15>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ B.1.d.iii — Range of motion/quality of motion (active and passive); The range of motion (ROM) of the hand, wrist and forearm should be determined both** · page 15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § B.1.d.v — Joint integrity / stability - Stress the ligaments to assess the stability and compare to contralateral unaffected side {#b.1.d.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § B.1.d.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=15>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ B.1.d.v — Joint integrity / stability - Stress the ligaments to assess the stability and compare to contralateral unaffected side** · page 15 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § B.1.d.vii — Assess neurologic (motor, sensory and reflexes) and vascular status {#b.1.d.vii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § B.1.d.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=15>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ B.1.d.vii — Assess neurologic (motor, sensory and reflexes) and vascular status** · pages 15–16 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § B.1.e — Red Flags {#b.1.e}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § B.1.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=16>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ B.1.e — Red Flags** · page 16 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § B.1.f — Assessing Red Flags {#b.1.f}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § B.1.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=16>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ B.1.f — Assessing Red Flags** · pages 16–17 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § B.1.g — Diagnostic Criteria {#b.1.g}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § B.1.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=17>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ B.1.g — Diagnostic Criteria** · pages 17–21 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § B.1.h — Rehabilitation Principles {#b.1.h}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § B.1.h*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=21>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ B.1.h — Rehabilitation Principles** · pages 21–22 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1 — Carpal Tunnel Syndrome (CTS) {#c.1}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=23>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1 — Carpal Tunnel Syndrome (CTS)** · page 23 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.a — Medical History {#c.1.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=23>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.a — Medical History** · page 23 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.b — Physical Exam {#c.1.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=24>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.b — Physical Exam** · pages 24–25 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.c.i — Electrodiagnostic Studies {#c.1.c.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.c.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=25>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.c.i — Electrodiagnostic Studies** · pages 25–26 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.c.i.a — Electrodiagnostic Studies {#c.1.c.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.c.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=26>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.c.i.a — Electrodiagnostic Studies** · pages 26–27 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.c.i.b — Ultrasound (Diagnostic) {#c.1.c.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.c.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=27>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.c.i.b — Ultrasound (Diagnostic)** · page 27 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.c.i.c — Magnetic Resonance Imaging {#c.1.c.i.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.c.i.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=27>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.c.i.c — Magnetic Resonance Imaging** · page 27 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.d — Initial Treatment {#c.1.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=27>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.d — Initial Treatment** · page 27 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.d.i — Wrist Splinting {#c.1.d.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.d.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=27>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.d.i — Wrist Splinting** · pages 27–28 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.d.ii — Patient Education {#c.1.d.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.d.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=28>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.d.ii — Patient Education** · page 28 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.d.iii — Continuation of Activities {#c.1.d.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.d.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=28>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.d.iii — Continuation of Activities** · page 28 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.d.iv — Work Activities {#c.1.d.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.d.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=28>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.d.iv — Work Activities** · pages 28–29 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.e — Diagnosis {#c.1.e}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=29>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.e — Diagnosis** · page 29 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.f — Medications {#c.1.f}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=29>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.f — Medications** · page 29 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.f.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic CTS {#c.1.f.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.f.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=29>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.f.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic CTS** · page 29 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.f.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.1.f.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.f.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=29>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.f.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · pages 29–30 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.f.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.1.f.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.f.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=30>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.f.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 30 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.f.iv — Acetaminophen for Treatment of CTS Pain {#c.1.f.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.f.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=30>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.f.iv — Acetaminophen for Treatment of CTS Pain** · page 30 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.f.ix — Lidocaine Patches {#c.1.f.ix}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.f.ix*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=31>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.f.ix — Lidocaine Patches** · pages 31–32 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.f.v — Systemic Glucocorticosteroids {#c.1.f.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.f.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=31>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.f.v — Systemic Glucocorticosteroids** · page 31 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.f.vi — Diuretics {#c.1.f.vi}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.f.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=31>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.f.vi — Diuretics** · page 31 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.f.vii — Opioids {#c.1.f.vii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.f.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=31>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.f.vii — Opioids** · page 31 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.f.viii — Vitamins (including pyridoxine) {#c.1.f.viii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.f.viii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=31>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.f.viii — Vitamins (including pyridoxine)** · page 31 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.f.x — Gabapentin {#c.1.f.x}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.f.x*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=32>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.f.x — Gabapentin** · page 32 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g — Rehabilitation {#c.1.g}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=32>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g — Rehabilitation** · page 32 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.i.a — Therapeutic Exercise {#c.1.g.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=32>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.i.a — Therapeutic Exercise** · pages 32–33 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.i.b — Yoga {#c.1.g.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=33>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.i.b — Yoga** · page 33 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.i.c — Biofeedback {#c.1.g.i.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.i.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=33>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.i.c — Biofeedback** · page 33 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.ii — Therapy - Passive {#c.1.g.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=33>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.ii — Therapy - Passive** · page 33 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.ii.a — Ice / Self-Applied Ice {#c.1.g.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=33>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.ii.a — Ice / Self-Applied Ice** · page 33 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.ii.b — Heat / Self-Applied Heat {#c.1.g.ii.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.ii.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=33>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.ii.b — Heat / Self-Applied Heat** · page 33 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.ii.c — Diathermy {#c.1.g.ii.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.ii.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=33>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.ii.c — Diathermy** · page 33 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.iii — Manipulation and Mobilization {#c.1.g.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=34>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.iii — Manipulation and Mobilization** · page 34 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.iv — Manipulation of the Spine for Acute, Subacute, or Chronic CTS {#c.1.g.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=34>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.iv — Manipulation of the Spine for Acute, Subacute, or Chronic CTS** · page 34 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.ix — Therapeutic Touch {#c.1.g.ix}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.ix*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=35>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.ix — Therapeutic Touch** · page 35 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.v — Acupuncture {#c.1.g.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=34>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.v — Acupuncture** · page 34 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.vi.a — Magnets {#c.1.g.vi.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.vi.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=34>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.vi.a — Magnets** · page 34 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.vi.b — Pulsed Magnetic Field Therapy {#c.1.g.vi.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.vi.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=34>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.vi.b — Pulsed Magnetic Field Therapy** · page 34 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.vii — Low Level Laser therapy (LLLT) {#c.1.g.vii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=34>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.vii — Low Level Laser therapy (LLLT)** · page 34 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.viii — Massage and Soft Tissue Massage {#c.1.g.viii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.viii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=34>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.viii — Massage and Soft Tissue Massage** · pages 34–35 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.x — Ultrasound {#c.1.g.x}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.x*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=35>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.x — Ultrasound** · page 35 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.xi — Phonophoresis {#c.1.g.xi}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.xi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=35>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.xi — Phonophoresis** · page 35 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.xii — Iontophoresis {#c.1.g.xii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.xii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=35>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.xii — Iontophoresis** · page 35 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.xiii.a — Carpal Tunnel Steroid Injections {#c.1.g.xiii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.xiii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=35>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.xiii.a — Carpal Tunnel Steroid Injections** · pages 35–36 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.xiii.b — Carpal Tunnel Steroid Injections for Treatment of Acute, {#c.1.g.xiii.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.xiii.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=36>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.xiii.b — Carpal Tunnel Steroid Injections for Treatment of Acute,** · page 36 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.xiii.c — Carpal Tunnel Steroid Injections for Treatment of Non {#c.1.g.xiii.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.xiii.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=36>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.xiii.c — Carpal Tunnel Steroid Injections for Treatment of Non** · page 36 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.xiii.d — Intramuscular Injections {#c.1.g.xiii.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.xiii.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=36>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.xiii.d — Intramuscular Injections** · page 36 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.xiii.e — Insulin {#c.1.g.xiii.e}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.xiii.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=36>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.xiii.e — Insulin** · page 36 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.g.xiii.f — Botulinum Injections {#c.1.g.xiii.f}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.g.xiii.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=37>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.g.xiii.f — Botulinum Injections** · page 37 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.h — Surgery {#c.1.h}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.h*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=37>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.h — Surgery** · page 37 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.h.i — Surgical Release {#c.1.h.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.h.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=37>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.h.i — Surgical Release** · pages 37–38 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.h.ii — Open or Edoscopic Release {#c.1.h.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.h.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=38>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.h.ii — Open or Edoscopic Release** · page 38 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.h.iii — Antibiotics for Patients Undergoing Carpal Tunnel Release {#c.1.h.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.h.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=38>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.h.iii — Antibiotics for Patients Undergoing Carpal Tunnel Release** · page 38 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.h.iv — Antibiotics For Post Operative Infection {#c.1.h.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.h.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=38>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.h.iv — Antibiotics For Post Operative Infection** · page 38 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.i.a — Epineurotomy {#c.1.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=38>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.i.a — Epineurotomy** · page 38 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.i.b — Internal Neurolysis {#c.1.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=39>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.i.b — Internal Neurolysis** · page 39 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.i.c — Flexor retinacular lengthening {#c.1.i.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.i.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=39>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.i.c — Flexor retinacular lengthening** · page 39 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.i.d — Ulnar Bursal Preservation {#c.1.i.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.i.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=39>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.i.d — Ulnar Bursal Preservation** · page 39 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.i.e — Altering the Location of the Incision to “Superficial Nerve-Sparing {#c.1.i.e}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.i.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=39>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.i.e — Altering the Location of the Incision to “Superficial Nerve-Sparing** · page 39 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.i.f — Ulnar Incisional Approach {#c.1.i.f}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.i.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=39>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.i.f — Ulnar Incisional Approach** · page 39 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.i.g — Flexor Tenosynovectomy {#c.1.i.g}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.i.g*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=39>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.i.g — Flexor Tenosynovectomy** · page 39 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.1.i.h — Biopsy of Abnormal Tenosynovium {#c.1.i.h}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.1.i.h*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=39>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.1.i.h — Biopsy of Abnormal Tenosynovium** · page 39 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2 — Triangular Fibrocartilage Complex (TFCC) Tears {#c.2}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=39>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2 — Triangular Fibrocartilage Complex (TFCC) Tears** · page 39 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.a — Physical Exam {#c.2.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=39>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.a — Physical Exam** · page 39 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.b — Medical History {#c.2.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=39>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.b — Medical History** · pages 39–40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.c — Initial Assessment {#c.2.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=40>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.c — Initial Assessment** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.c.ii.d — Mobilization / Immobilization {#c.2.c.ii.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.c.ii.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=59>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.c.ii.d — Mobilization / Immobilization** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.d.i — X-rays {#c.2.d.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.d.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=40>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.d.i — X-rays** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.d.ii — MRI {#c.2.d.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.d.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=40>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.d.ii — MRI** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.d.iii — Arthroscopy {#c.2.d.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.d.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=40>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.d.iii — Arthroscopy** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.e — Medications {#c.2.e}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=40>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.e — Medications** · page 40 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.e.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic TFCC Tears {#c.2.e.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.e.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=40>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.e.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic TFCC Tears** · pages 40–41 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.e.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.2.e.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.e.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=41>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.e.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 41 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.e.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.2.e.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.e.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=41>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.e.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 41 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.e.iv — Acetaminophen for Treatment of TFCC Tears Pain {#c.2.e.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.e.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=42>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.e.iv — Acetaminophen for Treatment of TFCC Tears Pain** · page 42 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.e.v — Opioids {#c.2.e.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.e.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=42>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.e.v — Opioids** · page 42 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.f — Rehabilitation {#c.2.f}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=42>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.f — Rehabilitation** · pages 42–43 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.f.i.a — Therapeutic Exercise {#c.2.f.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.f.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=43>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.f.i.a — Therapeutic Exercise** · page 43 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.f.ii.a — RICE (Rest, Ice, Compression, Elevation) {#c.2.f.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.f.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=43>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.f.ii.a — RICE (Rest, Ice, Compression, Elevation)** · page 43 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.f.ii.b — Cryotherapy / Heat {#c.2.f.ii.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.f.ii.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=43>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.f.ii.b — Cryotherapy / Heat** · page 43 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.f.ii.c — Self-Application of Heat {#c.2.f.ii.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.f.ii.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=44>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.f.ii.c — Self-Application of Heat** · page 44 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.f.iii — Immobilization {#c.2.f.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.f.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=44>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.f.iii — Immobilization** · page 44 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.g.i — Surgical Repair (Arthroscopic or Open Surgical Repair) {#c.2.g.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.g.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=44>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.g.i — Surgical Repair (Arthroscopic or Open Surgical Repair)** · page 44 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.2.g.ii — Ulna Shortening and Wafer Procedures for Chronic Triangular {#c.2.g.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.2.g.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=44>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.2.g.ii — Ulna Shortening and Wafer Procedures for Chronic Triangular** · page 44 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3 — Crush Injuries and Compartment Syndrome {#c.3}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=44>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3 — Crush Injuries and Compartment Syndrome** · pages 44–45 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.a — Physical Exam {#c.3.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=45>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.a — Physical Exam** · page 45 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.b — Medical History {#c.3.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=45>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.b — Medical History** · page 45 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.c — Initial Assessment {#c.3.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=45>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.c — Initial Assessment** · page 45 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.d.i — X-Rays {#c.3.d.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.d.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=45>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.d.i — X-Rays** · page 45 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.d.ii — MRI/CT {#c.3.d.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.d.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=45>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.d.ii — MRI/CT** · pages 45–46 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.e — Medications {#c.3.e}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=46>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.e — Medications** · page 46 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.e.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Crush injuries and Compartment {#c.3.e.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.e.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=46>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.e.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Crush injuries and Compartment** · page 46 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.e.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.3.e.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.e.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=46>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.e.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 46 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.e.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.3.e.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.e.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=47>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.e.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 47 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.e.iv — Acetaminophen for Treatment of Crush injuries and Compartment {#c.3.e.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.e.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=47>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.e.iv — Acetaminophen for Treatment of Crush injuries and Compartment** · page 47 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.e.v — Opioids - for Pain from Acute, Subacute, Chronic or Post-Operative {#c.3.e.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.e.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=47>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.e.v — Opioids - for Pain from Acute, Subacute, Chronic or Post-Operative** · pages 47–48 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.f — Rehabilitation {#c.3.f}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=48>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.f — Rehabilitation** · page 48 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.f.i.a — Therapeutic Exercise {#c.3.f.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.f.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=48>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.f.i.a — Therapeutic Exercise** · page 48 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.f.ii.a — Elevation and Relative Rest {#c.3.f.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.f.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=49>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.f.ii.a — Elevation and Relative Rest** · page 49 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.f.ii.b — Self-Application of Ice {#c.3.f.ii.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.f.ii.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=49>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.f.ii.b — Self-Application of Ice** · page 49 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.f.iii.a — Splinting {#c.3.f.iii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.f.iii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=49>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.f.iii.a — Splinting** · page 49 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.3.g.i — Surgery {#c.3.g.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.3.g.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=49>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.3.g.i — Surgery** · page 49 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4 — Kienböck Disease {#c.4}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=50>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4 — Kienböck Disease** · page 50 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.a.i — X-Rays {#c.4.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=50>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.a.i — X-Rays** · page 50 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.a.ii — CT {#c.4.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=50>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.a.ii — CT** · page 50 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.a.iii — MRI {#c.4.a.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.a.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=50>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.a.iii — MRI** · page 50 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.a.iv — Screening for Systemic Disorders {#c.4.a.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.a.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=50>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.a.iv — Screening for Systemic Disorders** · page 50 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.b — Medications {#c.4.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=50>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.b — Medications** · pages 50–51 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Kienböck disease {#c.4.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=51>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Kienböck disease** · page 51 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.4.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=51>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 51 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.4.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=51>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · pages 51–52 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.b.iv — Acetaminophen for Treatment of Kienböck disease Pain {#c.4.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=52>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.b.iv — Acetaminophen for Treatment of Kienböck disease Pain** · page 52 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.b.v — Topical Medications {#c.4.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=52>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.b.v — Topical Medications** · pages 52–53 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.b.vi — Opioids {#c.4.b.vi}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.b.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=53>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.b.vi — Opioids** · page 53 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.c — Rehabilitation {#c.4.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=53>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.c — Rehabilitation** · pages 53–54 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.c.i.a — Therapeutic Exercise – Acute Phase {#c.4.c.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.c.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=54>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.c.i.a — Therapeutic Exercise – Acute Phase** · page 54 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.c.i.b — Therapeutic Exercise – Post-Operative/Recovery {#c.4.c.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.c.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=54>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.c.i.b — Therapeutic Exercise – Post-Operative/Recovery** · page 54 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.c.ii — Therapy: Passive {#c.4.c.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.c.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=54>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.c.ii — Therapy: Passive** · page 54 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.c.iii — Splints {#c.4.c.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.c.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=54>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.c.iii — Splints** · pages 54–55 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.4.d — Surgical Treatment {#c.4.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.4.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=55>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.4.d — Surgical Treatment** · page 55 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5 — Wrist Sprains {#c.5}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=55>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5 — Wrist Sprains** · page 55 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.a.i — X-Rays {#c.5.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=55>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.a.i — X-Rays** · page 55 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.a.ii — CT Scan {#c.5.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=55>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.a.ii — CT Scan** · page 55 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.a.iii — MR Arthrography {#c.5.a.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.a.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=55>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.a.iii — MR Arthrography** · pages 55–56 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.b — Medications {#c.5.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=56>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.b — Medications** · page 56 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Wrist Sprain {#c.5.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=56>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Wrist Sprain** · page 56 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.5.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=56>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · pages 56–57 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.5.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=57>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 57 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.b.iv — Acetaminophen for Treatment of Wrist Sprain Pain {#c.5.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=57>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.b.iv — Acetaminophen for Treatment of Wrist Sprain Pain** · page 57 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.b.v — Opioids {#c.5.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=57>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.b.v — Opioids** · pages 57–58 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.c — Rehabilitation {#c.5.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=58>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.c — Rehabilitation** · page 58 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.c.i.a — Therapeutic Exercise - for treatment of moderate or severe acute or subacute wrist sprains. {#c.5.c.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.c.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=58>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.c.i.a — Therapeutic Exercise - for treatment of moderate or severe acute or subacute wrist sprains.** · pages 58–59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.c.ii.a — Relative Rest {#c.5.c.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.c.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=59>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.c.ii.a — Relative Rest** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.c.ii.b — Ice – Self-application {#c.5.c.ii.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.c.ii.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=59>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.c.ii.b — Ice – Self-application** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.c.ii.c — Heat – Self-appliation {#c.5.c.ii.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.c.ii.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=59>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.c.ii.c — Heat – Self-appliation** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.5.d — Surgery {#c.5.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.5.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=59>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.5.d — Surgery** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6 — Mallet Finger {#c.6}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=59>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6 — Mallet Finger** · page 59 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6.a.i — X-Rays {#c.6.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=60>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6.a.i — X-Rays** · page 60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6.a.ii — Ultrasound {#c.6.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=60>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6.a.ii — Ultrasound** · page 60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6.b — Medications {#c.6.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=60>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6.b — Medications** · page 60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Mallet finger {#c.6.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=60>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Mallet finger** · page 60 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.6.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=60>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · pages 60–61 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.6.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=61>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 61 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6.b.iv — Acetaminophen for Treatment of Mallet Finger Pain {#c.6.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=61>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6.b.iv — Acetaminophen for Treatment of Mallet Finger Pain** · page 61 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6.b.v — Opioids for Treatment of Acute, Subacute, or Chronic Mallet Finger {#c.6.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=61>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6.b.v — Opioids for Treatment of Acute, Subacute, or Chronic Mallet Finger** · pages 61–62 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6.c.i.a — Therapeutic Exercise {#c.6.c.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6.c.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=62>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6.c.i.a — Therapeutic Exercise** · page 62 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6.c.ii.a — Splints - Extension Splinting With the Joint in a Neutral {#c.6.c.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6.c.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=62>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6.c.ii.a — Splints - Extension Splinting With the Joint in a Neutral** · pages 62–63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6.c.ii.b — Instructions for Splint Wear {#c.6.c.ii.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6.c.ii.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=63>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6.c.ii.b — Instructions for Splint Wear** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.6.d — Surgery {#c.6.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.6.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=63>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.6.d — Surgery** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7 — Flexor Tendon Entrapment (Tenosynovitis and Trigger Digit) {#c.7}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=63>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7 — Flexor Tendon Entrapment (Tenosynovitis and Trigger Digit)** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.a — Diagnostic Studies {#c.7.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=63>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.a — Diagnostic Studies** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.b — Medications {#c.7.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=63>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.b — Medications** · page 63 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Flexor tendon entrapment {#c.7.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=63>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Flexor tendon entrapment** · pages 63–64 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.7.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=64>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 64 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.7.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=64>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 64 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.b.iv — Acetaminophen for Treatment of Flexor Tendon Entrapment Pain {#c.7.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=64>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.b.iv — Acetaminophen for Treatment of Flexor Tendon Entrapment Pain** · pages 64–65 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.b.v — Opioids {#c.7.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=65>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.b.v — Opioids** · page 65 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.c.i.a — Glucocorticosteroid Injections {#c.7.c.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.c.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=65>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.c.i.a — Glucocorticosteroid Injections** · pages 65–66 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.c.i.b — Splint {#c.7.c.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.c.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=66>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.c.i.b — Splint** · page 66 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.d — Rehabilitation {#c.7.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=66>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.d — Rehabilitation** · page 66 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.d.i.a — Therapeutic Exercise {#c.7.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=66>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.d.i.a — Therapeutic Exercise** · page 66 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.d.i.b — Therapeutic Exercise – Patients with Residual Deficits {#c.7.d.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.d.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=66>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.d.i.b — Therapeutic Exercise – Patients with Residual Deficits** · pages 66–67 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.7.e — Surgery {#c.7.e}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.7.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=67>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.7.e — Surgery** · page 67 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8 — Extensor Compartment Tenosynovitis (Including de Quervain’s Stenosing Tenosynovitis and Intersection Syndrome) {#c.8}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=67>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8 — Extensor Compartment Tenosynovitis (Including de Quervain’s Stenosing Tenosynovitis and Intersection Syndrome)** · page 67 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.a — Diagnostic Studies {#c.8.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=67>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.a — Diagnostic Studies** · page 67 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.a.i — X-Rays {#c.8.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=67>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.a.i — X-Rays** · page 67 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.a.ii — MRI {#c.8.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=67>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.a.ii — MRI** · pages 67–68 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.b — Medications {#c.8.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=68>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.b — Medications** · page 68 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Extensor Compartment Tenosynovitis {#c.8.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=68>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Extensor Compartment Tenosynovitis** · page 68 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.8.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=68>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 68 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.8.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=68>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · pages 68–69 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.b.iv — Acetaminophen for Treatment of Wrist compartment Tendinoses {#c.8.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=69>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.b.iv — Acetaminophen for Treatment of Wrist compartment Tendinoses** · page 69 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.b.v — Opioids {#c.8.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=69>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.b.v — Opioids** · page 69 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.c — Treatment {#c.8.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=70>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.c — Treatment** · page 70 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.c.i.a — Thumb Spica and Wrist Splints for Acute and Subacute {#c.8.c.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.c.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=70>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.c.i.a — Thumb Spica and Wrist Splints for Acute and Subacute** · page 70 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.c.ii — Rehabilitation {#c.8.c.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.c.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=70>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.c.ii — Rehabilitation** · pages 70–71 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.c.ii.a.i — Therapeutic Exercise – Acutely {#c.8.c.ii.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.c.ii.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=71>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.c.ii.a.i — Therapeutic Exercise – Acutely** · page 71 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.c.ii.a.ii — Therapeutic Exercise – Residual Defects {#c.8.c.ii.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.c.ii.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=71>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.c.ii.a.ii — Therapeutic Exercise – Residual Defects** · page 71 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.c.ii.b.i — Iontophoresis for Acute and Subacute {#c.8.c.ii.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.c.ii.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=71>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.c.ii.b.i — Iontophoresis for Acute and Subacute** · pages 71–72 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.c.iii — Other Passive Interventions {#c.8.c.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.c.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=72>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.c.iii — Other Passive Interventions** · page 72 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.c.iv.a — Glucocorticosteroid Injections {#c.8.c.iv.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.c.iv.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=72>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.c.iv.a — Glucocorticosteroid Injections** · page 72 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.8.d.i — Surgery – Surgical Release {#c.8.d.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.8.d.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=72>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.8.d.i — Surgery – Surgical Release** · page 72 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9 — Ulnar Nerve Entrapment at the Wrist (Including Guyon’s Canal Syndrome and Hypothenar Hammer Syndrome) {#c.9}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=73>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9 — Ulnar Nerve Entrapment at the Wrist (Including Guyon’s Canal Syndrome and Hypothenar Hammer Syndrome)** · page 73 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.a.i — Electrodiagnostic Studies {#c.9.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=73>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.a.i — Electrodiagnostic Studies** · page 73 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.a.ii — MRI or Ultrasound {#c.9.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=73>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.a.ii — MRI or Ultrasound** · page 73 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.a.iii — CT {#c.9.a.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.a.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=73>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.a.iii — CT** · page 73 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.b — Medications {#c.9.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=73>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.b — Medications** · pages 73–74 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Ulnar Nerve Compression at the Wrist {#c.9.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=74>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Ulnar Nerve Compression at the Wrist** · page 74 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.9.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=74>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 74 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.9.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=74>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · pages 74–75 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.b.iv — Acetaminophen for Treatment of Ulnar Nerve Compression at the Wrist Pain {#c.9.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=75>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.b.iv — Acetaminophen for Treatment of Ulnar Nerve Compression at the Wrist Pain** · page 75 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.b.v — Opioids {#c.9.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=75>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.b.v — Opioids** · page 75 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.b.vi — Glucocorticosteroids - Oral and/or Injected {#c.9.b.vi}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.b.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=75>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.b.vi — Glucocorticosteroids - Oral and/or Injected** · pages 75–76 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.c.i.a — Neutral Wrist Splinting {#c.9.c.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.c.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=76>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.c.i.a — Neutral Wrist Splinting** · page 76 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.d — Rehabilitation {#c.9.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=76>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.d — Rehabilitation** · page 76 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.d.i.a — Therapeutic Exercise {#c.9.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=76>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.d.i.a — Therapeutic Exercise** · pages 76–77 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.d.ii.a — Ice – Self-application {#c.9.d.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.d.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=77>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.d.ii.a — Ice – Self-application** · page 77 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.d.ii.b — Heat – Self-appliation {#c.9.d.ii.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.d.ii.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=77>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.d.ii.b — Heat – Self-appliation** · page 77 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.d.ii.c — Manipulation/Mobilization {#c.9.d.ii.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.d.ii.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=77>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.d.ii.c — Manipulation/Mobilization** · page 77 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.d.ii.d — Iontophoresis {#c.9.d.ii.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.d.ii.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=77>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.d.ii.d — Iontophoresis** · page 77 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.d.ii.e — Massage, Friction Massage {#c.9.d.ii.e}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.d.ii.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=77>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.d.ii.e — Massage, Friction Massage** · page 77 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.d.ii.f — Acupuncture {#c.9.d.ii.f}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.d.ii.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=77>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.d.ii.f — Acupuncture** · page 77 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.d.iii — Activity Modification {#c.9.d.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.d.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=77>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.d.iii — Activity Modification** · pages 77–78 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.9.e.i — Surgical Decompression {#c.9.e.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.9.e.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=78>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.9.e.i — Surgical Decompression** · page 78 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10 — Radial Nerve Entrapment {#c.10}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=78>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10 — Radial Nerve Entrapment** · page 78 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.a — Medical History {#c.10.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=78>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.a — Medical History** · page 78 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.b.i — Electrodiagnostic Studies {#c.10.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=78>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.b.i — Electrodiagnostic Studies** · pages 78–79 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.b.ii — Ultrasound (Diagnostic) {#c.10.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=79>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.b.ii — Ultrasound (Diagnostic)** · page 79 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.c — Medications {#c.10.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=79>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.c — Medications** · page 79 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.c.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Radial Nerve Compression Neuropathy {#c.10.c.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.c.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=79>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.c.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Radial Nerve Compression Neuropathy** · page 79 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.c.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.10.c.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.c.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=79>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.c.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · pages 79–80 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.c.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.10.c.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.c.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=80>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.c.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 80 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.c.iv — Acetaminophen for Treatment of Radial Nerve Compression {#c.10.c.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.c.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=80>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.c.iv — Acetaminophen for Treatment of Radial Nerve Compression** · page 80 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.c.v — Opioids {#c.10.c.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.c.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=80>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.c.v — Opioids** · pages 80–81 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.d.i.a — Wrist Extension or Thumb Spica Splint {#c.10.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=81>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.d.i.a — Wrist Extension or Thumb Spica Splint** · page 81 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.d.i.b — Therapeutic Exercise {#c.10.d.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.d.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=87>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.d.i.b — Therapeutic Exercise** · page 87 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.e — Rehabilitation {#c.10.e}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=81>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.e — Rehabilitation** · page 81 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.e.i.a — Therapeutic Exercise – Acute {#c.10.e.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.e.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=81>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.e.i.a — Therapeutic Exercise – Acute** · page 81 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.e.i.b — Therapeutic Exercise – Post -Operative {#c.10.e.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.e.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=82>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.e.i.b — Therapeutic Exercise – Post -Operative** · page 82 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.e.ii.a — Ice – Self-application {#c.10.e.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.e.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=82>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.e.ii.a — Ice – Self-application** · page 82 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.e.ii.b — Heat – Self-appliation {#c.10.e.ii.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.e.ii.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=82>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.e.ii.b — Heat – Self-appliation** · page 82 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.e.ii.c — Mobilization / Immobilization {#c.10.e.ii.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.e.ii.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=82>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.e.ii.c — Mobilization / Immobilization** · page 82 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.e.ii.d — Iontophoresis {#c.10.e.ii.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.e.ii.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=82>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.e.ii.d — Iontophoresis** · page 82 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.e.ii.e — Acupuncture {#c.10.e.ii.e}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.e.ii.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=82>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.e.ii.e — Acupuncture** · page 82 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.e.ii.f — Massage {#c.10.e.ii.f}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.e.ii.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=82>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.e.ii.f — Massage** · page 82 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.10.f.i — Surgical Release {#c.10.f.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.10.f.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=83>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.10.f.i — Surgical Release** · page 83 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11 — Non-Specific Hand, Wrist and Forearm Pain {#c.11}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=83>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11 — Non-Specific Hand, Wrist and Forearm Pain** · page 83 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.a.i — Rheumatological Studies for Arthralgias {#c.11.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=83>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.a.i — Rheumatological Studies for Arthralgias** · page 83 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.a.ii — Arthrocentesis for Joint Effusions {#c.11.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=83>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.a.ii — Arthrocentesis for Joint Effusions** · pages 83–84 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.a.iii — Electrodiagnostic {#c.11.a.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.a.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=84>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.a.iii — Electrodiagnostic** · page 84 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.a.iv — X-Rays {#c.11.a.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.a.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=84>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.a.iv — X-Rays** · page 84 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.b — Medications {#c.11.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=84>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.b — Medications** · page 84 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Non-specific hand/wrist/forearm Pain {#c.11.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=84>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Non-specific hand/wrist/forearm Pain** · pages 84–85 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.11.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=85>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 85 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.11.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=85>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 85 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.b.iv — Acetaminophen for Treatment of Non-specific hand/wrist/forearm {#c.11.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=85>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.b.iv — Acetaminophen for Treatment of Non-specific hand/wrist/forearm** · pages 85–86 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.b.v — Opioids {#c.11.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=86>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.b.v — Opioids** · page 86 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.c.i — Relative Rest {#c.11.c.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.c.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=86>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.c.i — Relative Rest** · page 86 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.c.ii — Splinting {#c.11.c.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.c.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=86>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.c.ii — Splinting** · page 86 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.d — Rehabiliation {#c.11.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=86>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.d — Rehabiliation** · pages 86–87 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.d.i.a — Therapeutic Exercise {#c.11.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=87>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.d.i.a — Therapeutic Exercise** · page 87 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.11.d.ii.a — Self-application of Ice or Heat {#c.11.d.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.11.d.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=87>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.11.d.ii.a — Self-application of Ice or Heat** · pages 87–88 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12 — Scaphoid Fracture {#c.12}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=88>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12 — Scaphoid Fracture** · page 88 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.a.i — X-Rays {#c.12.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=88>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.a.i — X-Rays** · page 88 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.a.ii — X-Rays – Follow-up in two weeks {#c.12.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=88>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.a.ii — X-Rays – Follow-up in two weeks** · page 88 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.a.iii — MRI {#c.12.a.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.a.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=88>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.a.iii — MRI** · page 88 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.a.iv — CT Imaging {#c.12.a.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.a.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=88>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.a.iv — CT Imaging** · pages 88–89 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.a.v — Bone Scan {#c.12.a.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.a.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=89>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.a.v — Bone Scan** · page 89 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.b — Medications {#c.12.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=89>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.b — Medications** · page 89 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Scaphoid Fractures Pain {#c.12.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=89>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Scaphoid Fractures Pain** · page 89 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.12.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=89>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · pages 89–90 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.12.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=90>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 90 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.b.iv — Acetaminophen for Treatment of Scaphoid Fractures Pain {#c.12.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=90>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.b.iv — Acetaminophen for Treatment of Scaphoid Fractures Pain** · page 90 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.b.v — Opioids {#c.12.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=90>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.b.v — Opioids** · pages 90–91 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.c.i.a — Wrist Splinting {#c.12.c.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.c.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=91>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.c.i.a — Wrist Splinting** · page 91 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.c.i.b — Cast Immobilization {#c.12.c.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.c.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=91>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.c.i.b — Cast Immobilization** · page 91 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.c.i.c — Thumb Immobilization with Spica Casting {#c.12.c.i.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.c.i.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=91>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.c.i.c — Thumb Immobilization with Spica Casting** · page 91 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.c.i.d — Spica Splint {#c.12.c.i.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.c.i.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=91>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.c.i.d — Spica Splint** · pages 91–92 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.d — Rehabilitation {#c.12.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=92>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.d — Rehabilitation** · page 92 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.d.i.a — Therapeutic Exercise - for Post-operative Scaphoid {#c.12.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=92>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.d.i.a — Therapeutic Exercise - for Post-operative Scaphoid** · pages 92–93 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.e.i — Surgical Fixation {#c.12.e.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.e.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=93>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.e.i — Surgical Fixation** · page 93 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.e.ii — Surgical Intervention of Non-Displaced or Minimally Displaced {#c.12.e.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.e.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=93>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.e.ii — Surgical Intervention of Non-Displaced or Minimally Displaced** · page 93 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.12.e.iii — Hardware Removal {#c.12.e.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.12.e.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=93>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.12.e.iii — Hardware Removal** · pages 93–94 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13 — Distal Phalanx Fractures and Subungual Hematoma {#c.13}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=94>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13 — Distal Phalanx Fractures and Subungual Hematoma** · page 94 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.a.i — X-rays {#c.13.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=94>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.a.i — X-rays** · page 94 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.a.ii — MRI / CT / Ultrasound / Bone Scan Imaging {#c.13.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=94>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.a.ii — MRI / CT / Ultrasound / Bone Scan Imaging** · page 94 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.b — Medications {#c.13.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=94>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.b — Medications** · pages 94–95 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Tuft Fractures Pain {#c.13.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=95>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Tuft Fractures Pain** · page 95 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.13.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=95>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 95 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.13.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=95>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · pages 95–96 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.b.iv — Acetaminophen for Treatment of Tuft Fractures Pain {#c.13.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=96>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.b.iv — Acetaminophen for Treatment of Tuft Fractures Pain** · page 96 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.b.v — Opioids {#c.13.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=96>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.b.v — Opioids** · page 96 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.b.vi — Antiobioitic Prophylaxis {#c.13.b.vi}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.b.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=96>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.b.vi — Antiobioitic Prophylaxis** · pages 96–97 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.c — Treatments {#c.13.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=97>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.c — Treatments** · page 97 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.c.i — Trephination {#c.13.c.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.c.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=97>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.c.i — Trephination** · page 97 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.c.ii — Nail Removal or Nail Bed Laceration Repair {#c.13.c.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.c.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=97>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.c.ii — Nail Removal or Nail Bed Laceration Repair** · page 97 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.c.iii — Reduction Of The Nail Plate Under the Eponychium {#c.13.c.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.c.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=97>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.c.iii — Reduction Of The Nail Plate Under the Eponychium** · page 97 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.c.iv — Removal of the Nail Plate Under the Eponychium {#c.13.c.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.c.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=97>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.c.iv — Removal of the Nail Plate Under the Eponychium** · page 97 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.c.v.a — Protective splinting of the distal phalanx to the PIP {#c.13.c.v.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.c.v.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=98>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.c.v.a — Protective splinting of the distal phalanx to the PIP** · page 98 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.c.v.b — Finger splinting of tuft fractures {#c.13.c.v.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.c.v.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=98>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.c.v.b — Finger splinting of tuft fractures** · page 98 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.c.vi — Reduction of (the relatively uncommon) significantly displaced {#c.13.c.vi}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.c.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=98>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.c.vi — Reduction of (the relatively uncommon) significantly displaced** · page 98 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.d — Rehabilitation {#c.13.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=98>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.d — Rehabilitation** · page 98 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.d.i.a — Therapeutic Exercise {#c.13.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=98>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.d.i.a — Therapeutic Exercise** · pages 98–99 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.e.i — Recommended- for fractures that are extremely displaced, unable to be {#c.13.e.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.e.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=99>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.e.i — Recommended- for fractures that are extremely displaced, unable to be** · page 99 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.13.e.ii — Hardware Removal {#c.13.e.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.13.e.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=99>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.13.e.ii — Hardware Removal** · page 99 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14 — Middle and Proximal Phalangeal and Metacarpal Fractures {#c.14}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=99>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14 — Middle and Proximal Phalangeal and Metacarpal Fractures** · pages 99–100 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.a.i — X-Rays {#c.14.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=100>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.a.i — X-Rays** · page 100 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.a.ii — MRI, CT, Ultrasound, or Bone Scanning for Diagnosing Phalangeal or Metacarpal Fractures {#c.14.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=100>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.a.ii — MRI, CT, Ultrasound, or Bone Scanning for Diagnosing Phalangeal or Metacarpal Fractures** · page 100 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.b — Medications {#c.14.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=100>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.b — Medications** · page 100 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Phalangeal or Metacarpal Fracture Pain {#c.14.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=100>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Phalangeal or Metacarpal Fracture Pain** · page 100 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.14.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=101>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 101 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.14.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=101>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 101 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.b.iv — Acetaminophen for Treatment of Phalangeal or Metacarpal Fracture {#c.14.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=101>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.b.iv — Acetaminophen for Treatment of Phalangeal or Metacarpal Fracture** · pages 101–102 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.b.v — Opioids {#c.14.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=102>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.b.v — Opioids** · page 102 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.b.vi — Antibiotic Prophylaxis {#c.14.b.vi}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.b.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=102>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.b.vi — Antibiotic Prophylaxis** · page 102 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.b.vii — Tetanus Immunization Status for Open Fractures {#c.14.b.vii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.b.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=102>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.b.vii — Tetanus Immunization Status for Open Fractures** · page 102 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.c — Initial Management {#c.14.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=102>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.c — Initial Management** · pages 102–103 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.c.i — Immobilizaiton {#c.14.c.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.c.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=103>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.c.i — Immobilizaiton** · page 103 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.c.i.a — Immobilization {#c.14.c.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.c.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=103>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.c.i.a — Immobilization** · page 103 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.c.i.b — Non-operative management (immobilization) of non- {#c.14.c.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.c.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=103>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.c.i.b — Non-operative management (immobilization) of non-** · page 103 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.c.i.c — Non-operative Management of Non-displaced Oblique {#c.14.c.i.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.c.i.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=103>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.c.i.c — Non-operative Management of Non-displaced Oblique** · page 103 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.c.i.d — Closed Reduction with Splinting {#c.14.c.i.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.c.i.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=103>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.c.i.d — Closed Reduction with Splinting** · page 103 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.d — Rehabilitation {#c.14.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=103>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.d — Rehabilitation** · pages 103–104 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.d.i.a — Therapeutic Exercise {#c.14.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=104>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.d.i.a — Therapeutic Exercise** · page 104 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.d.ii.a — Ice, Compression, and Elevation for Acute Metacarpal {#c.14.d.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.d.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=104>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.d.ii.a — Ice, Compression, and Elevation for Acute Metacarpal** · page 104 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.e.i.a — Surgical Management of Condylar Fractures {#c.14.e.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.e.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=105>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.e.i.a — Surgical Management of Condylar Fractures** · page 105 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.e.i.b — Surgical Management for Malrotated Phalangeal {#c.14.e.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.e.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=105>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.e.i.b — Surgical Management for Malrotated Phalangeal** · page 105 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.e.i.c — Metacarpal Fractures {#c.14.e.i.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.e.i.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=105>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.e.i.c — Metacarpal Fractures** · page 105 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.e.ii.a — Non-operative Treatment of Distal Metacarpal Neck {#c.14.e.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.e.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=105>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.e.ii.a — Non-operative Treatment of Distal Metacarpal Neck** · page 105 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.e.ii.b — Non-operative Treatment of Fifth Metacarpal Neck {#c.14.e.ii.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.e.ii.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=105>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.e.ii.b — Non-operative Treatment of Fifth Metacarpal Neck** · page 105 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.e.ii.c — Use of Functional Therapies (including taping, functional bracing and strapping) for Fifth Metacarpal Neck {#c.14.e.ii.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.e.ii.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=105>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.e.ii.c — Use of Functional Therapies (including taping, functional bracing and strapping) for Fifth Metacarpal Neck** · page 105 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.e.ii.d — X-rays in Follow-up of Non-Operative FifthMetacarpal {#c.14.e.ii.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.e.ii.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=105>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.e.ii.d — X-rays in Follow-up of Non-Operative FifthMetacarpal** · pages 105–106 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.f — Shaft Metacarpal Fractures {#c.14.f}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.f*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=106>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.f — Shaft Metacarpal Fractures** · page 106 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.f.i.a — Surgical Management of Metacarpal shaft fractures. {#c.14.f.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.f.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=106>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.f.i.a — Surgical Management of Metacarpal shaft fractures.** · page 106 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.f.i.b — Surgical Management for Base Fractures of the Proximal {#c.14.f.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.f.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=106>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.f.i.b — Surgical Management for Base Fractures of the Proximal** · page 106 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.f.i.c — Surgical Management Bennett’s Fracture and Rolando’s {#c.14.f.i.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.f.i.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=106>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.f.i.c — Surgical Management Bennett’s Fracture and Rolando’s** · page 106 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.f.i.d — Surgical Management for Malrotated Phalangeal fractures {#c.14.f.i.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.f.i.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=106>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.f.i.d — Surgical Management for Malrotated Phalangeal fractures** · page 106 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.f.i.e — Hardware Removal {#c.14.f.i.e}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.f.i.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=106>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.f.i.e — Hardware Removal** · page 106 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.14.f.ii.a — Non-operative Management of Metacarpal Shaft Fractures {#c.14.f.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.14.f.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=107>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.14.f.ii.a — Non-operative Management of Metacarpal Shaft Fractures** · page 107 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15 — Distal Forearm Fractures {#c.15}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=107>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15 — Distal Forearm Fractures** · page 107 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.a.i — X-ray for Suspected Distal Forearm Fractures {#c.15.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=107>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.a.i — X-ray for Suspected Distal Forearm Fractures** · pages 107–108 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.a.ii — MRI {#c.15.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=108>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.a.ii — MRI** · page 108 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.a.iii — CT {#c.15.a.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.a.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=108>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.a.iii — CT** · page 108 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.b — Medications {#c.15.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=108>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.b — Medications** · pages 108–109 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Distal Forearm Fractures Pain {#c.15.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=109>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Distal Forearm Fractures Pain** · page 109 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.15.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=109>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 109 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.15.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=109>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · pages 109–110 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.b.iv — Acetaminophen for Treatment of Distal Forearm Fractures Pain {#c.15.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=110>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.b.iv — Acetaminophen for Treatment of Distal Forearm Fractures Pain** · page 110 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.b.v — Opioids {#c.15.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=110>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.b.v — Opioids** · page 110 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.c — Treatments {#c.15.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=110>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.c — Treatments** · page 110 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.c.i.a — Cast Immobilization for Non-displaced or Minimally {#c.15.c.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.c.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=111>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.c.i.a — Cast Immobilization for Non-displaced or Minimally** · page 111 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.c.i.b — Closed Reduction and Casting for Displaced Distal Radial {#c.15.c.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.c.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=111>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.c.i.b — Closed Reduction and Casting for Displaced Distal Radial** · page 111 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.d — Rehabilitation {#c.15.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=111>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.d — Rehabilitation** · page 111 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.d.i.a — Therapeutic Exercise after Cast Removal for Acute {#c.15.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=112>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.d.i.a — Therapeutic Exercise after Cast Removal for Acute** · page 112 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.d.i.b — Education after Cast Removal for Acute Colles’ Fracture {#c.15.d.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.d.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=112>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.d.i.b — Education after Cast Removal for Acute Colles’ Fracture** · page 112 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.d.ii.a — Low Frequency Electromagnetic Fields to Stimulate Bone {#c.15.d.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.d.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=112>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.d.ii.a — Low Frequency Electromagnetic Fields to Stimulate Bone** · page 112 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.e.i — Closed Reduction {#c.15.e.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.e.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=112>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.e.i — Closed Reduction** · page 112 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.e.ii — Medullary Pinning (k-wire) or Intramedullary Fixation Techniques {#c.15.e.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.e.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=112>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.e.ii — Medullary Pinning (k-wire) or Intramedullary Fixation Techniques** · page 112 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.e.iii — Open Reduction and Internal Fixation {#c.15.e.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.e.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=112>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.e.iii — Open Reduction and Internal Fixation** · page 112 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.e.iv — Triangular Fibrocartilage Complex (TFCC) Repair for Distal Radial {#c.15.e.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.e.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=113>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.e.iv — Triangular Fibrocartilage Complex (TFCC) Repair for Distal Radial** · page 113 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.e.v — Hardware Removal {#c.15.e.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.e.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=113>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.e.v — Hardware Removal** · page 113 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.15.e.vi — Cast Immobilization {#c.15.e.vi}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.15.e.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=113>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.15.e.vi — Cast Immobilization** · page 113 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16 — Ganglion Cyst {#c.16}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=113>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16 — Ganglion Cyst** · page 113 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.a — Diagnostic Studies {#c.16.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=113>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.a — Diagnostic Studies** · page 113 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.a.i — X-Rays {#c.16.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=113>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.a.i — X-Rays** · pages 113–114 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.a.ii — MRI {#c.16.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=114>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.a.ii — MRI** · page 114 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.a.iii — Ultrasound {#c.16.a.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.a.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=114>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.a.iii — Ultrasound** · page 114 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.b — Medications {#c.16.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=114>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.b — Medications** · page 114 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Wrist Ganglia Pain {#c.16.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=114>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Wrist Ganglia Pain** · pages 114–115 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.16.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=115>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 115 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.16.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=115>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 115 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.b.iv — Acetaminophen for Treatment of Wrist Ganglia Pain {#c.16.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=115>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.b.iv — Acetaminophen for Treatment of Wrist Ganglia Pain** · pages 115–116 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.b.v — Opioids {#c.16.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=116>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.b.v — Opioids** · page 116 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.c.i — Conservative Management for Acute Asymptomatic Wrist and Hand {#c.16.c.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.c.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=116>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.c.i — Conservative Management for Acute Asymptomatic Wrist and Hand** · page 116 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.c.ii — Aspiration (without Other Intervention) for Ganglia Related Pain {#c.16.c.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.c.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=116>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.c.ii — Aspiration (without Other Intervention) for Ganglia Related Pain** · page 116 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.c.iii — Aspiration with Steroids {#c.16.c.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.c.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=116>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.c.iii — Aspiration with Steroids** · page 116 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.c.iv — Aspiration and Multiple Punctures of Cyst Wall {#c.16.c.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.c.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=116>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.c.iv — Aspiration and Multiple Punctures of Cyst Wall** · pages 116–117 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.c.v.a — Splinting after Aspiration for Acute or Subacute Dorsal or Volar Wrist Ganglia {#c.16.c.v.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.c.v.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=117>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.c.v.a — Splinting after Aspiration for Acute or Subacute Dorsal or Volar Wrist Ganglia** · page 117 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.d — Rehabilitation {#c.16.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=117>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.d — Rehabilitation** · page 117 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.d.i.a — Therapeutic Exercise – Acute {#c.16.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=117>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.d.i.a — Therapeutic Exercise – Acute** · page 117 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.d.i.b — Therapeutic Exercise – For Residual Deficits {#c.16.d.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.d.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=117>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.d.i.b — Therapeutic Exercise – For Residual Deficits** · pages 117–118 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.e.i — Hyaluronidase Instillation after Aspiration {#c.16.e.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.e.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=118>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.e.i — Hyaluronidase Instillation after Aspiration** · page 118 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.e.ii — Aspiration and Sclerosing Agents {#c.16.e.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.e.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=118>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.e.ii — Aspiration and Sclerosing Agents** · page 118 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.16.f.i — Surgical Excision for Subacute or Chronic Wrist Ganglia {#c.16.f.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.16.f.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=118>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.16.f.i — Surgical Excision for Subacute or Chronic Wrist Ganglia** · page 118 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17 — Hand / Arm Vibration Syndrome (HAVS) {#c.17}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=118>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17 — Hand / Arm Vibration Syndrome (HAVS)** · pages 118–119 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.a.i — Cold Provocation Test, Cold Stress Thermography (Finger Skin Temperature, Infrared, Dynamic Infrared, Laser Doppler Imaging), {#c.17.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=119>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.a.i — Cold Provocation Test, Cold Stress Thermography (Finger Skin Temperature, Infrared, Dynamic Infrared, Laser Doppler Imaging),** · page 119 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.a.ii — Serologic Tests (Thrombomodulin, Soluble Intracellular Adhesion Molecule 1 [s1-CAM 1]) to Diagnose Hand Arm Vibration Syndrome {#c.17.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=119>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.a.ii — Serologic Tests (Thrombomodulin, Soluble Intracellular Adhesion Molecule 1 [s1-CAM 1]) to Diagnose Hand Arm Vibration Syndrome** · page 119 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.a.iii — Testing for Connective Tissue Disorders {#c.17.a.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.a.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=119>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.a.iii — Testing for Connective Tissue Disorders** · page 119 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.b — Medications {#c.17.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=119>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.b — Medications** · pages 119–120 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic HAVS Pain {#c.17.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=120>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic HAVS Pain** · page 120 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.17.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=120>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 120 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.17.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=120>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.b.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · pages 120–121 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.b.iv — Acetaminophen for Treatment of HAVS Pain {#c.17.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=121>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.b.iv — Acetaminophen for Treatment of HAVS Pain** · page 121 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.b.v — Opioids {#c.17.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=121>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.b.v — Opioids** · page 121 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.c — Treatments {#c.17.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=121>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.c — Treatments** · page 121 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.c.i — Smoking Cessation {#c.17.c.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.c.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=121>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.c.i — Smoking Cessation** · page 121 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.d — Rehabilitation {#c.17.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=121>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.d — Rehabilitation** · pages 121–122 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.d.i.a — Therapeutic Exercise {#c.17.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=122>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.d.i.a — Therapeutic Exercise** · page 122 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.e.i — Vibration Exposure Work Restrictions for HAVS {#c.17.e.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.e.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=122>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.e.i — Vibration Exposure Work Restrictions for HAVS** · page 122 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.17.e.ii — Cold Exposure Work Restrictions for HAVS {#c.17.e.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.17.e.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=122>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.17.e.ii — Cold Exposure Work Restrictions for HAVS** · page 122 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18 — Laceration Management {#c.18}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=123>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18 — Laceration Management** · page 123 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18.a.i — X-Rays {#c.18.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=123>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18.a.i — X-Rays** · page 123 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18.a.ii — Ultrasound {#c.18.a.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18.a.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=123>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18.a.ii — Ultrasound** · page 123 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18.a.iii — CT {#c.18.a.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18.a.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=123>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18.a.iii — CT** · page 123 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18.b.i — Antibiotic Prophylaxis {#c.18.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=123>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18.b.i — Antibiotic Prophylaxis** · page 123 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18.b.ii — Non-Steroidal Anti-Inflammatory Drugs/Acetaminophen {#c.18.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=123>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18.b.ii — Non-Steroidal Anti-Inflammatory Drugs/Acetaminophen** · pages 123–124 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18.b.iii — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Upper Extremity Post-Laceration Repair {#c.18.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=124>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18.b.iii — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Upper Extremity Post-Laceration Repair** · page 124 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18.b.iv — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.18.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=124>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18.b.iv — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 124 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18.b.v — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.18.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=124>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18.b.v — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · pages 124–125 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18.b.vi — Acetaminophen for Treatment of Upper Extremity Post-Laceration {#c.18.b.vi}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18.b.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=125>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18.b.vi — Acetaminophen for Treatment of Upper Extremity Post-Laceration** · page 125 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18.b.vii — Opioids {#c.18.b.vii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18.b.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=125>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18.b.vii — Opioids** · page 125 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18.c — Rehabilitation {#c.18.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=126>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18.c — Rehabilitation** · page 126 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.18.c.i.a — Therapeutic Exercise {#c.18.c.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.18.c.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=126>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.18.c.i.a — Therapeutic Exercise** · page 126 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.19 — Human Bites, Animal Bites and Associated Lacerations {#c.19}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.19*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=126>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.19 — Human Bites, Animal Bites and Associated Lacerations** · pages 126–127 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.19.a — Physical Exam {#c.19.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.19.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=127>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.19.a — Physical Exam** · page 127 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.19.b.i — Routine Wound Culture and Sensitivity of Animal and Human Bites {#c.19.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.19.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=127>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.19.b.i — Routine Wound Culture and Sensitivity of Animal and Human Bites** · page 127 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.19.c.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Animal or Human Bites Pain {#c.19.c.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.19.c.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=127>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.19.c.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Animal or Human Bites Pain** · pages 127–128 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.19.c.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.19.c.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.19.c.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=128>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.19.c.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 128 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.19.c.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.19.c.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.19.c.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=128>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.19.c.iii — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 128 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.19.c.iv — Acetaminophen for Treatment of Animal and Human Bites Pain {#c.19.c.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.19.c.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=128>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.19.c.iv — Acetaminophen for Treatment of Animal and Human Bites Pain** · pages 128–129 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.19.c.v — Opioids {#c.19.c.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.19.c.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=129>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.19.c.v — Opioids** · page 129 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.19.d.i.a — Blood Borne Pathogen Protocol for Human Bites {#c.19.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.19.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=129>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.19.d.i.a — Blood Borne Pathogen Protocol for Human Bites** · page 129 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.19.d.i.b — Prophylactic Antibiotics for Dog Bite Wounds {#c.19.d.i.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.19.d.i.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=129>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.19.d.i.b — Prophylactic Antibiotics for Dog Bite Wounds** · page 129 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.19.d.i.c — Prophylactic Antibiotics for Treatment of Human Bite {#c.19.d.i.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.19.d.i.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=129>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.19.d.i.c — Prophylactic Antibiotics for Treatment of Human Bite** · pages 129–130 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.19.d.i.d — Prophylactic Antibiotics for Treatment of Cat Bite {#c.19.d.i.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.19.d.i.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=130>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.19.d.i.d — Prophylactic Antibiotics for Treatment of Cat Bite** · page 130 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20 — Hand / Finger Osteoarthrosis {#c.20}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=130>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20 — Hand / Finger Osteoarthrosis** · page 130 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.a.i — X-Rays to Evaluate Hand Osteoarthrosis {#c.20.a.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.a.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=130>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.a.i — X-Rays to Evaluate Hand Osteoarthrosis** · page 130 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.b — Medications {#c.20.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=130>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.b — Medications** · pages 130–131 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic upper Hand Osteoarthrosis Pain {#c.20.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=131>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.b.i — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic upper Hand Osteoarthrosis Pain** · page 131 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.20.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=131>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.b.ii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · page 131 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.b.iii — NSAIDS for Patients at Risk for Cardiovascular Adverse Effects {#c.20.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=131>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.b.iii — NSAIDS for Patients at Risk for Cardiovascular Adverse Effects** · pages 131–132 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.b.iv — Acetaminophen for Treatment of Hand Osteoarthrosis Pain {#c.20.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=132>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.b.iv — Acetaminophen for Treatment of Hand Osteoarthrosis Pain** · page 132 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.b.v — Topical NSAIDs {#c.20.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=132>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.b.v — Topical NSAIDs** · page 132 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.b.vi — Opioids – Oral, Transdermal, and Parenteral (Includes Tramadol) {#c.20.b.vi}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.b.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=132>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.b.vi — Opioids – Oral, Transdermal, and Parenteral (Includes Tramadol)** · pages 132–133 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.b.vii — Complimentary/ Alternative Therapies {#c.20.b.vii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.b.vii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=133>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.b.vii — Complimentary/ Alternative Therapies** · page 133 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.b.viii — Capsaicin {#c.20.b.viii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.b.viii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=133>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.b.viii — Capsaicin** · page 133 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.c.i — Splinting {#c.20.c.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.c.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=133>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.c.i — Splinting** · page 133 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.c.ii.a — Intraarticular Glucocorticosteroid Injections {#c.20.c.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.c.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=133>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.c.ii.a — Intraarticular Glucocorticosteroid Injections** · pages 133–134 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.c.ii.b — Intraarticular Hyaluronate Injection {#c.20.c.ii.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.c.ii.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=134>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.c.ii.b — Intraarticular Hyaluronate Injection** · page 134 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.c.ii.c — Prolotherapy Injections {#c.20.c.ii.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.c.ii.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=134>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.c.ii.c — Prolotherapy Injections** · pages 134–135 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.d — Rehabilitation {#c.20.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=135>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.d — Rehabilitation** · page 135 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.d.i.a — Therapeutic Exercise {#c.20.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=135>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.d.i.a — Therapeutic Exercise** · page 135 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.d.ii.a — Self-Application of Ice {#c.20.d.ii.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.d.ii.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=135>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.d.ii.a — Self-Application of Ice** · pages 135–136 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.d.ii.b — Self-Application of Heat {#c.20.d.ii.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.d.ii.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=136>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.d.ii.b — Self-Application of Heat** · page 136 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.d.ii.c — Low-level laser therapy {#c.20.d.ii.c}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.d.ii.c*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=136>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.d.ii.c — Low-level laser therapy** · page 136 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.e — Surgery {#c.20.e}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.e*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=136>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.e — Surgery** · page 136 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.e.i — Reconstructive Surgery {#c.20.e.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.e.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=136>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.e.i — Reconstructive Surgery** · page 136 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.e.ii — Trapeziectomy {#c.20.e.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.e.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=136>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.e.ii — Trapeziectomy** · page 136 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.e.iii — Fusion {#c.20.e.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.e.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=136>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.e.iii — Fusion** · pages 136–137 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.20.e.iv — Hardware Removal {#c.20.e.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.20.e.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=137>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.20.e.iv — Hardware Removal** · page 137 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21 — Dupuytren’s Disease {#c.21}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=137>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21 — Dupuytren’s Disease** · page 137 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.a.i.a — Collagenase Injections {#c.21.a.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.a.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=137>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.a.i.a — Collagenase Injections** · page 137 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.b — Medications {#c.21.b}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.b*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=138>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.b — Medications** · page 138 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.b.i — Non-Steroidal Anit-Inflammatory Drugs (NSAIDs) {#c.21.b.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.b.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=138>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.b.i — Non-Steroidal Anit-Inflammatory Drugs (NSAIDs)** · page 138 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.b.ii — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Dupuytrens’ disease Pain {#c.21.b.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.b.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=138>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.b.ii — Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Dupuytrens’ disease Pain** · page 138 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.b.iii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding {#c.21.b.iii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.b.iii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=138>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.b.iii — NSAIDs for Patients at High Risk of Gastrointestinal Bleeding** · pages 138–139 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.b.iv — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects {#c.21.b.iv}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.b.iv*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=139>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.b.iv — NSAIDs for Patients at Risk for Cardiovascular Adverse Effects** · page 139 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.b.v — Acetaminophen for Treatment of Acute, Subacute or Chronic {#c.21.b.v}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.b.v*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=139>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.b.v — Acetaminophen for Treatment of Acute, Subacute or Chronic** · page 139 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.b.vi — Opioids {#c.21.b.vi}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.b.vi*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=139>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.b.vi — Opioids** · pages 139–140 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.c.i — Radiotherapy {#c.21.c.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.c.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=140>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.c.i — Radiotherapy** · page 140 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.d — Rehabilitation {#c.21.d}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.d*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=140>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.d — Rehabilitation** · page 140 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.d.i.a — Therapeutic Exercise - for Post-operative Dupuytren’s {#c.21.d.i.a}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.d.i.a*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=140>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.d.i.a — Therapeutic Exercise - for Post-operative Dupuytren’s** · pages 140–141 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.e.i — Surgery for Treatment of Dupuytren’s Contracture {#c.21.e.i}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.e.i*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=141>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.e.i — Surgery for Treatment of Dupuytren’s Contracture** · page 141 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).

---

## Hand, Wrist and Forearm MTG § C.21.e.ii — Percutaneous Needle Fasciotomy (aka Needle Aponeurotomy) {#c.21.e.ii}

*NY WCB Hand, Wrist and Forearm MTG, 1st ed., § C.21.e.ii*

Official source: <https://www.wcb.ny.gov/content/main/hcpp/MedicalTreatmentGuidelines/HandWristForarmMTG2021.pdf#page=141>

_NY WCB Hand, Wrist and Forearm Medical Treatment Guidelines, First Edition (May 12, 2020), effective for treatment on or after 2022-05-02 — governing edition per 12 NYCRR § 324.2(a)(12)._

**§ C.21.e.ii — Percutaneous Needle Fasciotomy (aka Needle Aponeurotomy)** · page 141 of the guideline.

The guideline text is published by the Workers' Compensation Board and is not reproduced here. Read the section in the WCB PDF (link above). Care that departs from the guideline requires a variance under 12 NYCRR § 324.3; procedures over $1,000 that follow it are pre-authorized under § 324.2(d).
