Skip to main content


This clinical guideline has been created to consistently improve health care services for injured workers by outlining the appropriate evaluation and treatment processes for the management of chronic pain which has been determined to be work related. The guideline should be used as a tool to guide health care providers of different professional disciplines to provide quality care to injured workers. The guideline is not intended to be a substitute for appropriate medical judgment, and is written to be broad enough to allow for a wide range of diagnostic and treatment modalities, and to purposely allow for philosophical and practice differences among professional disciplines of health care practitioners who provide care to injured workers with chronic pain. It is expected that approximately 10% of cases may fall outside of this guideline and may be reviewed and approved on a case by case basis. If objective clinical improvement is delayed or slower than expected, the treating provider must justify the necessity of continued care with a valid clinical rationale, with supporting, objective clinical findings. Timeframes for specific interventions commence once treatments have been initiated, not on the date of injury.


File nameDate UploadedVisibilityFile size
7 Sep 2022
221 kB



  • Subject
    • Disability Law

    • Health Law and Policy

    • Medical Jurisprudence

    • State and Local Government Law

    • Workers' Compensation Law

  • Journal title
    • Department of Industrial Accidents, Commonwealth of Massachusetts

  • Date submitted

    7 September 2022

  • Additional information
    • Suggested Citation:

      Hashimoto, Dean. "Chronic Pain Treatment Guideline" Department of Industrial Accidents, Commonwealth of Massachusetts. 1 June, 2021.