Initial Approaches to Treatment

This guideline provides an overview of principal findings and foundational principles for the optimal evaluation and management of workers. Selecting appropriate judicious tests and implementing optimal treatments with quality evidence of efficacy enhance patient recovery. It is important to emphasize functional recovery and provide the best treatment options starting with the first appointment to enhance the speed of recovery and prevent long-term disability that impairs quality of life. Key principles of recovery include avoiding or reducing substantially aggravating exposures, returning to work promptly and safely, encouraging active over passive treatments and exercise regimens, and patient education and active involvement. The reader is referred to ACOEM's other disorder-specific guidelines for more specific guidance.