Carpal Tunnel Syndrome Treatment
Carpal tunnel syndrome is a common problem that affects the use of your hand, and is caused by compression of the median nerve at the wrist. It most often occurs when the median nerve in the wrist becomes inflamed after being aggravated by repetitive movements.
Independent Medical Examination
With great care and detail we perform Impairment Ratings if you have a permanent impairment from an injury. Independent Medical Examinations (IME) are also performed in our practice providing a knowledgeable assessment to an injury.
Cerebral Spinal Fluid Shunt System
Insertion, repair, or removal of Cerebral Spinal Fluid Shunt Systems.
Trigger Point Injection
Physical Medicine and Rehabilitation
Department of Labor & Industries
Master Lever Therapists Pilot Program for Injured Workers
Available through the office of Robert G.R. Lang, M.D. Inc.
Do you have patients on L&I that just are not recovering but you cannot figure out why? Do you have
patients who cry during their office visits? Or patients who are so frustrated with the system that you
spend the majority of your visits counseling them? If you do, there is assistance available to help…the
Master's Level Therapists (MLT) Pilot Program.
What can MLTs do for my patients?
Help workers overcome obstacles that are impeding their recovery from work-related injury
or illness by providing brief therapy to assist workers with a variety of mental health issues including:
depression, anxiety, anger, frustrations, and addictions.
MLTs may also help workers cope with chronic pain, accept a disability or develop a new normal
that aids in life during the recovery period.
MLTs can also help provide information that may aid in your requests for mental health
evaluations and other referrals (such as behavioral optometrists) and provide workers with assistance in
locating and accessing community resources (such as food and rent assistance).
How do MLTs help workers?
MLTs have a Master's degree in the field of social work and/or counseling. Each referral is
granted 8 initial sessions and an additional 8 sessions may be requested, if needed, to help the injured
worker return to work in a timely manner or aid them in accepting that they may not be able to
return to their previous employment . MLTs use their counseling skills to assist workers in
identifying their own strengths while also educating on skills and resources that assist workers in
coping with chronic pain, frustrations, anxiety, depression, and other issues.
How does a doctor make a referral?
Contact Dr. Lang's office with the worker's name, claim number and reason for therapy
referral. We contact the worker and schedule an appointment either in-person or via tele-health,
whichever is easiest for the worker.
What are the MLTs hours?
Our therapists have a variety of hours available, including evening, daytime, and weekend hours.
Besides seeing workers in the Olympia office, telehealth can be done through most smartphones or laptop
computers via Zoom, Google Duo, FaceTime and other apps. We will explain the systems to the workers
and aid them in using the various apps if an in-person visit is not convenient.