If your hands or wrists ache after a long workday, you’re not alone. Many California workers experience repetitive strain injuries—but is carpal tunnel syndrome something workers’ compensation will cover?
Yes, carpal tunnel syndrome is covered by California workers’ compensation if it results from your job duties. To qualify, you must prove your work activities—such as repetitive hand motions or tool use—caused or worsened the condition. Workers’ compensation covers medical treatment and lost income due to carpal tunnel syndrome resulting from work duties.
With decades of experience helping injured workers navigate California’s complex workers’ comp system, I’ve seen how crucial it is to document and report repetitive strain injuries early.
In this article, I’ll explain how to prove your carpal tunnel claim, what benefits you may be entitled to, and how to avoid common pitfalls that could delay or reduce your compensation.
What Is Carpal Tunnel Syndrome and How Does It Affect Work?
Carpal tunnel syndrome (CTS) is a repetitive stress injury that affects the median nerve in the wrist. It causes pain, tingling, numbness, and weakness in the hand and fingers, which can interfere with daily tasks, especially for workers in jobs involving: Carpal tunnel syndrome symptoms usually start gradually and include pain, numbness, and tingling in the fingers and hands.
- Frequent typing or computer use
- Repetitive hand movements
- Forceful gripping or use of vibrating tools
Carpal tunnel syndrome is commonly associated with activities that involve repetitive motion, such as typing or using a mouse for extended periods of time.
Left untreated, CTS can lead to long-term disability and reduced work capacity. Seeking medical attention quickly can help manage carpal tunnel syndrome before it becomes a long-term issue.
Why Carpal Tunnel Syndrome Qualifies for Workers’ Compensation in California
In California, workers’ compensation covers not only sudden injuries but also cumulative trauma—conditions that develop over time due to repetitive strain. Carpal tunnel syndrome fits this category. Traditional employees receiving a W-2 tax form qualify for workers’ compensation. Freelancers and contractors do not qualify for workers’ compensation for carpal tunnel syndrome. To qualify, an injured worker must show:
- A diagnosis of CTS from a medical professional
- A link between the condition and job-related duties
- Timely reporting of symptoms to the employer
Workers do not need to prove employer negligence—only that the condition arose from the course of employment.
Demonstrating a Work-Related Cause for Carpal Tunnel Syndrome
To be approved for workers’ comp, you must show that your CTS was caused by your work activities and not by outside or pre-existing conditions. This often requires:
- Medical evaluations detailing the injury
- Job descriptions showing repetitive or forceful wrist motions
- Statements describing how your job duties caused or worsened your symptoms
A key consideration in repetitive stress injuries is proving a “distinctive feature” of your job, such as repetitive typing, machine use, or high-force hand tasks that clearly set your duties apart from general daily activities. Carpal tunnel syndrome may require surgery if non-surgical treatments do not relieve symptoms.
What Are the to Steps Filing a Workers’ Comp Claim for Carpal Tunnel Syndrome
- Report the Symptoms
Inform your supervisor or HR as soon as you notice symptoms of wrist pain, tingling, or numbness—ideally within 30 days. The employer must furnish the employee with a claim form within one working day of learning about the injury. - Seek Medical Evaluation
Visit a physician experienced in occupational injuries. CTS diagnosis often involves nerve conduction studies or EMG testing. - File a DWC-1 Claim Form
Complete and submit California’s workers’ comp claim form. This starts the official claims process. - Begin Treatment and Documentation
Authorized treatment should begin promptly. Keep records of all appointments, medications, and missed workdays. - Consult an Attorney
If your claim is denied or delayed, legal help can make the difference in receiving fair compensation.
What Benefits Are Available for CTS Workers’ Comp Claims?
Workers with approved CTS claims may be eligible for:
- Medical care including surgery, physical therapy, ergonomic tools, and medications
- Temporary disability payments while unable to work
- Permanent disability benefits if the injury causes lasting limitations
- Supplemental Job Displacement Benefits (SJDB) if you can’t return to your previous job
- Settlement to resolve the claim through a lump-sum or structured agreement
The compensation for carpal tunnel syndrome can cover the costs of medical treatment, including surgery if necessary.
Reasonable Accommodations After a CTS Diagnosis
In some cases, your employer may be required to provide reasonable accommodations to allow you to continue working safely. Examples include: You may also have a right to sue for reasonable accommodation under the Americans With Disabilities Act.
- Modified workstations or keyboards
- More frequent breaks
- Changes to job duties to reduce strain
These accommodations can help you remain productive while minimizing the risk of further injury.
What Are the Challenges with Carpal Tunnel Workers’ Comp Claims?
The main challenges with carpal tunnel workers’ comp claims include proving the injury is work-related, overcoming employer disputes, and obtaining adequate medical documentation. Workers often face delays, denied claims, and pressure to return to work early. Consistent medical records and expert legal support increase approval chances.
CTS claims are sometimes denied or disputed because:
- Symptoms develop gradually, making it harder to pinpoint a start date
- Insurers may argue the condition is due to non-work-related factors like hobbies or age
- Employers may contest causation if duties are not highly repetitive
An experienced attorney can help present medical evidence, expert opinions, and job duty analysis to support your case.
California Laws and Timelines for CTS Compensation
- 90-Day Rule: Once a claim is filed, insurers have 90 days to accept or deny. If they don’t, it’s presumed accepted.
- Statute of Limitations: You generally have one year from the date of injury or diagnosis to file a claim.
- Medical Treatment Cap: Up to $10,000 in care must be authorized while the claim is under review.
When to Hire a California Workers’ Compensation Lawyer
If your claim is denied, delayed, or undervalued, legal help can be crucial. Scher, Bassett & Hames can:
- Gather medical and vocational evidence
- Handle paperwork and deadlines
- Negotiate with insurance adjusters
- Represent you in hearings or appeals
Call 408-739-5300 today for a free consultation. We only get paid if we win your case.
Further Reading:
- What is the Statute of Limitations on Work Comp Claims in California?
- How Much Are California Workers’ Compensation Settlements?
- When Can You Sue for a Work-Related Injury in California?
- How Long Does It Take for a Workers Comp Settlement in California?
Resources:
- California Division of Workers’ Compensation
- Medical Treatment Utilization Schedule (MTUS) for CTS
- California Labor Code: Cumulative Trauma
- National Institute for Occupational Safety & Health – CTS Prevention
