Musculoskeletal Conditions

Checklist for Therapeutic Use Exemption (TUE) Application:

Musculoskeletal Conditions

Prohibited Substances: Systemic glucocorticoids and narcotics

This Checklist is to guide the athlete and their physician on the requirements for a TUE application that will allow the TUE Committee to assess whether the relevant ISTUE Criteria are met. 

Please note that the completed TUE application form alone is not sufficient; supporting documents MUST be provided. A completed application and checklist DO NOT guarantee the granting of a TUE. Conversely, in some situations, a legitimate application may not include every element on the checklist.

• TUE Application form must include:
  • All sections completed in legible handwriting
  • All information submitted in [language]
  • A signature from the applying physician
  • The Athlete’s signature
• Medical report should include details of:
  • Medical history: symptoms, time of onset, acute/overuse injury or chronic disease, presentation at first manifestation, recovery from injury/activity score of disease, start of treatment
  • Findings on examination
  • Interpretation of symptoms, signs and test results by physician
  • Diagnosis
  • Substance prescribed (systemic glucocorticoids and narcotics are prohibited in-competition only) including dosage, frequency, administration route
  • Response to treatment/course of disease under treatment
  • Explain why alternate (non-prohibited) treatments were not used
• Diagnostic test results should include copies of:
  • Laboratory tests as applicable, e.g. inflammation markers (CRP, ESR), rheumatoid factor, anti-CCP, HLA-B27 gene marker
  • Imaging findings (ultrasound, MRI, CT, X-ray) as applicable
• Additional information included
  • As per ADO specifications