Case Studies

Reputable Physicians Key to Defeating Unreasonable Treatment

Petitioner was involved in a compensable motor vehicle accident. He sustained injuries to his left shoulder, as well as his cervical and lumbar spine. After hiring an attorney, Petitioner began treating with doctors whose reputation was questionable. Petitioner underwent surgery for the left shoulder, which was undisputed. He was released to full duty work following physical therapy and work hardening.

 

While treating for the shoulder injury, Petitioner began

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Petitioner’s Bad Back Turns in a Nuisance Settlement

Petitioner brought a workers compensation case approximately one year after he was laid off from Respondent. He alleged a back injury which resulted in various treatments, including surgery. With approximately $160,000.00 in outstanding medical bills, Petitioner had his eye on a golden goose of a workers' compensation claim to cover his medical expenses and compensate him for permanent disability.

 

Through aggressive defense and investigation,

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Permanent Total Disability Award Reversed on Review

Petitioner was involved in a work injury when he was pinned by a forklift, sustaining an injury to the low back. The work injury caused an aggravation of a pre-existing condition, as it occurred several months after Petitioner returned to work following a fusion for an unrelated motor vehicle accident. The evidence at trial established Petitioner suffered from a number of unrelated health conditions that led him

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Prior Treatment Leads to Commission Reversal

Facts

Petitioner was a medical intake coordinator alleging carpal tunnel related to specific activities of writing and typing on a single date of work versus putting forth a repetitive trauma claim.  Petitioner’s duties were otherwise varied and mainly consisted of light typing and answering phones. Petitioner began treating at Respondent’s choice of provider who suspected carpal tunnel and referred Petitioner to a hand specialist, who confirmed

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Utilization Review Curbs Excessive Treatment

Facts   

Petitioner was a food worker who sustained injuries to her chin and left shoulder when struck by a forklift on May 24, 2006. Petitioner later alleged neck and right elbow problems related to the original incident. Petitioner began treatment in summer of 2004. She received extensive chiropractic manipulation for the next two years. Our IME physician found no causation after initial company clinic released

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