Independent Medical Examination :: essays research papers

Dear Dr.is the authorized representative of in each of its workers compensation matters. The purpose of this file review is to determine whether the alleged take aim of lumbar sprain is causally related to the consumeants work activities.This claim has been allowed by the BWC for a sprain lumbar region following the claimants allegations that he felt back pain after slipping on ice while opening a gate at work. The claimant presented himself to St. Vincent good-will Hospital later that day complaining of sharp pain more on the right than on the left. The claimant admitted to prior back injuries and frequent chiropractic manipulations by a chiropractor during the examination, but was unsure of his previous diagnosis. The claimant stated that his back has never been great, and Ive always had problems with it. On examination, Dr, Daniel Ryu found mild to moderate right paralumbar tenderness. The claimant was diagnosed with a lumbar sprain and given medications. The claimant follo wed up on manifest 9, 2005 with Dr. Ryu, reporting minimal improvement. At this examination, the claimant stated that he had a tarradiddle of multi-level degenerative disk infirmity in the lumbar sand. Dr. Ryu requested an MRI, which was administered on March 7, 2005 by Dr. Shockley. The MRI revealed severe degenerative platter disease and mild to moderate facet disease at all levels of the lumbar spine. On March 18, 2005, the claimant returned to St. Vincent Charity Occupational Medicine, stating that he was feeling expose, and had been participating in physical therapy.The BWC allowed the claim for a Sprain lumbar Region on March 9, 2005. The employer does not believe that the claimants certain condition is a result of a workplace incident. The claimant has a news report of severe degenerative disc disease in the lumbar spine and frequent chiropractic manipulations. The employer believes that the claimants current complaints stem from the severe degenerative disc disease a nd is unrelated to the claimants 3/1/05 work activities.