Independent Medical Examination :: essays research papers

Dear Dr.is the authorized phonation of in all of its workers compensation matters. The purpose of this file review is to pay off whether the alleged condition of lumbar sprain is causally related to the claimants work activities.This claim has been allowed by the BWC for a sprain lumbar area following the claimants allegations that he felt backside pain after slipping on ice while opening a admittance at work. The claimant presented himself to St. Vincent Charity Hospital later that day complaining of subtle 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 verbalize that his back has never been great, and Ive always had problems with it. On examination, Dr, Daniel Ryu found dotty to moderate right paralumbar tenderness. The claimant was diagnosed with a lumbar sprain and given medications. The claimant f ollowed up on March 9, 2005 with Dr. Ryu, reporting minimal improvement. At this examination, the claimant stated that he had a history of multi-level degenerative disk disease in the lumbar spine. Dr. Ryu requested an MRI, which was administered on March 7, 2005 by Dr. Shockley. The MRI revealed impish degenerative disc 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 better, 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 current condition is a result of a piece of work incident. The claimant has a history 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 and is unrelat ed to the claimants 3/1/05 work activities.