March 21, 2025
Claimant Failed to Demonstrate Work-Related Injury

A claimant argues for compensability due to an alleged shoulder sprain from repeatedly lifting a forty-pound plate but fails to demonstrate the injury occurred in the course of employment.

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March 20, 2025
Injury Outside the Course and Scope of Workday

Respondents withdraw an admission of liability upon discovery of ankle injury occurring late at night outside of the claimant's scheduled workday.

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March 20, 2025
Injury Found Not Compensable Despite Video Showing Claimant Falling

A trip and fall injury at work is found not compensable even though a video shows the claimant falling due to prior knee inury and chronic degenerative changes.

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March 20, 2025
Medical Records vs. Claimant's Testimony

Claimant fails to demonstrate she suffered a work injury during employment as her diagnoses were ruled not work related and her testimony was found not credible.

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December 9, 2024
Mental Health Injury Must Be Supported By a Psychiatrist or Psychologist

The claimant, a security guard, alleged a work injury arising out of a restraint of a patient in a hospital. The claimant sustained very minor physical injuries. He later claimed PTSD.

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December 9, 2024
Omission of Prior Work Injury and Overcoming the DIME

Respondent requested a hearing to overcome the Division IME as to impairment and causation of a work injury. The ALJ found the low back and SI joint issue was not related to the work injury due to a lack of disclosure of a previous injury, significantly reducing the impairment exposure on the claim.

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December 9, 2024
Respondents Prevail Regarding No Causal Connection

The applicant sustained a compensable work injury to his right knee. He was diagnosed with a right knee sprain/strain. The applicant’s expert noted swelling and abnormal sensation in the nerves to the front of the applicant’s right knee. A nerve ablation to the right knee was recommended indefinitely. The applicant was placed at permanent and […]

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August 18, 2023
Sedentary Restrictions

The claimant was involved in an incident in which a 400 pound loading dock garage door fell on him resulting in multiple fractures in his low back, ribs, and lower extremity. After four years of treatment, the claimant was eventually placed at MMI and given an 18% whole person impairment rating by a Division IME. […]

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August 18, 2023
Pre-Existing Condition

The claimant alleged a left shoulder injury from lifting a large overhead warehouse door that jammed. The claimant’s medical records showed pre-existing left shoulder problems with treatment continuing through two days’ prior to the work incident. This treatment included a recommendation for a left shoulder MRI. On the date of the alleged injury, the claimant […]

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August 18, 2023
Delay in Mentioning Body Part

The claimant sustained a compensable work injury to his right knee. He was diagnosed with a medial meniscal tear and underwent surgery. Following surgery, the claimant began complaining of right shoulder pain and a rotator cuff tear was identified. The claimant was referred to an orthopedic surgeon and right shoulder surgery was recommended. The claimant […]

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