Workers
Compensation Injury. Claimant is a 57-year-old diabetic laundry aide
at a nursing home and weighs 262 pounds. She had a slip and fall
injury and sustained a lumbar sprain/strain. She saw a physician
and was sent to physical therapy, placed on anti-inflammatory medication
and underwent two epidural injections. An MRI scan of the lumbar
spine showed degenerative disc disease and some stenosis, but not
much else. She occasionally reported some pain into the right buttock
and leg but most of the pain was in the lower back. After five months
of treatment, she reported that her right knee felt tight and she
felt like it was going to give out on her. The physician obtained
an MRI of the knee and it showed a tear of the medial meniscus. The
report mentioned terms such as “macerated”, “degenerative” and “osteophytes”,
etc. The physician felt that this was directly related to the slip
and fall injury five months’ previously even though he had
failed to document any complaints knee problems whatsoever on any
of the office visits. Therapy notes did not document any problems
or complaints with the knee at all but did mention the fact that
she was able to perform squats and deep knee bends without an increase
in her back symptoms. She was referred to an orthopedic surgeon,
who felt that arthroscopy was indicated to repair the meniscal tear.
The claims adjuster asked Joan to obtain an Independent
Medical Examination by an orthopedic surgeon. Joan felt that in light of the fact that
the claimant never mentioned any knee pain for five months after
the slip and fall, and the results of the MRI scan, as well as her
morbid obesity and diabetic condition, her meniscal injury was most
likely chronic in nature. The IME physician reported no
causal relationship existed between her slip and fall injury and
her meniscal injury, especially since the physical therapist documented very clearly the
fact that she was able to perform deep knee bends in physical therapy
while receiving treatment for her lumbar spine complaints. She was
placed at MMI regarding her lumbar spine sprain/strain type injury
and her case was closed.
|