Q: I feel I’m being forced back to work by my Dr and insurance co. They’ve suspended my benefits. What can I do?
Benefits have been suspended. Dr’s office won’t submit updated status and work report adjuster needs every 30-45 days to release benefits. Dr says all insurance will pay for at this point is surgery. Adjuster says they’ll cover whatever Dr request. See the circle? I have a herniated disk at C6-C7 which affects a nerve in my left triceps. I’ve had one epidural injection that helped a lot. Would like to continue on that route and physical therapy before opting for surgery.
A: The general rule is that the ODG Guidelines recommend the least invasive treatment before engaging in more invasive treatment such as surgery. The protocols for each type of injury would be different. ODG will usually only allow limited therapy and injections. Your next step would be surgery if he have not sufficiently improved and your diagnosis warrants it. My advice would be to consult with a qualified workers' compensation attorney in your area if possible to get a more detailed analysis.
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