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Workers comp primary physicians release notes and impairment rating question.

Nashville, TN |

I recently reached MMI for a torn shoulder labram which resulted in surgery. In the treating physicians notes he stated, "Looking at the reprinted Sixth Edition AMA guides, I do not think he fits into one of the diagnosed related groups on someone who would like to use range of motion massive". What is range of motion massive and what are the criteria used to determine if one falls into that group?

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Attorney answers 4


You can find the ama guide 6th ed to find out exactly what it is. It would be easier for the dr to explain this



As I am not an attorney what resources would you suggest that I may find the ama 6th ed?

John M Connell

John M Connell


All attorneys that primarily do workers compensation should have this book which is why gewtting an attorney might be a good idea in your case. You can also google it and see if the local library has it as a reference book. Ama guide to permanent impairment 6th edition. Talking to the doctor makes sense too


The question you pose would be best reserved for a physician. If you disagree with his assessment I would definitely consider requesting an IME and speak to a local work comp attorney to assist you through the process.


You probably would need to consult an Attorney to break the report down for you. Range of Motion loss is a rateable disability, but whether other factors are present to justify particular category classification often requires legal analysis of the entire medical report.

We offer general concepts, but you should give ALL your facts to a licensed Attorney in your state before you RELY upon any legal advice.


MMI and the AMA Guides are terms specific to workers' compensation claims. When dealing with shoulder claims, the primary measurement of recovery in the AMA Guides is how much range of motion you have. Tennessee law requires that assessments of work injury impairments be done using the AMA Guides, which is a book put out by the American Medical Assocation. The criteria used for shoulders has to do with measuring the different ways your shoulder can move (up, down, side, etc.) and to see how much of that you can do on your own. It is simply a guide for doctors to use to determine how much you are physically limited. The use of "massive" sounds like that doctor's way of trying to get you to where you have "massive" range of motion in your shoulder. You can keep in mind - do you have normal ability to move your shoulder? If not, you probably have not achieved "massive" results.

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