If you have been diagnosed with CRPS or RSD in a worker's compensation claim.
You need proper treatment immediately after a diagnosis from a specialist in CRPS. Treatment offered soon after diagnosis has a better success rate.We have injured workers who come to us stating they continue to have extreme sensitivity and pain after treatment for a traumatic injury on the job and it isn't getting any better. The surgeon is saying it should be healed by now and cannot explain why it is not. This is very confusing for all involved, including the worker's family. The Doctor seems to be questioning the injured worker's motivation to get better. The insurance company does not want to pay for more treatment. Insurance companies have industry "timetables" that say with this type of injury a patient should be healed and back to work. They assume that the injured employee doesn't want to go back to work for some reason. Everyone seems to be against the one person who needs help. What do you do? You need an evaluation by a Certified Pain Management Physician who knows the signs and symptoms to look for in properly diagnosing your condition. Once you have a diagnosis, you need appropriate and aggressive treatment.
Why is the Doctor not able to diagnose my problem?Some physicians, including many surgeons, just simply don't have enough experience, training or interest to diagnose this type of condition. And this condition can be expensive to the insurance company. A surgeon may be reluctant to get involved in such a diagnosis because he is uncertain at best and knows it is not his area of expertise. He also may know that insurance companies, especially worker's compensation insurance companies, do not like this diagnosis. The surgeon has done his part in fixing the broken bone or repairing the ligaments and tendons. Structurally your injury may have been fixed by him. But if the pain is out of proportion to the lingering injury, you might have this condition. But it must be appropriately diagnosed by a physician who deals with CRPS on a regular basis. We know who these physicians are and can Motion the Industrial Commission for this aggressive treatment on your behalf before it is too late. Don't wait for the insurance company here.
You may be waiting a long time and you may never get the treatment you deserve under the worker's compensation actMany of the insurance companies we deal with on a continuing basis seem to have a set amount of money they have set aside for your claim. Once that magic number is reached, the incentive to provide more costly medical treatment is very low. You may start to experience push back by the adjustor. You will hear, "you need to see your family doctor about that, the surgeon fixed your foot.." Or you may find you are never getting a return call. We have even had worker's say the insurance company said they would find a Doctor for this, but 6 months later, still no Doctor. In this diagnosis, you cannot afford to lose 6 months. You need proper treatment now. Many people do not realize that there is no limit on the amount of coverage for medical treatment in worker's compensation claims. If your insurance company is telling you they cannot provide any further treatment, you need an attorney who concentrates full time on these claims and who has experience with CRPS injuries. We can help