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  1. #1
    Join Date
    Aug 2010
    Posts
    3

    Default Broken Ribs and Nerve Damage

    Hi all I broke 3 ribs 4 month's ago in a fall at work,the specialist I saw said intercostal nerve is damaged so been on Lyrica and its working for the pain!
    I was hoping someone could tell me what to expect? in the future as I am close to mmi ,I was a truck driver but with my pain and meds to control the pain I can't drive or do heavy work! my world has been turned upside down and I have no Idea where my life is headed so has anyone had an injury of this type and if so what was the outcome for you? thanks and any help is greatly appreciated.

  2. #2
    Join Date
    Oct 2006
    Posts
    9,108

    Default Re: Broken Ribs/Nerve Damage

    contact the ombudsman.
    they can provide you with information about oregon's vocational rehabilitation benefits.
    http://oregon.gov/DCBS/OIW/index.shtml

    http://vrdweb.hr.state.or.us/

  3. #3
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,017

    Default Re: Broken Ribs/Nerve Damage

    Unless there is an underlying condition, ribs should heal completely in time.
    You shouldn't even suffer any permanent impairment due to this injury.

    If that's the case, you would be fully able to return to your pre injury job duties. No need for VR to retrain. Have you discussed the prognosis with your treating physician ?

    You may be a good candidate for an Intercostal Nerve Block...
    What is an intercostal nerve block?
    An intercostal nerve block is an injection of local anesthetic, with or without steroids, just under the rib where the intercostal nerve lies. An intercostal nerve block is typically ordered by your doctor for pain in the your rib area that develops following surgery in that area, a rib fracture, herpes zoster (shingles) or an intercostal nerve entrapment or inflammatory condition.

    An intercostal nerve block may have diagnostic or therapeutic value. One of three things will happen:

    The pain does not go away, which means that the pain is probably not coming from the nerve(s) at the level(s) of the injection. This result has diagnostic value.
    The pain goes away and stays away for a few hours but comes back and does not get better again. This is also of diagnostic value, as the pain is probably coming from the nerve(s) at the level of the injection(s), but the steroid, if used, was not of benefit.
    The pain goes away after the block and may come back later that day, but then it improves again over the next few days. This means that the block was of therapeutic value-the steroid had a long-lasting effect on the pain.
    If you get good, lasting benefit from the injection, the block may be repeated. We also may be able to perform radiofrequency destruction of the nerves, which can last for a prolonged period of time (months to years).
    More on these procedures is here http://www.lahey.org/Medical/PainMgt/PM_SP_NB_INB.asp
    More on this condition here http://en.wikipedia.org/wiki/Thoraco-abdominal_nerves

    Good luck to you in your recovery. Talk to your Dr about your options.

  4. #4
    Join Date
    Oct 2010
    Posts
    1

    Default Re: Broken Ribs and Nerve Damage my husband did this and it turned out very bad

    Turns out that at this point which is at the one year point he is now diagnosed with complexed regional pain syndrome or also known as crps and going to ucla for his first consult with a Dr in UCLA next week for Ketmine infusions sooooo this kind of accident can get very serious don't take it lightly and the older the woser I hope this helps we've gone through complete hell and I didn't mean to scare you just to make you more aware of what could happen I'm sure this is not your case and I pray it's not I pray it's not my worst enemies!! Good luck my friend!
    Quote Quoting gimpi View Post
    Hi all I broke 3 ribs 4 month's ago in a fall at work,the specialist I saw said intercostal nerve is damaged so been on Lyrica and its working for the pain!
    I was hoping someone could tell me what to expect? in the future as I am close to mmi ,I was a truck driver but with my pain and meds to control the pain I can't drive or do heavy work! my world has been turned upside down and I have no Idea where my life is headed so has anyone had an injury of this type and if so what was the outcome for you? thanks and any help is greatly appreciated.

  5. #5
    Join Date
    Aug 2010
    Posts
    3

    Default Re: Broken Ribs and Nerve Damage my husband did this and it turned out very bad

    Well I am back been awhile, Here's an update things got much worse! in Oct. 2010 they did a CT of the ribs and found three fractured ribs with minimal bridging ! As well as enlarged lymph nodes, then blood tests and biopsy confirmed I have grade 2 stage 3 follicular lymphoma and chronic hep C..... and I thought broken ribs were bad lol anyway all the doc's agree an intercostal nerve block is not a great idea ! Now my ribs are healing but the nerve damage looks to be permanent. So my lawyer called me today and said insurance co. is offering 50,000 they have not put me at MMI yet so why would they offer to settle now ? and I dont know what intercostal nerve is damage is worth? love and peace to you all

  6. #6
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,017

    Default Re: Broken Ribs and Nerve Damage my husband did this and it turned out very bad

    So my lawyer called me today and said insurance co. is offering 50,000 they have not put me at MMI yet so why would they offer to settle now ?
    Claims can settle at any time... even the first day you file a claim for benefits.
    Offers are made to close out a claim because the ER/IC wants to limit the financial exposure, namely the medical costs in a claim.
    CT of the ribs and found three fractured ribs with minimal bridging ! As well as enlarged lymph nodes, then blood tests and biopsy confirmed I have grade 2 stage 3 follicular lymphoma and chronic hep C.....
    There is a fine line in the ER/IC liability due to work injury.
    ER's take us "as is" on hire. There are no "preexisting conditions'' in WC. You suffered an injury of broken ribs... the underlying condition could require treatment before the actual injury can be treated, or concurrently. That makes it the ER/IC liability.
    Before your claim and need for treatment goes too far in medical costs, they want to offer a "reasonable" amount for your condiseration to drop any further claim for benefits.

    If you were to accept that C&R to close the claim, you would also be agreeing to accept further liability for medical care, out of your pocket.
    Before you do that... IMHO, you should contact your own health care providers/carrier, and get, in writing, they will cover the underlying conditions you describe (I have grade 2 stage 3 follicular lymphoma and chronic hep C.....), not the ribs, on a non industrial basis. Youl would certainly not want to be responsible for the cost of treating the Hep C, or Lymphoma.
    I dont know what intercostal nerve is damage is worth?
    Probably nothing on its own. When you are rated for PD, depending on the OR statutes, the rating is to scheduled body part you claim injured, or whole person impairment. "Nerve damage" itself is not a work injury.
    Be sure your atty explains all of the complexities in any settlement before you agree to take that cash. It never lasts long. At least you have an idea of where they stand on money. Not much IMO.

  7. #7
    Join Date
    Aug 2010
    Posts
    3

    Default Re: Broken Ribs and Nerve Damage my husband did this and it turned out very bad

    Hi thanks for responding, I talked to my lawyer and the IC offer does not include medical care! In OR an injured worker can not trade away medical, State did this to avoid future liability of the injured seeking treatment at state exspense. My employer droped me from their medical plan at the 26 week mark so my lymphoma and chronic hep C are being handled by the VA, I am lucky for that ! love and peace

  8. #8
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,017

    Default Re: Broken Ribs and Nerve Damage my husband did this and it turned out very bad

    Responses on any message board can only be based on the info provided.
    When the facts change, or additional info is known... the responses change accordingly.

    I'm glad you are covered by the VA for your health issues...no doubt the ER/IC is too.
    That doesn't change my answer to why you are being offered a cash payment to close the claim.

    Good luck to you...keep listening to your attorney.

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