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  1. #1
    Join Date
    Feb 2017
    Posts
    3

    Default Crps/Rsd Out of State Injury

    Hi, anyone ever been injured while working out of the state and develop CRPS/RSD? Did WC reimburse you for travel/lodging expenses? My home state won't accept me as a patient so I'm forced to travel 500 miles (1000 round trip) for my appts and they have refused to reimburse me for a year now. WC tried to find me Care closer to home and no one would take me. They have assisted in scheduling my appts out of state and are well aware I don't have any choice but to travel to the injured state. Order me to IME's traveling 1000 miles and refuse to pay my expenses (lodging, mileage, tolls). Being treated by a renowned specialist for CRPS and IME filed affidavit I don't have it when my other doctors say I do. Surgeons won't operate on me to fix my injury because of the CRPS. Had to hire attorney in injured state because employer/WC wouldn't pay me after Doctor took me out of work for treatments. Been very financially straining having to pay all the expenses and excessive traveling for out of state injury. They are refusing all travel associated with the CRPS diagnosis but have paid the medical bills for it. Help.

  2. #2
    Join Date
    Dec 2007
    Location
    Tunkhannock, PA
    Posts
    1,238

    Default Re: Crps/Rsd Out of State Injury

    First, your lawyer should be able to answer your questions. I would suggest starting there. Second, each state has it's own workers' compensation laws, so without knowing in what state your claim has been accepted, it is impossible to answer your question. If this is a PA claim (this is a PA forum) you may be able to obtain reimbursement, but the answer could be different if it is not a PA claim.
    Timothy D. Belt, Esquire
    Helping injured workers in Northeast Pennsylvania.
    belt-law@belt-law.com
    www.belt-law.com

    DISCLAIMER: This post is intended as general information applicable only to the state of Pennsylvania. The information given is based strictly upon the facts provided. This post is not intended to create an attorney client relationship, or to provide any specific guarantee of confidentiality.

  3. #3
    Join Date
    Feb 2017
    Posts
    3

    Default Re: Crps/Rsd Out of State Injury

    Yes PA injury. Live in another state. Attorney has filed petitions for reimbursement of travel expenses and WC files petitions, delays and denies everything. Interfering with my medical care and hindering my prognosis of an ugly lifelong diagnosis. They hire financial whore IME's doctors who minimize injury and blatantly omit pertinent subjective and objective findings. The carriers actions are disgusting and unethical. Who can I contact in state of PA and advocate for change? I will speak publicly, contact a journalist to do a story, someone needs to shed light on the companies that refuse to help injured workers with a serious progressive condition as CRPS. I've paid for all my own treatment and traveling expenses owed nearly $40,000 and back disability payments as I went through treatment in PA they filed petition and reduced my pay making it almost impossible to get the treatment my doctors ordered. A claims adjuster is not a medical doctor I find it repulsive they do nothing other than deny and all I hear is "they haven't accepted responsibility for the diagnosis"
    WC doesn't help injured workers they hurt them. I've refused mediation requests theee times and will not settle the claim. I want to speak out about the corruption that these companies are committing. Where do I start? Help. Please.

  4. #4
    Join Date
    Oct 1971
    Posts
    4,698

    Default Re: Crps/Rsd Out of State Injury

    I always question when someone is complaining about a alleged syndrome arising from a work related injury more than the original injury.
    You never did say what the original injury was and are you still being treated for it.
    Anyone can google the symptoms of CRPS, go to their favorite doctor, display the symptoms and walk out with a diagnosis of CRPS in a half hour - happens every day.

    Countrygirl40
    IME's doctors who minimize injury and blatantly omit pertinent subjective and objective findings.
    There is no specific test to confirm or deny CRPS, in other words, there is no objective evidence to support the "syndrome"
    Of course they won't dignify "subjective" evidence, if they did that, every disgruntled worker in America would be on disability.

    How is CRPS diagnosed?
    Currently there is no specific test that can confirm CRPS. Its diagnosis is based on a person’s medical history, and signs and symptoms that match the definition. Since other conditions can cause similar symptoms, careful examination is important. As most people improve gradually over time, the diagnosis may be more difficult later in the course of the disorder.
    https://www.ninds.nih.gov/Disorders/...Fact-Sheet#How

    injured workers with a serious progressive condition as CRPS.
    I find no evidence that CRPS syndrome is "progressive" in fact most people recover in time. CRPS is based on patient complaints, not objective evidence - that's why they say "it's believed to be caused by"

    What is complex regional pain syndrome?
    Complex regional pain syndrome (CRPS) is a chronic (lasting greater than six months) pain condition that most often affects one limb (arm, leg, hand, or foot) usually after an injury. CRPS is believed to be caused by damage to, or malfunction of, the peripheral and central nervous systems.
    https://www.ninds.nih.gov/Disorders/...Fact-Sheet#How

    Interfering with my medical care and hindering my prognosis of an ugly lifelong diagnosis.
    Come on now, that's just a tad overdone ya think?
    There's no evidence to support the claim this is a "life long" syndrome, in fact most people improve "gradually over time"

    Since other conditions can cause similar symptoms, careful examination is important. As most people improve gradually over time,
    https://www.ninds.nih.gov/Disorders/... CRPS treated?

    I'm not big on any condition or syndrome based soley on patient complaints and not supported by objective evidence.
    These types of syndromes leave the door open to fraud and abuse, any disgruntled worker can claim to have such without objective evidence to support their claim.
    Also, because other conditions can cause similar symptoms, it would be next to impossible to prove that CRPS is caused by anything, including a work related injury.

    We've had people with minor injuries like a sprained ankle claiming to have developed CRPS and wanting a total disability rating and thinking they can retire.
    That's just ridiculous in my book - this is why legitimate claims are put through hell.
    If they allowed that, every scam artist or disgruntled worker could simply claim this syndrome and bankrupt the system.

    Believe it or not, there are people who will use anything to game the system, CRPS seems to be one of their favorite tools, along with fibromyalgia.
    This is why most carriers will deny any condition or syndrome not supported with objective medical evidence. - especially when people claim the condition or syndrome is worse than the original injury.

    Tony
    Last edited by tony; 09-10-2017 at 03:34 PM.
    Moderator Responses are based on my personal bias, experience and research - they may not be accepted in the legal community, always consult an attorney.

  5. #5
    Join Date
    Dec 2007
    Location
    Tunkhannock, PA
    Posts
    1,238

    Default Re: Crps/Rsd Out of State Injury

    Countrygirl40, the fact of the matter is that PA workers' compensation law is much more friendly to injured workers than the laws in many other states. Furthermore, I have been around long enough to see many changes in the PA workers' compensation law. Many times they start out with someone like yourself pushing for change; however the insurance companies have a much better lobby than you will ever have and by the time the law is written it benefits the insurance companies more than the injured workers. As a workers' compensation attorney I have learned to navigate the current system to obtain good results for my clients, but every time the law changes, I have to learn new systems to work within the changes. Bottom line is that legislative changes rarely help the injured worker and often hurt the injured worker.
    Timothy D. Belt, Esquire
    Helping injured workers in Northeast Pennsylvania.
    belt-law@belt-law.com
    www.belt-law.com

    DISCLAIMER: This post is intended as general information applicable only to the state of Pennsylvania. The information given is based strictly upon the facts provided. This post is not intended to create an attorney client relationship, or to provide any specific guarantee of confidentiality.

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