April 1, 2020

Yes, Post Surgical Infections are Covered Under Georgia Workers’ Compensation Law

There is risk to every type of surgery but most of us focus on the possibility that the surgery will not fix the problem it was intended to solve.

  • You underwent a laminectomy at L3/4 but you are still having severe pain radiating into your left hip and weakness in your left leg
  • You underwent a diskectomy and fusion at L5/S1 but the hardware has not remained in place and you can barely walk much less perform any work activity
  • You underwent a carpal tunnel release but your hand is still numb and you cannot rotate your hand at all

Poor results from surgery are always an issue in workers’ compensation because often times the insurance company has delayed approving surgery and permanent nerve damage can occur if a problem is not addressed quickly.

But an equally serious complication from surgery can create even more issues. Sometimes, despite the best efforts by the surgeon and your attempts to keep your wound clean, an infection can develop at the surgical site. [Read more…]

Poultry Plant Worker Injuries Likely to Increase Under New USDA Regulations

chicken processing plant work injuriesWhen I first started practicing law back in 1988, I worked as an associate attorney for a well established insurance defense law firm.  I stayed at that firm for about 7 years before leaving to start my own practice, representing injured workers.

My days as an insurance defense lawyer were invaluable, however, because I learned a great deal about workers’ comp. law from some very good lawyers and I litigated hundreds of cases.   I also traveled throughout the state and got to see numerous job sites in person.

I remember distinctly visiting several poultry processing plants north of Atlanta near Gainesville.  I will never forget watching poultry workers “popping blisters” on conveyor lines of chickens moving quickly overhead.

It is no surprise that poultry plant workers experience a high number of work injuries.  The most obvious type of injuries are repetitive motion injuries such as carpel tunnel, but I also see shoulder injuries, crush injuries and puncture wounds.

Now, I am reading that the U.S. Department of Agriculture has proposed a rule change that will reduce federal oversight of poultry processing plants while allowing processors to speed up their kill lines. 1.

The federal government will save $90 over three years by eliminating the fourth inspector.  At the same time, large processing companies will save over $250 million by increasing the speed of the lines. [Read more…]

  1. Currently USDA regulations required processors to allow four inspectors per line with the lines producing 140 chickens per minute.  The new regulations would only call for three inspectors per line, while allowing the lines to turn 25% faster – 175 birds per minute.

Case Study: Bilateral CTS and Workers’ Compensation

Repetitive motion injuries

Repetitive motion injuries result from the repeating tasks required by certain jobs. It is also referred to as RSI or Repetitive Strain Injuries or Repetitive Stress Injuries and involves the musculoskeletal and nervous systems. These injuries can result from a number of factors such as:

  • awkward and sustained positions
  • forceful exertions
  • pressing against a hard surface (or mechanical compression)
  • repetitive tasks
  • vibrations

Non-specific arm pain and upper limb work-related disorders are also included where RSI’s are concerned. In many cases of this nature, it is apparent that psychosocial and physical stressors play a significant role in these types of injuries.

RSI Symptoms

Patients who have been diagnosed with RSI typically experience the following symptoms:

  • lack of endurance and weakness
  • pain experienced in the arm, back, hands, shoulders, and/or wrists
  • pain that worsens with activity

When you contrast RSI injuries with CTS injuries, the symptoms of the latter tend to be both diffuse and non-anatomical in nature. It crosses the proper distribution of nerves and tendons as well as not being characteristic of specific discrete pathological conditions.

Ms. A and her bilateral CTS case

Ms. A is a candidate for bilateral CTS surgery due to injuries incurred from a bilateral injury to her upper extremities while performing her job. Her job required a great deal of repetitive arm and hand work as she cut and made fiber optics. Despite experiencing pain in her upper extremities, she continued to work until she was no longer able to. Her employer referred her to Dr. S who began treating her with physical therapy. When her conservative care and PT didn’t relieve her pain, she was referred to Dr. B.

Dr. S splinted her arms and put her on “light duty” status. Unfortunately, there was no light duty work for her on the job and she could no longer perform regular work, so she was sent home and remains on full disability (temporary total disability) to this day.  Dr. S ordered an MRI for Ms. A and it revealed that she had lateral epicondylitis partial thickness tearing in the proximal common extensor tendon. The proposed treatment is an initial surgery on Ms. A’s right elbow. Once the right elbow heals, she will have surgery on her left elbow.

Ms. A is now considering whether or not to settle.   On one hand, there is a high degree of  uncertainty with regard to the nature, extent and future cost of future medical care.   Often settlement values are higher when the insurance company is facing open ended medical costs.  On the other hand, if my client settles and her future medical needs involve multiple surgeries and physical therapies, even a settlement of $100,000 or more will not adequately compensate her.  This dilemma of whether and when to settle is one of the more difficult decisions for a significantly injured workers’ compensation claimant.

Case Study: Workers Compensation and Repetitive Motion Injuries

Welcome to the 3rd installment of my summer long series on Georgia Workers’ comp case studies. In the following case study, I discuss workers’ compensation and repetitive motion injuries.

An overview of DeQuervain’s Syndrome and Lateral CTS

DeQuervain Syndrome is also nicknamed Mother’s Wrist or Washerwoman’s Sprain. In more medical, technical terms it is known as de Quervain’s tenosynovitis, de Quervain’s stenosing tenosynovitis, or Radial styloid tenosynovitis. DeQuervain’s syndrome is an inflammation (or tendinosis) that occurs in the sheath or the tunnel which surround the two tendons which are responsible for the thumb’s movement.

Carpal Tunnel Syndrome or CTS is also referred to as median neuropathy at the wrist and is a condition that results from a compressing or pinching of median nerve in the wrist area. It typically leads to extreme pain, muscle weakness, and numbness of the hand. Night symptoms and waking up off and on are characteristics of CTS as well. The definitive or standard treatment of the condition is a surgical procedure known as carpal tunnel release.

It should be noted that although this surgical procedure effectively relieves the symptoms of CTS, established nerve dysfunction in the form of atrophy, constant or “static” numbness, and weakness are all permanent. Ironically, most CTS cases do not have a specific cause, and some individuals are predisposed at developing the condition based on genetics.

Workers’ Compensation case involving repetitive motion injury: The case of “Ms. C”

Our client, Ms. C, was diagnosed with bilateral CTS as a result of her repetitious work in cake decorating. According to Dr. D, she was diagnosed with “bilateral DeQuervains tenosynovitis and ulnar nerve injury.” As a result of Ms. C’s injuries, she underwent surgeries on both wrists. About 6 weeks later, she went through surgical procedures on the left wrist – carpal tunnel and DeQuervains release surgery.

Ms. C continues living in pain today, even after the different surgeries were performed. Pain is prevalent especially in the hand, at the incision, and in the wrist area. She is currently undergoing physical therapy and has limited range of movement (ROM) as well as the pain mentioned in the above areas. It is evident that she will continue to remain under medical care as well as receiving TTD for quite some time.

Given the residual problems that exist and her surgeries, the PPD (Permanent Partial Disability) rating of each wrist is 10%. Additionally, due to the repetitive nature of Ms. C’s work, it is very obvious that her capacity to perform her job has been severely limited and she will experience continued levels of pain. As a result of her case, we have demanded “X” amount in her Workers’ Compensation case and are awaiting settlement

Employee Gets Bad Information About Legitimate Job Injury

Although Georgia’s workers’ compensation system is supposed to foster an environment where legitimately injured workers can get needed treatment and then return to work, the reality is much different.   It has been my experience that workers’ compensation practice is just about as adversarial as divorce practice.  Often justice and fair play take a back seat to “winning” and efforts by employers insurance companies to avoid paying benefits.

Case in point.  This week I received the following email from a young woman who works at a factory in north Georgia:

Where I work I have been told that carpel tunnel is not recognized as a workman’s comp injury if I wasn’t having problems with numbness before.  Is this correct?

The short answer is “no, this is not correct.”  Repetitive motion injury (often resulting in a diagnosis of carpel tunnel syndrome) is a very common work injury, especially for factory workers performing manual labor with their hands.

Any employer who tells an employee that “carpel tunnel is not recognized as a workers’ comp. injury” is either very misinformed or downright dishonest. [Read more…]

Carpal Tunnel Diagnosis Need Not Arise from Repetitive Motion Job Tasks

In our Georgia workers compensation law practice, we regularly see carpal tunnel cases.  Carpel tunnel syndrome arises when the muscles in the wrist swell and compress the nerve running down the arm into the hand.  When this median nerve gets squeezed, you will experience pain, numbness and tingling in the hands.  In severe cases, a patient can suffer permanent nerve damage.  Females are more likely than males to develop carpel tunnel syndrome.

If rest does not resolve the condition, the usual treatment for carpel tunnel injuries is surgery called a carpel tunnel release expands the space for the nerve and tendons and thereby relieves the pressure on the nerve.

Carpel tunnel injuries usually arise from repetitive motion type jobs.  Examples of these types of jobs include:

  • deboning chickens
  • typing
  • sewing
  • meat packing
  • small parts assemblers

At Ginsberg Law Offices, we represent many carpel tunnel claimants.  An important part of our work is to get our clients to a doctor who specializes in wrist, hand and repetitive motion injuries and to see to it that our clients get appropriate rehabilitation care. [Read more…]

Workers Comp Claims For Wrist Repetitive Motion Injury

I work at a job where I am using a computer keyboard all day long.  Over the past few months, my right wrist started to hurt and get numb at times.  I reported my injury on November 28, 2006 to the Human Resources Manager requesting for a keyboard tray from desk.

The HR Manager told me that it was out of his hands and that I should order a tray through my manager for approval.  I asked on several occasions for the tray and my injury started to become more aggravated, so I went to his boss asking him about the status of a computer tray.  He told me that the tray was too expensive and I now needed a doctors note in order for me to receive a keyboard tray.

I went to my doctor and told him the same story and he suggested that I file a workmen’s comp claim since it was a work related injury. It was filed the first week of February with the correct injury date of November 28th  I am scheduled for surgery this Wednesday February 28th and they are now just informing me that I have to use my PTO to compensate my time off.  Now, by law if I use the 21 days from the injury date (which it has been) shouldn’t I receive full compensation?


Jodi Ginsberg responds:  Alyce, thanks for your question.  The law requires that you file your workers compensation claim within 30 days of the injury.  Here it looks like your date of injury was November 28, but you did not file your claim until the first of February.   Is your employer acknowledging that you “reported” your injury in November?

For the benefit of anyone reading this blog, employers and insurance companies use these “reporting deficiencies” all the time to deny claims.  If you get  hurt on the job, you should always try to report the claim in writing and, if possible, file a report of on-the-job injury yourself with the State Board of Workers’ Compensation.

Assuming that your employer recognizes this as a workers comp injury, you ask about the 21 day rule.  The 21 days runs not necessarily from date you reported it,but rather, from date of economic disability (when you stopped working). Did you continue working after the November, 2006 “injury date?”

By the way, if your injury did not “happen” on a specific day but was the result of months or years of overuse, then the injury date you choose is called a “fictitious injury date.”  In cases involving these types of “overuse” injury, it is even more important for the injured claimant to file his own Form 14 notice on injury with the State Board.