When the  Missouri Legislature passed “Work Comp” reform in 2005 the goal was to payback insurance companies and business groups for their support. The winner always gets the spoils, but this time fairness and common sense had to take a far back seat to expediency. Older workers were punished -for aging!!  Section 190, subsection 3 states that ”Any award of compensation shall be reduced by an amount proportional to the permanent partial disability determined to be a preexisting disease or condition or attributed to the natural process of aging sufficient to cause or prolong the disability or need of treatment. Reduced by “the natural process of aging!” Believe it or not,the intent of the legislature was to punish workers for the natural aging process.

When do we punish people for aging? From the age of 35? What about 20? Why doesn’t a worker get a bonus for healing faster, if he is young? Every middle aged worker is going to have some arthritis, or may have diabetes or some frailness as time goes on. Now the older worker is to be penalized if his “natural aging” prolongs his disability or treatment. So if you don’t bounce back at 50 the way you did when you were 25 because your body has become more frail, then the insurance company should be able to make you pay for your own treatment and at the same time cut off your lost time benefits. Where’s the outrage from groups life AARP and other advocates for older citizens? Too bad we can’t reduce the pay of Missouri legislators as they get older! Nevermind, they always stand up for themselves when it comes to their own pay raises and retirement benefits, but there is no common sense when it comes to injured workers.

Very few injuries that we commonly see can change a claimant’s life as dramatically as a “herniated disc”. Many similar terms are used almost interchangeably like “ruptured disc” , “disc protrusion” and “herniated nucleous pulposis”.Doctors often describe disc as being like a”jelly donut” between the vertebrae.When the disc material inside of the disc leaks out and touches on the”sciatic nerve”, severe pain often travels down the injured worker’s leg. Sometimes other structures are affected, like the “spinal cord” or the “spinal canal” .Disc injuries are most common found in the low back and neck and rarely occur in the mid-back. We see alot of lumbar “laminectomies”in workers who do alot of heavy lifting. A laminectomy or a micro -discectomy will often produce good results and in many instances injured workers will be able to return to rigorous  work. If surgery is unsucessful,  a lumbar or cervical “fusion” may be needed. This often occurs with a condition called “spondylolithesis” which involves a slippage o   a vertebrae. In order to diagnose a disc problem an “MRI” is usually needed. If a condition is diagnosed as a “disc bulge” doctors wil normally try treating the condition with physical therapy or steroid injections.If the MRI is negative, doctors may determine that they are dealing with a strained or sprained back or neck. Where surgery is contemplated, doctors will normally do a test called a “myelogram’ with a “cat scan” in order to get the best possible look at the problem. In those cases where multiple surgeries have been performed and a “fusion’ is the ultimate outcome, some injured workers may become “permantly totally disabled” which means that they are unable to work or compete in the “open labor market”. Everyone is different and it is difficult to generalize. I once had a client who had five surgeries, including a disc fusion,who had a body like Charles Atlas and was running 5 miles a day! In any event, if you are confronted with a serious back or neck injury, it is important to ask your attorney about the reputation of the doctor who is treating you.  submitted by Jeff Swaney FREE CONSULTATION 314-481-7778