Winning Results

Biomechanical and Medical Record Analysis Defeats Consequential Injury Claims

In an established right-knee claim, the claimant sought to add consequential injuries to the right foot and lower back based on an alleged altered gait. LOIS Associate Chris Xyloportas and Paralegal Chrystalla Karamanis developed the defense through an independent medical examination, detailed medical-record review, and depositions of two treating physicians.

The treating physicians conceded that they lacked important information about prior injuries, imaging, treatment, and surgeries involving the same claimed sites. The LOIS team also highlighted the absence of objective pathology on right-foot magnetic resonance imaging, the lack of persuasive evidence documenting an altered gait, and the mismatch between the asserted biomechanics and the conditions being claimed.

The New York Workers’ Compensation Law Judge found that the mechanism, medical record, and credibility concerns supported disallowance of both additional sites. The decision prevented an established knee claim from expanding into unrelated foot and back exposure and shows the value of testing a consequential-injury theory against the complete medical history and objective findings.

Download the New York Workers’ Compensation Law Handbook

Greg Lois’ practical, up-to-date, and easy-to-understand guide to workers’ compensation claims in New York.

This book is designed for employers, attorneys, claim adjusters, physicians, self-insured employers and vocational rehabilitation workers.

Download Now

New York Workers’ Compensation Defense at Lois Law Firm

We represent insurance carriers, self-insured employers, third party claim administrators, and employers before the New York State Workers' Compensation Board. We handle cases from cradle-to-grave. We want to be by your side, moving cases aggressively to closure from the start of litigation all the way through to settlement.

We only assign one attorney and one paralegal to each case. This means that your team members always have one contact to go to for any questions. We do not have 'hearing attorney' or a 'negotiation attorney' or 'appeal department' or anything else! All of our attorneys handle all of those roles – meaning cases are not 'passed around' as they move through the litigation process. Your risk professional or adjuster always knows who is assigned – because the attorney does not change.

Learn More

Get articles delivered to your inbox, once a month

Subscribe Today!