Winning Results

Consequential Shoulder Claim Disallowed and Accepted Shoulder Found at Maximum Medical Improvement

After a traumatic right-shoulder accident, the claimant alleged that overuse caused a consequential left-shoulder injury. Claimant’s counsel presented inconsistent theories—arguing both that the left shoulder was injured during the original accident and that it developed later from overuse.

LOIS Associate Bradley Haymes and Paralegal Gianna Sorrentino used the treating physician’s testimony and the medical chronology to separate those theories. The physician characterized the left shoulder as consequential, not directly injured. The records also showed that left-shoulder complaints arose in the same month as the original accident, even though the claimant was out of work, and attributed some symptoms to sleeping position. Those facts did not persuasively support an overuse mechanism.

The New York Workers’ Compensation Law Judge found that the claimant failed to establish a causally related consequential left-shoulder condition and disallowed that site. The Judge also found that the accepted right shoulder had reached Maximum Medical Improvement because no treatment had occurred for more than a year. The ruling prevented claim expansion and moved the established injury toward a defined permanency posture.

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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.

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