GARY D MULDER, Applicant
CONWAY CENTRAL EXPRESS INC, Employer
CONWAY CENTRAL EXPRESS INC, Insurer
An administrative law judge (ALJ) for the Worker's Compensation Division of the Department of Workforce Development issued a decision in this matter. A timely petition for review was filed.
The commission has considered the petition and the positions of the parties, and it has reviewed the evidence submitted to the ALJ. Based on its review, the commission agrees with the decision of the ALJ, and it adopts the findings and order in that decision as its own.
The findings and order of the administrative law judge are affirmed.
Dated and mailed November 30, 2006
mulderg . wsd : 101 : 9 ND § 8.2
/s/ James T. Flynn, Chairman
/s/ David B. Falstad, Commissioner
/s/ Robert Glaser, Commissioner
The employer and its insurer (collectively, the respondent) concede the applicant injured his ankle on June 22, 1995, when the applicant caught his foot on a pallet. An x-ray showed a non-displaced fracture of the talus (exhibit G, June 22, 1995 reports of Dr. Meress and of Dr. Vasquez). The applicant now seeks compensation related to plantar fasciitis and back pain that he associates with the June 22, 1995 injury.
The ALJ found for the applicant and the respondent appeals. On appeal, the respondent asserts that its medical expert, Dr. Orth, gives a more credible opinion than those of the applicant's treating podiatrists, Drs. DeGere and Wolfington. The respondent asserts that Drs. DeGere and Wolfington were not aware of the applicant's prior injuries in 1989 and 1991, and that the applicant's current claim is inconsistent with Dr. Mitchell's release in August 1996 and years of relatively little treatment thereafter. The respondent noted, too, Dr. Mitchell's observations about the applicant's litigiousness, and asserts further that there is no connection between the chiropractic back treatment and the plantar fasciitis. Finally, the respondent raises Wis. Stat. § 102.12 as a legal defense.
Regarding the earlier injuries, the actual x-rays reports and treatment notes from the 1989 and 1991 injuries indicate that the x-rays done at that time were essentially negative. The applicant had little follow-up treatment for the 1989 and 1991 injuries. While the June 22, 1995 x-ray report done following the work injury now at issue does note an "os trigonum ... [that] has been present since the exam from 02/05/91," (1) neither the February 5, 1991 x-ray report itself nor the treatment note the following day mentions an os trigonum. Indeed, both describe the February 5, 1991 left foot x-ray as negative. (2) Assuming, however, that the os trigonum was in fact present in 1991, it was not until after the June 1995 work injury that the os trigonum became painfully symptomatic leading to treatment and ultimately surgery. Further, as the applicant points out, the employer's medical expert, Dr. Orth, stated the plantar fasciitis diagnosis did not arise until six months after the end-of-healing for the facture. However, Dr. Mannebach first noted plantar fasciitis in August 1995 -- while the applicant was still treating for the June 1995 fracture from the work injury. On this record, the commission declines to discredit the reports of Dr. Wolfington and DeGere because those doctors had an inaccurate history.
The commission also declines to conclude that the applicant's bicycle riding is either causally related to the applicant's current foot problems, or that the ability to ride a bike after the work injury is inconsistent with the diagnosis of a continuing problem. Dr. Orth does not directly say the bike-riding caused the condition. Further, Dr. Del Toro, who included plantar fasciitis as a diagnosis in his report, in fact recommended biking, and other nonweightbearing exercise, to maintain conditioning, strength and endurance. Exhibit D.
Dr. Mitchell, to be sure, did mention secondary gain and note that the applicant was litigious in his note of June 26, 1996. However, one week later on July 3, 1996, Dr. Mitchell recorded that the applicant told him his ankle felt much better and sought to return to regular duties. Indeed, as the respondent points out, Dr. Mitchell eventually released the applicant in August 1996. Thereafter, the applicant continued to see Dr. Wolfington occasionally for adjustment of his orthotics in 1996, 1997, 1998, and 2000, before left heel pain led Dr. DeGere to wonder about a flare-up of the previously resolved plantar fasciitis in August 2002.
The ALJ awarded three days of temporary total disability for back pain in January 2006, during which time the applicant saw podiatrist DeGere and medical doctor Frownes. Podiatrist DeGere opined these symptoms were due to compensating for the plantar fasciitis. The commission, like the ALJ, finds that diagnosis quite credible.
Finally, the Wis. Stat. § 102.12 defense is unavailing. By its terms,(3) that statute applies when notice of injury is not given or when the employer does not know of the work injury. Here the employer conceded the June 22, 1995 work injury and does not dispute the applicant's representation in his application that he gave notice of the injury on the day it occurred.
cc: Attorney Nick G. Kotsonis
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