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Annular Tear - RN license
07-11-2008, 03:00 AM (This post was last modified: 07-11-2008 03:02 AM by Injured@Work.)
Post: #1
Sad Annular Tear - RN license
I am new to this, but truly need advise. Forgive me as I don't yet know all the lingo and abbreviations. I was injured at work 5/13/08 with severe back pain only to find out through an MRI (3 weeks later may I add) that it was an annular tear at L3-L4 region with disk bulging. There were other problems the rest of the way down, but this is the one that counts, so I'll stick with this. After the MRI my employers workman's comp Dr. drugged me up on Hydrocodone, Cyclobenzaprine, and Motrin and sent me to PT and a specialist. This is where my problems really began. Prior to this I was off work and receiving weekly checks from the insurance company. When I saw the specialist on 6/17/08 he said that the tear will take 3-6 months to heal and will be chronic in nature, what ever that means. He told me that surgery wasn't really necessary. In the mean time he told me to continue with physical therapy and that he wanted me to try an epidural flood to help with the pain and that we would go from there. I was also to remain off of work until our next appointment on 7/21/08. A week and a half after my appointment I receive a call from the workman's comp insurance co. saying that I had been released back to work on sedentary/light restrictions...where that came from I don't know, but I rolled with it and figured the guy must know what he's doing. I went back to work on 7/2/08, I did the jobs that my employers set for me (I'm and RN) and after about 1 1/2 hours I was in severe pain. I told this to the work comp rep at my work and I end up on a conference call with her, myself, the worker's comp rep from the specialist's office, and my case worker from the insurance company where I was in not so many words accused of faking it and was told that I had to give it more then one day. I went home with muscle spasms, left buttock pain, and a very bad attitude. I went home and contacted a lawyer who I have met with and he's getting my medical records presently to see what we can do, but assures me that there's a good case. I called in on 7/3 and 7/4 due to the pain from one day of work. I went back on Monday 7/7 and tried it again with the same results. I tried contacting my Dr's office where I spoke with my Dr.'s nurse and requested to be taken back off of work because it wasn't working and brought on severe pain and I was told that she would talk to the Dr. I called in 7/8. On that day I receive a from my case worker at the worker's comp ins. co. that my benefits had been cancelled due to my refusal to return to work...I wasn't refusing, I was lying in bed in severe pain and had called in following my employers regulations. This has been faxed to my lawyer and he has sent a letter to them trying to get this fixed. Wednesday, 7/9 I had my epidural flood. I'm not quite sure what this was supposed to do, but I have received zero relief of pain. I called my Dr.'s office yet again to see if he had agreed to remove me from work. I was told in a nutshell that he set the restrictions and if my employer was following them that I shouldn't have any problems. At this point I had reached maximum amount of crap that could possibly happen in a few days period and I had a blow out to this nurse where at the end I described the things that I was doing at work and she says that my employer is not following restrictions, but she doesn't deal with employers so I would have to work with them to find a resolution, and that I should call her back 7/10 to give her an update. I called my employer 7/10 and was told that they believe that my duties are within my restrictions and to basically suck it up. I called the nurse back where I had to leave yet another message and have not heard from her yet. This is my story to present. My questions are this...
1. If I need to take my narcotic pain reliever at work...keeping in mind that I'm an RN...should I be working? Furthermore, should I be required to work if it causes me severe pain and I can't even take care of my 11 month old when i get off?
2. What is the preferred method of treatment for this injury?
3. Is this much jerking the injured person around normal in these cases?
4. Why in the heck did I hire an attorney if I'm still dealing with all this crap?
ANY advise on what to do at this point and what to say to these people would be so helpful! I am SO frustrated and don't know what to do. Funds are low and I can't go without income for long. PLEASE HELP.
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07-11-2008, 05:33 AM
Post: #2
RE: Annular Tear - RN license
Injured@Work Wrote:Dear Injured@work, hang in there you have a long road to go. I just found this sight by accident and wish I would have had it while going through my job injury, lawyer, and doc/nurse issues! Yes you will get the run around, from all who deal with the injured employee. The employer tries to wear you down emotionaly, the doctors office sees so many that they have become cold to the injured worker, they have been worn down by all the paper work involved, and the lawyers also have become cold to the injured worker as they can not relate to the pain and it all becomes old to them. It's sad because we are the one's that hurt and do not need to deal with all the extra bull they give us but that has become the norm. Please know you are not alone as there are many of us out here that are dealing with all the unknowns in injuries at work laws. As a lay person we are not always knowledgable about our rights and we are the one's that hurt our selves. I hope that you take it one day at a time but also try and find out from you lawyer "in writing" what your rights are. The company will try any way it can to freeze you out so they do not have to pay you anything, they are professionals at that.
I am new to this, but truly need advise. Forgive me as I don't yet know all the lingo and abbreviations. I was injured at work 5/13/08 with severe back pain only to find out through an MRI (3 weeks later may I add) that it was an annular tear at L3-L4 region with disk bulging. There were other problems the rest of the way down, but this is the one that counts, so I'll stick with this. After the MRI my employers workman's comp Dr. drugged me up on Hydrocodone, Cyclobenzaprine, and Motrin and sent me to PT and a specialist. This is where my problems really began. Prior to this I was off work and receiving weekly checks from the insurance company. When I saw the specialist on 6/17/08 he said that the tear will take 3-6 months to heal and will be chronic in nature, what ever that means. He told me that surgery wasn't really necessary. In the mean time he told me to continue with physical therapy and that he wanted me to try an epidural flood to help with the pain and that we would go from there. I was also to remain off of work until our next appointment on 7/21/08. A week and a half after my appointment I receive a call from the workman's comp insurance co. saying that I had been released back to work on sedentary/light restrictions...where that came from I don't know, but I rolled with it and figured the guy must know what he's doing. I went back to work on 7/2/08, I did the jobs that my employers set for me (I'm and RN) and after about 1 1/2 hours I was in severe pain. I told this to the work comp rep at my work and I end up on a conference call with her, myself, the worker's comp rep from the specialist's office, and my case worker from the insurance company where I was in not so many words accused of faking it and was told that I had to give it more then one day. I went home with muscle spasms, left buttock pain, and a very bad attitude. I went home and contacted a lawyer who I have met with and he's getting my medical records presently to see what we can do, but assures me that there's a good case. I called in on 7/3 and 7/4 due to the pain from one day of work. I went back on Monday 7/7 and tried it again with the same results. I tried contacting my Dr's office where I spoke with my Dr.'s nurse and requested to be taken back off of work because it wasn't working and brought on severe pain and I was told that she would talk to the Dr. I called in 7/8. On that day I receive a from my case worker at the worker's comp ins. co. that my benefits had been cancelled due to my refusal to return to work...I wasn't refusing, I was lying in bed in severe pain and had called in following my employers regulations. This has been faxed to my lawyer and he has sent a letter to them trying to get this fixed. Wednesday, 7/9 I had my epidural flood. I'm not quite sure what this was supposed to do, but I have received zero relief of pain. I called my Dr.'s office yet again to see if he had agreed to remove me from work. I was told in a nutshell that he set the restrictions and if my employer was following them that I shouldn't have any problems. At this point I had reached maximum amount of crap that could possibly happen in a few days period and I had a blow out to this nurse where at the end I described the things that I was doing at work and she says that my employer is not following restrictions, but she doesn't deal with employers so I would have to work with them to find a resolution, and that I should call her back 7/10 to give her an update. I called my employer 7/10 and was told that they believe that my duties are within my restrictions and to basically suck it up. I called the nurse back where I had to leave yet another message and have not heard from her yet. This is my story to present. My questions are this...
1. If I need to take my narcotic pain reliever at work...keeping in mind that I'm an RN...should I be working? Furthermore, should I be required to work if it causes me severe pain and I can't even take care of my 11 month old when i get off?
2. What is the preferred method of treatment for this injury?
3. Is this much jerking the injured person around normal in these cases?
4. Why in the heck did I hire an attorney if I'm still dealing with all this crap?
ANY advise on what to do at this point and what to say to these people would be so helpful! I am SO frustrated and don't know what to do. Funds are low and I can't go without income for long. PLEASE HELP.
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07-11-2008, 06:00 AM
Post: #3
RE: Annular Tear - RN license
welcome and sorry ur having trouble.we need ur state as work comp laws are different in every state that way someone on here might be in ur state and can help you better.and yes this is normal wc games and it only gets better.LOL not.you did the rite thing by hiring a lawyer but does she/he specialise in wc?call ur lawyer and ask what he is doing for you.limo and bad boy will be along soon and will give you some advice.wish you well and good luck.

Each day is not a rite,it's a given.
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07-11-2008, 12:10 PM
Post: #4
RE: Annular Tear - RN license
Welcome to the forum, come often, ask questions or just share.

Call your lawyer and ask him to talk with your employer and the insurance carrier. If they call tell them to call your lawyer, let him handle it.
As for the best treatment others will be along shortly to advise you.

Tinkerbell

May God send his angels to hold you in his arms
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07-11-2008, 01:56 PM
Post: #5
RE: Annular Tear - RN license
Are you still in therapy? I have disk problems and tearing myself. I've been in therapy forever and my job doesn't provide light duty work, so I am still off. They want to do injections next and want to do all possible before they talk about surgery. Since I haven't had problems in the going back to work part yet, I can't give any advice about that except I'd assume your lawyer should be taking care of that. I'm sure someone here knows about it though. However, I do think the therapy thing is something that won't stop til you reach MMI.
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07-11-2008, 02:30 PM
Post: #6
RE: Annular Tear - RN license
Injured@Work, it is very important to know what State that your in. Are answers could be wrong if not pertained to State Laws, as all States are different.

My opinion would be change doctor's or atleast get a second opinion.

Taking prescriped medications and working? Well, to people of the Work comp world like their nurses, doctors, and adjustors. They simply won't care. To your employer, they may care. Is your employer allowing you to take your medications and work?

When attempting light duty, and you have shown you can't, the treating doctor should make modifations. If not, it's up to you to find out why not. (Falls under second opinion now also) 2nd. doctor may say stay home.

- lesion labeled annuular tear or internal disruption is based on
concept of leaking disc, one which permits the irritating liquid
material normally restricted to the center of the disc to come into
contact with the innervated tissue;
- annular tissue that permits egress of this liquid has a poor capacity
for healing;
- at most, a thin layer of scar tissue at the periphery of the tear may
seal the leak but leave the disc highly susceptible to retearing;
- where as herniated disc has a significant capacity to be resolved w/
time, annular tear continues to produce symptoms indefinitely;
- clinical picture is based on pain related to increased intradiscal
pressure and irritability of neural structures;
- annular tear is usually produced by injury that increases intradiscal
pressure significantly;
- predominant element in the history is back pain, either alone or in
exess of leg pain;
- leg pain may be either unilateral or bilateral;
- increases in intradiscal pressure exacerbate the pain;
- pain is often worse when sitting than when standing;
- coughing & sneezing worsen the pain as do forward bending and lifting

http://www.wheelessonline.com/ortho/annular_tear

Annular tear

What it is:
When healthy, the discs separating the vertebrae in your spine have soft, gel-like centers surrounded by layers of fibrous tissues. This outer layer is called an annulus.

Due to injury or just aging, small tears can form in the annulus. When the gel-like center of the disc pushes through an annular tear, this is called a disc herniation.

http://www.bhpw.com/conditions/better_he...nular.html

Reply's are intended solely for informational purposes. They are based on personal opinions, experience, or research and are "not to be taken as fact or legal advice", otherwise, always consult an attorney or a doctor.
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07-11-2008, 11:43 PM
Post: #7
RE: Annular Tear - RN license
I am in Iowa. Wow, this gets worse??? I'm already about to pull my hair out. Yes, my lawyer specializes in wc. I got a very good feeling from him, but he seems very busy. I just hope that he has time for me! Thanks so much!

hurt at work Wrote:welcome and sorry ur having trouble.we need ur state as work comp laws are different in every state that way someone on here might be in ur state and can help you better.and yes this is normal wc games and it only gets better.LOL not.you did the rite thing by hiring a lawyer but does she/he specialise in wc?call ur lawyer and ask what he is doing for you.limo and bad boy will be along soon and will give you some advice.wish you well and good luck.
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07-11-2008, 11:53 PM
Post: #8
RE: Annular Tear - RN license
I too just happen to come to this site, and I am so glad that I did! I just figured out how to find where I posted though and how to reply...I hope I'm doing it right. Reading what everyone has posted on here makes me feel not so alone. At the risk of sounding paranoid, I was beginning to think that everyone was against me. What you're saying sounds exactly like what I'm going through, and yes I'm already feeling the freeze. Thank you for your reply and support.

beno Wrote:
Injured@Work Wrote:Dear Injured@work, hang in there you have a long road to go. I just found this sight by accident and wish I would have had it while going through my job injury, lawyer, and doc/nurse issues! Yes you will get the run around, from all who deal with the injured employee. The employer tries to wear you down emotionaly, the doctors office sees so many that they have become cold to the injured worker, they have been worn down by all the paper work involved, and the lawyers also have become cold to the injured worker as they can not relate to the pain and it all becomes old to them. It's sad because we are the one's that hurt and do not need to deal with all the extra bull they give us but that has become the norm. Please know you are not alone as there are many of us out here that are dealing with all the unknowns in injuries at work laws. As a lay person we are not always knowledgable about our rights and we are the one's that hurt our selves. I hope that you take it one day at a time but also try and find out from you lawyer "in writing" what your rights are. The company will try any way it can to freeze you out so they do not have to pay you anything, they are professionals at that.
I am new to this, but truly need advise. Forgive me as I don't yet know all the lingo and abbreviations. I was injured at work 5/13/08 with severe back pain only to find out through an MRI (3 weeks later may I add) that it was an annular tear at L3-L4 region with disk bulging. There were other problems the rest of the way down, but this is the one that counts, so I'll stick with this. After the MRI my employers workman's comp Dr. drugged me up on Hydrocodone, Cyclobenzaprine, and Motrin and sent me to PT and a specialist. This is where my problems really began. Prior to this I was off work and receiving weekly checks from the insurance company. When I saw the specialist on 6/17/08 he said that the tear will take 3-6 months to heal and will be chronic in nature, what ever that means. He told me that surgery wasn't really necessary. In the mean time he told me to continue with physical therapy and that he wanted me to try an epidural flood to help with the pain and that we would go from there. I was also to remain off of work until our next appointment on 7/21/08. A week and a half after my appointment I receive a call from the workman's comp insurance co. saying that I had been released back to work on sedentary/light restrictions...where that came from I don't know, but I rolled with it and figured the guy must know what he's doing. I went back to work on 7/2/08, I did the jobs that my employers set for me (I'm and RN) and after about 1 1/2 hours I was in severe pain. I told this to the work comp rep at my work and I end up on a conference call with her, myself, the worker's comp rep from the specialist's office, and my case worker from the insurance company where I was in not so many words accused of faking it and was told that I had to give it more then one day. I went home with muscle spasms, left buttock pain, and a very bad attitude. I went home and contacted a lawyer who I have met with and he's getting my medical records presently to see what we can do, but assures me that there's a good case. I called in on 7/3 and 7/4 due to the pain from one day of work. I went back on Monday 7/7 and tried it again with the same results. I tried contacting my Dr's office where I spoke with my Dr.'s nurse and requested to be taken back off of work because it wasn't working and brought on severe pain and I was told that she would talk to the Dr. I called in 7/8. On that day I receive a from my case worker at the worker's comp ins. co. that my benefits had been cancelled due to my refusal to return to work...I wasn't refusing, I was lying in bed in severe pain and had called in following my employers regulations. This has been faxed to my lawyer and he has sent a letter to them trying to get this fixed. Wednesday, 7/9 I had my epidural flood. I'm not quite sure what this was supposed to do, but I have received zero relief of pain. I called my Dr.'s office yet again to see if he had agreed to remove me from work. I was told in a nutshell that he set the restrictions and if my employer was following them that I shouldn't have any problems. At this point I had reached maximum amount of crap that could possibly happen in a few days period and I had a blow out to this nurse where at the end I described the things that I was doing at work and she says that my employer is not following restrictions, but she doesn't deal with employers so I would have to work with them to find a resolution, and that I should call her back 7/10 to give her an update. I called my employer 7/10 and was told that they believe that my duties are within my restrictions and to basically suck it up. I called the nurse back where I had to leave yet another message and have not heard from her yet. This is my story to present. My questions are this...
1. If I need to take my narcotic pain reliever at work...keeping in mind that I'm an RN...should I be working? Furthermore, should I be required to work if it causes me severe pain and I can't even take care of my 11 month old when i get off?
2. What is the preferred method of treatment for this injury?
3. Is this much jerking the injured person around normal in these cases?
4. Why in the heck did I hire an attorney if I'm still dealing with all this crap?
ANY advise on what to do at this point and what to say to these people would be so helpful! I am SO frustrated and don't know what to do. Funds are low and I can't go without income for long. PLEASE HELP.
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07-12-2008, 12:03 AM
Post: #9
RE: Annular Tear - RN license
I will call him on Monday and ask him to do so. I guess I just took it for granted that when I called and complained about all of this jerking me around that he would take it upon himself to protect his client. Just another butt I have to ride, I guess! Thanks for your post!!!

RNvic Wrote:Welcome to the forum, come often, ask questions or just share.

Call your lawyer and ask him to talk with your employer and the insurance carrier. If they call tell them to call your lawyer, let him handle it.
As for the best treatment others will be along shortly to advise you.

Tinkerbell
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07-12-2008, 12:08 AM
Post: #10
RE: Annular Tear - RN license
come on over to off topics and join in we play and have a good time over there

........I love cats, I just cant eat a whole one by myself......
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