When an injury develops gradually, you may not have an accident report. Perhaps gripping a tool has become painful, or your shoulder now hurts during a task you used to finish without trouble. Pennsylvania workers’ compensation can cover injuries caused by repeated work. The claim depends on showing how the job caused or aggravated your condition.
At Badey, Sloan & DiGenova, P.C., we help injured workers in Philadelphia and throughout Pennsylvania address that question. Tell us what you do during a shift, when the symptoms started, and what your medical provider has said. If the insurer has already denied the claim, we can examine the reason for the denial and the evidence needed to respond.
Call (215) 790-1000 or request a free consultation to discuss a repetitive stress injury.
Work Injuries Can Develop Through Repeated Activity
Carpal tunnel syndrome is one example of a condition that can result from repeated work activity. You do not always need to identify one accident to pursue benefits. However, you do need evidence of a connection between your condition and your job.
Tell your provider how much force the work takes. Gripping a tool tightly for much of a shift puts different demands on your body than occasional light hand movements. Reaching above shoulder height or holding the same position for a long period can add strain. Your provider needs that information to assess the symptoms and diagnose the condition; “overuse” alone may not explain what is wrong.
Job titles can hide important differences. Two employees who both do assembly work may use different tools and spend very different amounts of time on the same motion. The claim needs an account of your work, rather than an assumption based on your occupation or diagnosis.
Explaining the Connection Between Your Work and Your Condition
Before a medical appointment, make a few notes about a typical shift. Walk through the tasks in the order you do them. Include:
- The motions you repeat, including gripping, scanning, reaching, or turning tools.
- How long you perform each task and whether you rotate between duties.
- The weight and size of items you handle and the force needed to move them.
- Changes in staffing, equipment, production pace, or scheduled hours.
- When symptoms began and whether they changed at work, at rest, or away from work.
If you do not know how much an item weighs, say so. Give an estimate only if you have a reasonable basis for it, and identify it as an estimate. A written job description is worth bringing, but point out any regular duties it leaves out.
Tell your provider about earlier symptoms and activities outside work, too. Omitting an old injury can make your medical history incomplete. Your attorney can help gather the records; the medical assessment still needs to address what caused or aggravated the condition.
An Earlier Condition Does Not Automatically Rule Out a Claim
An earlier diagnosis does not necessarily prevent a workers’ compensation claim. Pennsylvania law may cover a preexisting condition that employment has aggravated. The question is what the work did to the condition, not simply whether you had symptoms before.
If the insurer blames an old problem, explain what changed. Were you able to complete a full shift before this assignment? Did you later need help with a task you had handled on your own? Earlier treatment records and current medical findings can help establish the difference.
Bring the denial itself to Badey, Sloan & DiGenova. Its stated reason helps us determine whether the dispute concerns the work connection, the diagnosis, or another part of the claim.
Treatment and Wage Loss Involve Different Questions
For an accepted or established work injury, Pennsylvania workers’ compensation may cover reasonable and necessary medical treatment. You may still be eligible for medical benefits even if you are still working. Wage-loss benefits involve a separate question about how the injury affects your earnings and ability to work.
Save the pay stubs and schedules for any period when you missed shifts or worked fewer hours. A medical claim may still be available if you kept earning your usual pay. If your earnings dropped, the records should show when that happened and how it related to the injury; not every reduction is automatically reimbursable.
Check how the insurer describes the injury in its paperwork. That description may be narrower than the condition your provider is treating. Bring the notices so we can compare what was accepted with what remains disputed.
Steps To Take When Symptoms Develop Gradually
- Get medical care. Explain your symptoms and why you think work may be involved. Ask about any employer provider-list requirements before assuming you can choose any provider for initial treatment.
- Tell your employer promptly. Describe the condition, the tasks involved, and when and where you performed them. Keep a copy of a written report or a note of whom you told and when.
- Keep a useful timeline. Record symptom changes, medical appointments, work assignments, and conversations about restrictions. Identify uncertain dates honestly rather than inventing a single accident date.
- Save records you already have. Keep schedules, pay stubs, job descriptions, and relevant messages. Gather information lawfully and don’t remove confidential employer records or record people without checking the applicable rules.
- Have claim paperwork reviewed. Bring a denial, medical examination request, or proposed agreement to an attorney. A supervisor’s reassurance is not a substitute for knowing your claim status.
Reporting Deadlines Still Apply
Gradual symptoms make dates harder to pin down. You might remember the first time your wrist hurt but not the day you began to suspect the job was causing it. Report the problem and get advice promptly rather than waiting until you can explain every date.
Notice to your employer and a claim petition have separate time limits. Unless the employer already knows of the injury, giving notice after 21 days can delay compensation; notice generally must be given within 120 days. A claim petition ordinarily must be filed within three years of the injury, subject to exceptions. When you knew or reasonably should have known the injury could be work-related can affect the notice period. Have an attorney assess the dates in your case. Your first symptom, diagnosis, or last day worked is not automatically the controlling date.
Talk with Badey, Sloan and DiGenova About Your Symptoms and Work
If your employer or insurer says the condition is unrelated to work, start by showing us the notice and describing your daily duties. Bring any medical restrictions and records of changed hours or pay that you have. You can contact us before you have collected a complete file.
Badey, Sloan & DiGenova, P.C. represents injured workers in contested workers’ compensation matters. During the initial consultation, we explain the proposed representation, including fees and possible costs.
Call (215) 790-1000 or contact our Philadelphia office to request a free consultation.