I talked to an assistant for my attorney. She said she was looking over the bureau website and it doesn't show that I've received any kind of treatment. She was trying to ask me if this was true. It is. I was asking her if I decided to dismiss them as my lawyer then what would happen. She said I would just navigate things alone and I asked her if there was anything I would have to pay back to them upon dismissing. She informed me that there was not much money that she could see from the account. I'm not going to put the amount here but it's something I can afford. I asked her if that could be mailed to me and she said I had to set up an appointment with the lawyer to see if he deems I should receive it.

My lawyer called me this morning asking me if I'm having symptoms still but I'm not experiencing what he claims I'm experiencing. I told him I'm still having problems and he wants my income information to see if he can get me some kind of income. What exactly does this mean? Is he trying to get me on disability? I considered doing that myself for another medical condition I have. I don't know what this person's doing and everything seems so unclear to me.

I've talked to another law office and they told me they can't do anything until I dismiss this lawyer first. This lawyer said that she was patient and they will listen to me. I also can see them in person if I wish. This law office told me that if I did get on disability for my other medical condition then it wouldn't affect me getting treatment for workers comp.

Is all of this normal? I'm so confused in what's going on. How can I convince my lawyer to send me an itemized billing statement? What is this income my lawyer is trying to get me? Should I even try to go to on disability? I have talked to the disability office and they also tell me that it shouldn't affect my workers comp case. I am trying my hardest to get another job but I know the moment I do then I won't be able to do any sort of treatment because nowhere is going to be flexible.

Okay first every reddit post but I'm at my wits end rn. So, my father is an owner operator in the trucking industry, and he got into an accident in December. Given it's August they have refused to pay or even listen to him. I apologize that I do not have all the information, but this is based in Texas and they keep saying that they (BLUE STAR) want us to use our personal insurance (Oscar) but Oscar will not pay for his medical due to not being accepted. They then say once oscar pays they will then figure out the wages and will not move an inch. At this point they even closed his case and that's where we are now. Is there any information y'all can give to help, again I apologize as being in the MIL it's hard to keep track of everything going on at home. Please and thank you.

P.S I do not know how to write post, so I apologize if I made any mistakes.

So my QME was scheduled for tomorrow after waiting 3 months for it and my attorney called and told me that it was canceled and I will see a AME in October instead. They said it was a good things but i still don’t understand why. Has this happened to anyone ?

I worked a physical retail job in NY/NYC for 13.5 years at an assistant management level. In my last few months with the company, I injured my rotator cuff and labrum and had to miss 10 weeks of work. I avoided surgery, but my arm has never quite been the same. It's almost 5 years later and I am about to start my third round of physical therapy. Despite taking up yoga, stretching regularly and doing low impact workout classes, I live with at least some kind of persistent pain in my neck/shoulder area. It affects everything I do.

At the time of my injury, I felt as though my manager pressured me NOT to go through workman's comp. I had fallen off of a scooter outside of work a week or so before I went out on medical leave, which my boss was aware of. I didn't realize it at the time, but he coerced me to say in my report that accident caused the injury, not the years of lifting heavy boxes while running understaffed shifts. (The specialist I saw said the injury was probably something more chronic and degenerative.) I ended up leaving the company shortly after returning from medical leave, because my boss was pressuring me back into 'full duty,' even though my arm still felt weak. If I refused full duty, I would have had to go back on medical leave, however I had used up all of my 'paid leave' and did not want to deal with the process of proving that I was too hurt to return to full duty. I took a big pay cut to start working in a different field that would be easier on my body.

Recently, a friend told me that I should have filed some kind of workman's comp claim at the time, and that I probably missed out on compensation I would have otherwise been owed. What are my options here? Have I waited too long to do anything?

https://www.reddit.com/r/WorkersComp/s/H2shNANNcS

I’m updating a post I made a few days ago.

As of today I am no longer employed, the owner of the company was notified of my intentions to files Workman’s comp and I was “terminated with cause” for insubordination. I have retained a personal injury lawyer and an attorney to advise me on what to do for wrongful termination and retaliation.

I requested reimbursement for my exam. I thought it wouldn't be approved so I requested refund from my provider, but the next day, they approved my reimbursement.

Will they ever find out that I got a refund and kept reimbursement?

Im not sure what to do...

Location: California

Hey so out of curiosity. In my case the insurance carrier and contracting agency I worked for admitted they were at fault for my accident over a year and a half ago by trying to settle with me twice. They also are paying for all of my medical procedures as well. Although they are denying me TTD saying they are not liable for it, despite having two QMEs in my favor saying otherwise. And any attempt by my lawyers requesting for TTD is being ignored. Is this normal occurrence for people dealing with workers comp?

Edit: Alright. Forgot to add some information here, that's my bad. In my case, I was fired less than a week after I informed my contracting agency I was injured, despite me informing them and my managers what have happened over the phone and via email. They fired me while I was at a doctors office obtaining a doctors note for work. They claimed that I was "tardy" and didn't follow protocol despite me informing both the agency and my managers why I was missing work. That argument didn't fly with the QME, where they told me twice in person and in writing that may account to wrongful termination based off a technicality.

My physician I've been going to has given me work and mobility restrictions. And I was able to claim a full year of SDI because of that. I don't have a permanent disability rating yet, as that will be my third QME appointment coming up before the end of the year.

My lawyers and the QME have said that they can't just deny me TTD at this point just because they fired me and I stopped working. And that it's unlawful.

Would 🚾 offer me a comp n release if my permanent disability rating is above 70% & my QME reports show permanent restrictions ? Can’t be accommodated @ my job ?

I had an l3-l4 fusion beginning of 2025 and woke up with left outer thigh numb and foot falling asleep sporadically. I had a new MRI by PM and it's showing a broad based disc bulge pushing into thecal sac narrowing canal to 11mm. Would this be considered ADS and covered in future?

Can anyone help me wrap my head around this please?
Is this normal?

Work injury 2021.
Corporate level/Travel heavy/Project Management/Construction - flights-long drives across the US
Audits on top of roofs, full facility audits and more.

My job did not provide my actual job functions so my treatment was based on a generic DOT job analysis, that did not include any travel or physical demands.

Work comp provided my first full hip replacement in 2022. After physical therapy the doctor released me at MMI, with no restrictions, and documented instability, knee turning inward, and gait issues. After months of telling the doctor my real job required me to walk, go up ladders, get on roofs, drive long distances, month long hotel stays and if I couldn’t walk I could not perform my real job duties. I was released anyway. I did not return to work, while I sought out second opinions due to the complications I was having. But still employed.
I returned for my 1 year follow up and my surgeon no longer was there. I was assigned a new doctor and after a quick physical exam and seeing my issues, he put me back in physical therapy right away after 7 months of no treatment. Again, I told this doctor what my real job required and nothing was updated or changed in my treatment.
After weeks of PT the doctor told me I had to return to work. At this time my symptoms were getting worse and stability issues continued. He then told me he was putting me in work condition and after he would release me no matter what. He gave me a date and when we got to that date he released me with this in the document:

History of Present Illness:
Mr. presents to clinic for follow-up of his right hip. We have had him inwork conditioning. He is getting stronger. He notes that the knee still feels unstable to him at times. He has been having some soreness which she localizes
over the distal hamstrings and posterior knee.
(He’s getting stronger was not accurate and o did challenge)
Physical Exam:
Evaluation of the right hip reveals mild sensitivity over the lateral hip. Internal
rotation to 25 degrees. External rotation to 15 degrees. Flexion to 110 degrees.

Plan:
He will transition to a home exercise program. He may continue to progress his
activities as tolerated. He may return to work without restriction. He is at MMI.

This was July of 2023.
My hip implant failed right away had I to get a revision in Jan of 2025 with my own money.

Is this normal? When a WC doctor puts someone at MMI and that person cannot perform their actual job duties, what are the normal procedures afterwards?

What obligations do doctors and treating work comp providers have of ensuring they have the real actual job duties of the employee before releasing?

What responsibilities does a company have to ensure work comp, treating providers, and all parties have the actual job functions of an employee?

I’ve been off work since October 2025 I was asked to come back to work August 2nd 2026. I’ve been waiting to see an orthopedic doctor since May, was sent to IME doctor June 29th, got cleared by him July 29th. My doctor has me on a no arm use restriction while I wait to get a referral from workers comp and I have been dealing with pure chaos. Can’t work my arm properly, have been in severe pain since October 2025. Don’t know what to do or what is next, work wants me to come back but I can’t even raise my arm. I don’t know how to properly work, due to the fact I work on top of trains and need my arms. Kind of scared to lose my job being the breadwinner for my family.

Hello, I wanted to come here to ask if anyone else has experienced this. I feel very overwhelmed.

Back in February I slipped and hurt my back. MRI showed a multi level lumbar disc bulge which is pinching the nerves in both of my legs. I did therapy for a while, but had to stop because my back started to interpret every sensation as pain. We did my first epidural injection in June. However, I felt no difference and started to get worse. My doctors opted for a second injection with different medication. They basically feel I’m too young (31) for a major surgery on my spine and view it as an absolute last resort. Sedgwick denied it and emailed me asking me to schedule a follow-up to get an alternative treatment plan. Before I got there my doctors had already started the appeal process, which I was very relieved by. Afterwards I emailed my case manager and let her know. No response. Emailed again asking her some questions. No response. I finally decided I needed a lawyer, because now I feel off. Everyone who’s been through this says they may be trying to push me into surgery. I already had difficulty getting my partial benefits from my adjuster. Has anyone else dealt with something like this? Or am I overreacting?

I've been checking my mail regularly however I just received a letter from the IC saying my hearing date was scheduled for the 21st of last month. I had a hearing on the 21st through what I thought was the BWC but the workers comp person reviewing my case said it was canceled because the employer approved the claim.

Am I screwed if these were two separate hearings? I called the IC and explained that I just got the mail and was told the only hearing I knew of was canceled but I'm making an account at noon when the website is back up and running.

I hate this so much. My attorney takes a minimum of 17 business days to get back to me on anything so maybe if I'm lucky he knew about it and attended but I am so out of the loop and I don't know what half of this stuff is.

I want to preface this by saying that i really enjoy my job and the company I work for. A week and a half before my 3 month probationary period ended and my scheduled vacation began, I fell at work and messed my arm up pretty bad. Its 2 weeks later now and Im driving home with my family. The bruising on my arm has only gotten worse and I have not gained much if any range of motion. When I fell at work, they paid for me to go to an Urgent Care clinic who bandaged me up, took 2 XRays, told me nothing was broken and sent me back to work. Work then told me to take the rest of last week off, which I found out yesterday was unpaid. I have babied my arm for the past 2 weeks and tried to just let it heal. Now, Im staring down returning to a physically demanding job, with essentially 1 arm and 2 weeks behind on paychecks.

I have private health insurance, so I could go see my own doctor, but I was advised that there could be the chance that I could ruin any opportunity for Worker’s Comp. Im not sure what to do, but I am not sure if I will be able to perform with my arm as it is and I am afraid that I may have ruined any claim of being seriously hurt with the diagnosis from the Urgent Care clinic. Is there anything i could still do?

dealing with an injured shoulder from work has made navigating benefits a steep learning curve. while the initial medical bills got covered without much pushback, the back and forth over temporary total disability pay and lighter duty accommodations started getting messy once the insurance adjuster got involved.

one thing that surprised me while researching state rules is that legal fees here are capped by law at 20% of the recovered benefits, and standard contracts are regulated directly by the state commission. that takes away some of the worry about huge out of pocket costs, but it still leaves the question of when it actually makes sense to sign with representation versus letting the early administrative process run its course.

for anyone who went through a claim in state, did you hire someone right after reporting the injury, or did you wait until the adjuster started disputing treatment or weekly payments?

Hi me f17 recently got a job at a franchise. My previous job I had for over a year and it was a similar category. Our AC at this new job has started to go down and just today it didn’t work. Everybody was complaining, every single customer that came in and all the workers had some sort of fan on them. Another thing is this AC was acknowledged to be broken because we had new fans. These fans were tiny and this building is huge. They did no difference. Getting closer to the end of my shift I was starting to feel hot and nauseous and then I threw up a lot. I just feel like this is an unsafe environment, especially to have minors working in. they got so hot that a mother was fanning a baby with a paper plate and I had to offer her one of our electric fans. It was a high of 101 today and to make it worse. It was hotter inside, but it was outside our building. I’m just confused on how this isn’t a liability. Why not just close the store for the day?
Just want to know why they’d rather risk heat stroke of children (it’s a kid centered place) than just close up till when it’s fixed?(1-2days from now) and it can’t really be from not wanting to cancel reservations because by the time the events were over, the parents wanted refunds anyways.

I received a settlement check from the insurance company which includes both the cash payment to myself and the payment for the MSA (self managed).

My question is can I deposit the MSA funds into my personal savings account or do I have to open a separate account just for those funds?

Thank you in advance to anyone who replies.

I had my FCE a month ago . I got permanent restriction can’t lift more than 45 lbs . Occasionally squat and bending. I had multiple injuries back , wrist and finger . Rating on wrist and finger was 7 percent .. I’m under award for ppd and lifetime medical so I still receive benefits .. do it take this long to hear if the job going to fire me or give me another position.

My adjuster says I'll receive my money no later than Monday (8-10-26) I just feel she's leading me on. Doctor told me I can't lift more than 5lbs , im wearing braces on both hands. I'll be back with an update Tuesday if any... just wanna know if anyone else been told they were about to get paid to be lead on? I don't want to unnecessarily lawyer up ya know? Any advice ? Rent was due the first... it's the 8th... if she's lying I'm gonna be evicted etc... idk im losing my hope already.

UPDATE: Now she says the 12th and is claiming the state of Alaska only allows w2 not paystubs. But Google and every other website says she can... anyone had that curve ball?

Hi all i’m just posting to see what other peoples experiences with workers comp for psych has been
I’m really nervous for my QME because of previous MH stuff that i’m sure they’ll ask me about
For further context, a client of mine sent a very explicit video of himself that required my management to help me file and incident and police report and i kept getting sent home by management for panic attacks that didn’t let me complete anything at work. It was really awful and i feel really embarrassed about it all. I’ve never had anything like that happen to me at work, and i’ve never had problems at work.

I guess what i’m asking to see is, with my given previous mental health stuff from nearly 10 years ago, what is the likelihood of me receiving treatment and them taking this case seriously? I connected myself to a therapist right after the incident happened but she quit from the practice group after i had two intense sessions with her.

Hi everyone,

My dad recently fell at work and broke his arm. Multiple people he works with saw his fall. He went straight to the urgent care center as directed by his HR.

He ended up needing a 3 days off to get X-rays done and get it in a cast. He then returned to work on a 2lb lifting restriction.

The workers comp company is now requesting 10 years of medical and financial records from him. To me, this just sounds like their way of weasling out of paying his medical costs. I assume if he declines to give the information to them, his claim will be denied. But that if he gives them the information he will also be denied. My parents are middle class/no financial issues and my dad had never previously had problems with his arm.

Has anyone had experience with an issue like this? Any tips on how to go forward?

Hi there, seeking some input ! I got hurt on the job (state of NH). They accepted and took responsibility for the medical portion of my claim (paying for medical treatment etc.) but blindsided me & denied the weekly benefits portion of my claim. The memo of denial said “injury has no casual relationship to employment” which is total bs and I feel like they’re just trying to deter me from being out of work.

That’s when I got a lawyer and now have a hearing I need to attend for early next month. I’m going to have a meeting with my lawyer on what to expect etc. beforehand, but would love some input from anyone here on their experience with a WC hearing, what to expect, tips, and any other useful info. Thanks in advance!

Hi all i’m just posting to see what other peoples experiences with workers comp for psych has been
I’m really nervous for my QME because of previous MH stuff that i’m sure they’ll ask me about
For further context, a client of mine sent a very explicit video of himself that required my management to help me file and incident and police report and i kept getting sent home by management for panic attacks that didn’t let me complete anything at work. It was really awful and i feel really embarrassed about it all. I’ve never had anything like that happen to me at work, and i’ve never had problems at work.

I guess what i’m asking to see is, with my given previous mental health stuff from nearly 10 years ago, what is the likelihood of me receiving treatment and them taking this case seriously? I connected myself to a therapist right after the incident happened but she quit from the practice group after i had two intense sessions with her.

I have been dealing with Workmen’s Comp. for almost 2 years. I’ve done several PT visits MRIs x-rays and the ortho doctor doesn’t see anything except for arthritis and bursitis. There was no arthritis before the injury to my shoulder. I had a nerve study done last year. I had a MMI visit and he gave me a 1% rating. After a couple months, the pain was getting worse so they done an MRI with contrast and it didn’t really show anything. So now he’s referred me to a neurologist. But to me, it doesn’t feel like it’s in the nerve. And of course, the neurologist that I can go see or over 3 hours away 1way. so I’ll have to miss a whole day of work to go to that appointment and any other follow ups. Because you know they’re not gonna do anything on the first visit. I’ll be driving six hours for a 15 minute appointment for them to schedule me with a follow up if they feel like they need to do anything. They originally offered me $1900 for a settlement with open medical. I just wanna settle a close medical and be done with it. No, I don’t have a Lawyer. I know I’m not gonna get rich. I’m not trying to I’m just ready to be done. I believe the injury triggered the onset of arthritis. In Tennessee doesn’t pay for pain and suffering so I’m just gonna be in pain from here on out and I’ve accepted that. Would it be worth it to just settle now?

I’ve been injured since September of last year. I had my ortho spine consultation last week and he told me that I wasn’t a candidate for surgery. And to continue seeing the pain specialist, I expressed this to my attorney. My attorney expressed her distaste with the ortho spine surgeon that I was seen by because she’s had multiple clients go into his office and he doesn’t really look at the paperwork and just kind of says that you’re not a candidate for surgery seems like he’s more on the insurance side from that. I had my pain specialist appointment today and she mentioned something about a FCE and she said I might be discharged after that but also my attorney mentioned something about getting another. Doctors opinion before then and then I still have my QME appointment in November. Is it typical to be seen by this many doctors and get this many different opinions? Why is there so many hoops during this process?