14% WPI RUE and 13% WPI LUE with no loss of range of motion | Thread profile

Hi all~ Does this sound medically sounder per the AMA Guides: I have bilateral upper extremity and neck case, with IW alleged grip loss, but QME admitted exam did not reveal loss of ROM: QME opines that the cause of grip strength loss represents an impairing factor that is not adequately addressed by other methods in the AMA and likewise, there is no interruption of the ...

The doc must first document why this merits "rare case". I would refer him to the examples in 16.7d and 16.8. Although 16.7d suggests release of the flexor/extensor origins or medial or lateral epicondylitis, it also refers to a tendon rupture. My preference is to rely on the part undere 16.8a that says "impairment of due to loss of strength could be combined with other ...

thanks denyse!

don't let the out of state raters tell you this is black and white. nothing in cali is black and white. more and more issues are evolving with analogies, grip, psyche, overlap/duplication, etc. Defend your position and define your exposure (defense costs versus probable outcome). keep an eye on case law. remember there is no crystal ball. team huddle and document your ...