This thirty-one year old claimant, a warehouse worker, worked for this employer from August 1993 to December 5, 2003, full time in the warehouse lifting flour, sugar, and paper towels among other things. While working for this employer, the claimant testified that he experienced low back pain after lifting thirty boxes, each weighing forty pounds.
The claimant testified that on April 1, 2003, he felt a shooting pain in his low back and down his left leg while lifting forty pound boxes and putting them on a skid. He testified that he felt the pain after lifting the thirtieth
box. The claimant testified that he told his supervisor, Matt Domescik, and perhaps Jason Hess, the assistant supervisor, that he had lifted boxes and felt pain down his leg and back at the end of his shift. He testified that Matt Domescik told him to go to a doctor and get it checked.
The claimant testified that he worked the next day and his back was fine until he started lifting again, when the pain returned, mainly in his back. He did not complete an injury report that day. He continued to work the next two weeks without seeking treatment, and the pain continued to worsen. The claimant testified that he told Matt Domescik about the back pain on four or five occasions. The only discussion regarding treatment was that Matt Domescik told him to see a doctor.
The claimant consulted Dr. Cabral on April 30 and July 1, 2003, but the claimant did not offer the medical records. See Exhibit G. The claimant was off work for medical treatment from June 30 to July 1, 2003. See Exhibit 8. Dr. Cabral ordered an MRI revealing "prominent protrusion L4-L5 disc centrally and slightly more to the right of ht midline" and a milder bulge at L50S1 and slight bulges at L2-L3, and L30L4." See Exhibit 2.
On September 2, 2003, he consulted Dr. Gold with a medical history that in April, he began having pain in his left testicle and down his left leg, and "At work, it is difficult for him to straighten up." See Exhibit 2. Before April 2003, he had occasional throbbing in his low back but nothing of any consequence. See Exhibit 2. On September 10, 2003, a lumbosacral myelogram with a post myelogram CT revealed congenital spinal stenosis due to short pedicle spinal stenosis, a central disc herniation at L4-L5 with further compromise of the spinal canal, and the possibility of a small disc herniation on the left side at L5-S1. See Exhibit 2.
From October 1 to November 25, 2003, the claimant received medical care from the Back Pain Institute and gave an initial history of low back pain with radiating pain to the left hip and leg and testicular pain with paresthesia. The claimant reported that his pain increased with activity level and that he had morning stiffness and soreness. He reported the onset in 1994 with a recurrence in April 2003, but the claimant specifically denied any fall or accident and he denied any prior treatment. The claimant testified that he got little benefit from the treatment.
On December 4, 2003, Dr. Gold performed a decompressive laminectomy at L4-5 and S-1 and diskectomy, central disc at L4-5 and S-1. See Exhibit 2. His final diagnosis was ruptured disc L4-5 and L5-S1. See Exhibit 2. On December 5, 2003, this employer terminated the claimant's employment after the claimant's low back surgery, because the claimant could no longer perform his duties. On follow-up January 6, 2004, Dr. Gold found that the claimant was doing really well with no leg problems. See Exhibit 2. He was walking 45 minutes a day and having no pain. See Exhibit 2. The last visit was February 10, 2004, and he was to have a little more therapy and return to work in two weeks. See Exhibit 2. Dr. Gold gave him no restrictions.
The claimant is now employed as a school bus driver and testified that his back does not hurt while driving the school bus and is fine unless he is lifting or driving for a long time. His back may be stiff in the morning three to four times a week, and he will take Tylenol. His left leg has not bothered him since he stopped doing the lifting for this employer. He has not lost time from driving the bus due to his back.