On the morning of June 3, 2005, claimant began having severe pain around the beltline after he had been performing his usual work duties as an articulating dump truck driver for the employer at a road construction site. The next morning, on June 4, 2006, the claimant reported the pain to his employer and was told to go to the emergency room. Claimant went to the Cox Hospital emergency room the next day on June 5, 2006, with low back pain and was referred to Cox Occupational Medicine. On June 6, 2006, claimant saw Dr. Bisbey at the Cox Occupational Medicine facility.
Dr. Bisbey diagnosed the claimant with low back pain and prescribed narcotic medication and physical therapy. While claimant asked to be taken off work, Dr. Bisbey ordered that claimant return to a modified work schedule of no more than eight hours per day; and he directed that the claimant engage in duties that had only minimal jarring. Dr. Bisbey suggested in his report and testimony that claimant was magnifying his symptoms. As claimant explained, however, the construction work he was performing was not completed in an eight-hour day and the medication that Dr. Bisbey prescribed required that it not be taken if driving, working, or operating machinery. Claimant believed he could not perform any of his usual duties if he followed Dr. Bisbey's restrictions and took his medication as prescribed. Although the employer's safety director later testified that there was light duty available, including the answering of phones, the construction work site was located in a rural area. Claimant could only get to the construction site by driving there -- something he could not do if he took the medication as prescribed.
Dr. Bisbey also recommended physical therapy. Claimant attended three sessions, after which the therapist told him that no progress was being made. Claimant did not thereafter return to physical therapy because he wanted to know what was going on with his back before he continued any treatment which was not helping him.
An MRI conducted on June 15, 2005, revealed an L3-4 small broad-based disc protrusion laterally to the left. There was no evidence of a disc herniation or significant stenosis. At the time of the June 15, 2005 MRI, the claimant's pain was not situated to the left; but he later developed pain on the left as well as on the right.
Claimant continued to see Dr. Bisbey until June 21, 2005, but contended that the physician hurt him physically. Claimant then was referred to Dr. Rahman and