The claimant is 53 years old. He graduated from high school in 1975. He did not attend college or take any vocational training except auto body classes in high school. During the course of his life he has had on the job training in carpentry. He does not know how to use a computer and does not have one in his home. He is divorced with two children. He lives alone in a trailer outside of Fulton, Missouri.
The claimant has worked off and on during the past 20 years for his brother, Randy Hampton, the employer in this claim. Randy Hampton performs construction work consisting of remodeling or building new homes. Claimant has also worked as self employed contractor; for Sinclair Science doing maintenance work; he performed various construction jobs including building patios, pouring concrete; and for Grime Busters cleaning hoods and vents in restaurants.
Prior to February 10, 2005, the claimant would have occasional pain in his back, neck, and shoulders. He testified that he would get chiropractic manipulations and these problems would resolve. He said he went to Dr. Donald Shoup, an osteopath, and Dr. Roger Morrison, a chiropractor.
On February 10, 2005, claimant and his brother were lifting a large patio door. As they were completing the lift, his brother dropped his side of the door. The claimant was still holding his side of the door. The claimant testified that when the door hit the ground he felt his left hip give and snap back. He felt a pop in his low back and pain radiating from it. He could not continue working and his brother took him to Dr. McDonnell, a chiropractor in Springfield, Missouri. The claimant returned home to Fulton, Missouri and contacted Dr. Morrison, his chiropractor.
Claimant saw Dr. Morrison on February 18, 2005, at which time he was having low back pain with pain radiating into his left leg. He had six to seven treatments with Dr. Morrison. On February 21, 2005, he went to the University of Missouri Emergency Room where he was prescribed over the counter NSAIDs, Flexeril, and instructed to follow up with his doctor. On February 22, 2005, he went to Boone Hospital Center with back pain. He was prescribed Vicodin and Flexeril by Dr. Larry Scroggins who ordered an MRI on March 7, 2005, which showed a central disc herniation at L5-S1.
The workers' compensation insurance company referred him to Dr. Matt Thornburg at Columbia Orthopedic Group. He prescribed physical therapy for approximately three to three and one half weeks. Dr. Thornburg returned him to work with restrictions of limited bending, stooping, and alternate sit and stand. The claimant did not return to work with these restrictions. Dr. Thornburg ordered work hardening. The claimant stopped after two days because of back pain. On August 9, 2005, Dr. Thornburg notes that he had treated the claimant conservatively and "I had a lengthy discussion with Mr. Hampton. This is a fairly difficult situation. He has been fairly non-compliant with my recommendations. He is not interested in an epidural steroid injection. His story has seemed somewhat inconsistent throughout treatment. With all this, I
believe I've done everything I can for him. I would recommend that he be rated and released today." Dr. Thornburg released him from treatment.
Claimant on his own then went to Dr. David Robson, an orthopedic surgeon, in September 2005. Dr. Robson diagnosed internal disc derangement at L5-S1. He recommended a disc replacement. He thought this was a better option than a fusion because the claimant worked as a laborer. This surgery was not performed because claimant had an abscess of his tooth, then he next developed some intestinal disease, and in the end the claimant decided he did not want the surgery performed. Dr. Robson released the claimant on June 13, 2007. He imposed a 30 pound weight limit with no repetitive bending, stooping, twisting, or awkward positions. Dr. Robson imposed a 10\% permanent partial disability. Dr. Robson testified that he kept the claimant off work while the surgery was pending and until he released him from treatment. Dr. Robson testified that the claimant was able to work under the restrictions he imposed. Regarding the time he had him off work, Dr. Robson testified: "I would have kept him off work until surgical decisions were clear, you know, which would be March of '06. So when I saw him September of '05 to March of '06, when I was working him up, I probably would have him off work unless there was desk work. But once the decision was made not to have surgery, then I had to come up with some parameters that I think he could function in and that is when I did the restrictions." He said that things were not happening very quickly with the claimant and that "he would disappear for like three months and then come back on my door step, so to speak. So taking care of him was a little different than a person I say we need surgery and I'll just keep you off until I do it in a couple weeks."
Dr. Thomas Musich examined the claimant at his request in November 2007. Dr. Musich noted paresthesia to light touch and pin prick over the L5-S1 dermatome on the left side, a positive Faber test and a positive left pyriformis test. Dr. Musich did not believe the claimant
was at maximum medical improvement and also recommended surgery. He also recommended a nerve conduction test and a discography. Dr. Musich testified that he believed if surgery was not performed he would do pain management as an alternative. He did say tha