The Claimant is 60 years of age and last worked on March 31, 2006. Prior to March 31, 2006, he worked as a firefighter, paramedic, arson investigator and fire captain for the City of St. Charles Fire Department. The Claimant worked for this Employer for twenty seven (27) years, with the last twenty four (24) years in the position of Fire Captain. On March 31, 2006, the Claimant left the St. Charles City Fire Department and applied for duty related disability benefits, which were approved.
Claimant sustained a work related injury to his low back May 31, 2002 and another work injury affecting his right arm in November 2003. The history and treatment regarding these injuries are chronicled in the Awards in Injury Number 02-052025 and Injury Number 03113105. Following his 5/31/02 injury and his December 2002 back fusion Claimant was off for three months and then on light duty for three months. Claimant was released back to work full duty in June 2003 with the only restriction of no repetitive bending, twisting while lifting. Following his 11/07/03 wrist injury, Claimant was first put on light duty and released back to work full duty in July 2004. On 11/1/04 Claimant was put on light duty by Dr. Wagner following a flare-up of back pain.
Following his second fusion surgery on 3/18/05, he was off for 6 months and returned to light duty in early July 2005 conducting fire code inspections throughout St. Charles City until his retirement in March 2006. He has not filed for SS disability.
Claimant: Doug Nord Injury No. 06-129192
On 5/31/02, claimant was testing fire hydrants when he felt sharp shooting pains in his back. Before this injury, claimant was working full time without restrictions. Claimant went to see Dr. John Wagner who ordered x-rays and an MRI. Claimant was then referred to Dr. Michael F. Boland. Dr. Boland's impression was chronic intermittent back pain, activity related, with a normal neurologic examination, related to isthmic spondylolisthesis L5-S1. Dr. Boland concurred with Dr. Wagner to go ahead and perform a lumbar fusion L5-S1. On 12/10/02, claimant underwent a L5 Gill procedure with bone fusion and instrumentation. Following the December 2002 surgery, Claimant was off work for 12 weeks, on light duty for 12 weeks, after which Dr. Boland returned him to full duty on 6/10/03. X-rays showed Claimant's fusion mass to be solid.
In March 2004, Claimant told Dr. Wagner he was having more back pain especially when doing his workout. Dr. Wagner recommended an MRI and physical therapy. On 4/6/04 Dr. Wagner reviewed the MRI and noted that due to the bulging and degenerative disc disease there would be some decompression due to the fusion. Two weeks later Claimant was able to return to work without restrictions.
On 9/27/04 Claimant filed a report of injury, he had no specific injury, but had pains going from sitting to standing, and it took several steps and some hip rotational movements to loosen up before his leg would support him. Dr. Wagner saw him on 11/01/04 regarding increasing symptoms in his low back. Physical exam revealed slight loss of motion in the lower lumbar spine. An MRI on 12/22/04 showed some possible edema of the pedicle at L4 which prompted at CT of the lumbar spine. On 12/16/04 the CT showed that a solid fusion at L5-S1 was not present on either side. On 12/21/04 Dr. Wagner noted that the bone and CT scan showed what appeared to be pseudoarthrosis of the fusion mass and some evidence of looseness of the screws.
The doctor noted that on November 2003 Claimant had been involved in another accident at work where he was carrying a fire hose and was pulled into a moving truck. He had fractured his right wrist and torn his right rotator cuff. He also had onset of back pain after that injury, which had steadily gotten worse. The doctor's impression was failed fusion at L5-S1 with additional structural change involving the L4-5 facet on the right side that contributed to the foraminal stenosis affecting the course of the L4 nerve root.
On 3/21/05, Claimant underwent an L3-S1spinal fusion for treatment of pseudoarthrosis at L5-S1 and degenerative facet disease at L4-5. Post-op Claimant had relief of right hip and anterior thigh pain and his back was improving. He was walking 2-3 miles per day by 5/4/05 and wore a corset and bone stimulator. He continued with physical therapy and restrictions were relaxed to allow lifting u