On November 5, 2004, Claimant was lifting heavy bags when he felt a pop in his back and shoulder, and felt instant numbness in his shoulder, arm, and back. Claimant received conservative treatment from Employer and was released to return to work when he injured his
low back again on December 28, 2004 when he was lifting a kennel onto an airplane. Claimant filed a claim for compensation for the December 2004 injury alleging injuries to his low back, left knee, right knee and body as a whole, but dismissed the claim as part of his settlement in the primary injury. Claimant never returned to work after his December 2004 injury.
Dr. Browdy provided treatment for Claimant's low back, and diagnosed a severe low back strain on February 1, 2005. Claimant gave Dr. Browdy a history of injuring his low back during two separate incidents at work in November and December. He reported being evaluated by Employer's physician, then receiving two weeks of physical therapy. Dr. Browdy diagnosed a severe strain on the lumbar spine. He indicated Claimant had physical therapy after the November injury but had a recurrent injury in late December, and did not have any treatment during the month of January. Claimant was prescribed a different anti-inflammatory medication and physical therapy. Claimant was released to work with permanent restrictions by Dr. Browdy on April 26, 2005. Although Dr. Browdy stated in writing on May 31, 2005 that Claimant was at maximum medical improvement, this was simply a response letter to the insurance carrier, and the last time Dr. Browdy examined Claimant was on April 26, 2005.
Claimant also received conservative treatment from Dr. Nogalski for his right shoulder. On January 18, 2005, Dr. Nogalski reviewed a January 11, 2005 right shoulder MRI and diagnosed right shoulder rotator cuff tendinitis and a possible tear of the subscapularis. He returned Claimant to work with restrictions. On February 1, 2005 Dr. Nogalski altered his diagnosis to right shoulder pain, right shoulder subscrapular partial thickness tear vs. tendinosis. On February 15, 2005, Dr. Nogalski noted that he explained to Claimant that the type of tear he had was not a type of tear that is typically considered a surgical problem. Additional physical therapy was ordered. On March 1, 2005, Dr. Nogalski recommended a functional capacity evaluation. Claimant was released to work on March 14, 2005 with a restriction of no use of his right arm overhead.
While Claimant was treating for his November and December injuries he was also treating with Dr. Berni for bilateral knee complaints. Dr. Berni performed a right knee arthroscopy with chondroplasty of the medial femoral condyle and partial medial meniscectomy of the anterior horn on February 2, 2005. The Preop