The claimant, Larry Barrett, injured his right hamstring and low back on November 10, 2016, while assisting in moving a very heavy book press. Mr. Barrett was employed as a senior records analyst by the Office of the Missouri Secretary of State (Mo Sec'y of State). Mr. Barrett has been employed by the Mo Sec'y of State for over 33 years at the time of his hearing on this claim and continues to work as a senior records analyst for the Mo Sec'y of State. Mr. Barrett was 52 years old as of the date of hearing. Mr. Barrett had medical treatment, including surgery to repair the right hamstring and physical therapy to address both the right hamstring and low back. Dr. Mall performed the right hamstring surgery on December 8, 2016, and treated Mr. Barrett's right hamstring and lower back injuries. Mr. Barrett testified that he was prescribed medications for the hamstring injury and treatment through the conclusion of his physical therapy as well as oral
Issued by DIVISION OF WORKERS' COMPENSATION
Employee: Larry Barrett
Injury No. 16-088246
steroid medications for his back pain. Mr. Barrett last saw Dr. Mall in March of 2017. Mr. Barrett continues to do home exercises for both his right hamstring and low back.
Mr. Barrett complains of continuing pain in his right hamstring daily and states that the pain varies in degree from day to day. The pain from the hamstring injury is toward the right hip. Mr. Barrett has a desk job so the hamstring injury affects him at work only in that he needs to take additional breaks during the day. Mr. Barrett no longer golfs, jogs or runs and plays softball as he did before the accident due to pain in the hamstring when he participates in these activities or anticipated pain should he engage in these activities.
Mr. Barrett also complains of low back pain which he described as a dull, thumping pain, with occasional tingling radiating into the right leg. Mr. Barrett testified that sitting or standing for an extended period of time causes a constant dull pain and results in the need to change positions or exercise or stretch to alleviate the pain.
Mr. Barrett takes no medications as the result of the right hamstring injury or low back injury but did testify that he takes sleep aids for variable pain in either the right hamstring or low back.
Dr. David Volarich evaluated Mr. Barrett on July 10, 2017, and issued a report based thereon on the same date. With regard to the lumbar spine, Dr. Volarich found full motion and that "the worst back pain occurred with extension. Palpation elicited pain in the paraspinal muscles bilaterally at L4-5. Spasms or trigger points were not found." (Volarich report 7.10.17) Dr. Volarich noted a straight leg raise test to 80 degrees on the left without difficulty and to 70 degrees on the right with back and right hip girdle pain. Dr. Volarich noted no radicular symptoms.
Dr. Volarich noted that with regard to the lower extremities that the left hip examination was normal and that there was full motion in the right hip. Dr. Volarich found discomfort in the right hip when resisting extension and with external rotation. Dr. Volarich noted that the Patrick test was negative and described an 11 centimeter scar resulting from the surgical repair of the torn right hamstring. The circumferences of Mr. Barrett's right leg at the proximal thigh were at 74 centimeters on the right and 75 centimeters on the left, at the thigh 51 centimeters on the right and 52 centimeters on the left, and at the calf 40.5 centimeters on the right and 41 centimeters on the left.
Dr. Volarich opined to a 40 percent disability of the right hip and a 17.5 percent disability of the body at the lumbar spine. Dr. Volarich noted no restrictions in activity for Mr. Barrett.
Dr. Nathan Mall was Mr. Barrett's treating physician. Dr. Mall's report of April 10, 2017 referred to Mr. Barrett's treatment and that he was placed at maximum medical improvement when Dr. Mall evaluated him on March 7, 2017. Dr. Mall opined that Mr. Barrett should be allowed to participate in all of his prior work and athletic activities. Dr. Mall opined to a seven percent permanent disability of the right hip as the result of the November 10, 2016 work injury.
Dr. Mall's treatment records include the March 7, 2017 note containing the release from treatment at maximum medical improvement. That note contains Dr. Mall's statement that
W.C-32-8115-811
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