Employee, a tree trimmer, suffered recurrent neck pain from job duties that required him to do heavy lifting and repeatedly look up to trim trees. Employee sustained an injury on June 12, 2014 when he turned his head and felt a sharp pain while driving a company truck. Dr. James Stuckmeyer evaluated employee's disability related to the June 12, 2014 injury as 35 % to the body as a whole related to the neck. Consistent with our original June 26, 2019 award and employee's settlement with employer/insurer, we find that employee sustained 40 % PPD to the body as a whole referable to the neck related to his primary injury.
With respect to employee's preexisting disabilities, and mirroring with the factual findings included in our original award, we find as follows:
- Employee clearly sustained a preexisting injury from his accident on March 8, 2014, for which he received 25 % permanent partial disability at the 232 -week level of the right upper extremity. This exceeds the 50 weeks necessary for $\S 287.220$ to apply.
- Dr. Stuckmeyer did not assign any specific disability to employee's back condition or provide any specific restrictions, nevertheless employee credibly testified as to how his back condition affected him prior to the June 2014 injury and how it impacted his ability to sit, stand and walk.
- Dr. Stuckmeyer made a determination that looking at employee's difficulties with his back and the complaints, specifically pain in the lumbar spine and radiculopathy down the left side, as well as daily back pain, and his knee pain, that he was totally disabled due to a combination of his preexisting conditions of the back and the complaints with his shoulder injury combined with the last accident to his cervical spine of June 14, 2014.
- Employee's vocational expert, Mr. Michael Dreiling, was not very specific in either his vocational report or his deposition. However, it is clear that he was taking employee's entire situation, including his neck and shoulder as well as back and legs, into consideration when he determined that employee is unemployable in the open labor market.
- It is clear that the employee would have had great difficulty safely trimming trees if he stayed within the restrictions provided by Dr. Stuckmeyer with regards to his neck. Therefore, he was likely occupationally disabled as a tree trimmer from those restrictions alone. However, the additional restrictions placed on his dominant right upper
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[^0]: ${ }^{2}$ Treasurer of the State As Custodian of the Second Injury Fund v. Parker, 622 S.W.3d 178, 182 (Mo banc, 2021).
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