On August 17, 2015, this then 55-year-old claimant, a re-packer who cut, trimmed, and re-packaged parts into boxes, was using a hand jack to move a skid. When she pulled on the hand jack, she felt an electrical shock up her right side, pinky finger, elbow and neck. She thought she tore something. After the August 2015 accident, she could not sleep through the night, had dizziness, headaches, and could not lay on her right side or back. She had difficulty grabbing, holding, and lifting.
On the date of injury, the claimant went to Dr. Enkvetchakul for evaluation of her right shoulder and arm. Dr. Enkvetchakul took a medical history of moving a pallet of produce using a pallet jack. When pulling on the pallet-jack, the claimant felt right shoulder pain that radiated down to the small finger of her right hand. She did not fall and nothing struck her shoulder. She had her arm down at her side at waist level or at the level of the handles. The claimant reported that it is not typically very hard to move this pallet or pallet jack, but it got stuck momentarily. The claimant complained of pain from the base of her skull, more on the right side, down the right side of her neck to the shoulder and all the way down the arm into the hand. She also
Issued by DIVISION OF WORKERS' COMPENSATION
Linda M. Miller
Injury No.: 15-061022
reported a tingling sensation down in the hand mostly to the small finger side. Her pain was most prominent around the right shoulder. She reported she did not fully recover after her most recent rotator cuff surgery and never regained full range of motion. She also reported that she was evaluated for cervical complaints after falling at home and was told she has a neck issue and nerve pain. She had been taking gabapentin for that condition. She reported that she had some pain and discomfort prior to this recent incident, but the pain had worsened. Dr. Enkvetchakul diagnosed right shoulder and arm pain and imposed restrictions from lifting with the right upper extremity. See Exhibit D.
From August 24, 2015, to September 9, 2019, the claimant continued to consult Dr. Enkvetchakul for right shoulder and right upper extremity pain. Dr. Enkvetchakul restricted the claimant from lifting with her right upper extremity. See Exhibit D.
On September 15, 2015, the claimant went to Dr. Smith for right shoulder pain. The claimant reported pain mostly at base of neck radiating towards the trapezius that worsened with use and when she raises her arm away from her body. Dr. Smith's examination revealed some superficial swelling and pain along the T1 prominence tenderness into the trapezius and on the right side of neck. Dr. Smith speculated that the condition may be a cervical spine injury or a disc herniation. On September 21, 2015, a cervical spine MRI revealed a mild disc bulge at C6-7 similar to the prior study with no disc herniation, significant spinal canal, or foraminal stenosis. See Exhibit 7.
On September 21, 2015, and September 28, 2015, the claimant returned to Dr. Enkvetchakul with complaints of pain from base of