Services

All of the examples below
give you
further documentation or
proof of your injuries,
impairment and disability for a
judge, attorney, jury,
insurance company or
anyone else involved in your case.

Spinal
Impairment Rating - A
written report that documents the percentage of impairment(damage) to your
spine caused by your condition(s) and to your body as a whole. The Spinal
Impairment Rating is given
in the form of a percentage. This process now gives you ANOTHER way to document
your injuries to a judge, jury or claims adjuster. This
is a service that should not be over looked by you or your attorney.
Example:
John has a low
back injury from an accident. It is determined that John has a Spinal
Impairment Rating of 45% whole person. That means that John's low back
injury has caused him a 45% loss of his body
functioning as a whole.

Convert
Whole Person Impairment to Regional Spine Impairment -
This is a process where
we take your existing Whole Person Spinal Impairment Rating and convert it into
your Regional Spinal Impairment Rating to more accurately show how much
impairment has occurred in a particular area of your spine.
Example:
A nurse suffers an on the job injury to her
low back. She has had various treatments that did not help and is now at
maximum medical improvement. It is determined that her Whole Person Spinal
Impairment Rating is 28%. Therefore, the patient also has a
Regional Spine
Impairment Rating of 37%. This means that
37% of her lumbar spine is
impaired or not functional.

Functional Capacity
Assessment - An
assessment of how much physical capability a person's spine can do after some
type of injury, relating to job tasks and everyday living; based upon a Spinal
Impairment Rating. The Functional Capacity Assessment measures how much of
your job tasks your spine can do AFTER treatment for your injuries.
Example:
A construction worker has been treated for a low back
injury and has a Spinal Impairment Rating of
30%. It was determined that
the main occupational task is lifting. Their Functional Capacity
Assessment is 75%. The
Functional Capacity Assessment shows that the
patient's spine can now only do 75% of the task of lifting.

Spinal Disability Evaluation
- Through the use of
a Spinal Impairment Rating, we can determine a person percentage of disability
for their job tasks.
Example:
A fireman whose main job task is lifting has had an injury
to his low back and has a Spinal Impairment Rating of
30%. His
Spinal
Disability Evaluation is 25% for the job task of lifting.

Chronic Pain Syndrome Rating
- This
is an impairment rating for pain only, due to an already established Chronic
Pain Syndrome.
Example:
A 42 year-old woman
presents with a history of migraine headaches. She wants a Chronic Pain
Syndrome Rating for her Short Term Disability and Long Term Disability
documentation. She has supporting
documentation from her treating physicians of an established Chronic Pain
Syndrome due to her migraine headaches.

Independent Medical Exam -
An exam performed by
a doctor who is not the patients treating physician. This type of exam is
commonly called an IME or
Second Opinion. An
IME gives you the ability to
have an unbiased or independent examination and diagnosis of your condition.
This service is used in cases where there is controversy over the patients
overall condition, prognosis and diagnosis.
Example:
A woman was injured in an automobile accident one year
ago. She has been receiving treatment for her injuries and is about to be
released from care. There is a discrepancy between the parties involved
over her final diagnosis and prognosis. An IME
offers an unbiased opinion pertaining to your condition.

Work Restriction
Documentation - This
is a written document that uses the information from the patients Spinal
Impairment Rating to determine how much lifting the patient can do either on the
job or at home. It is given in the form of work restrictions but is also
considered valid for non-occupational situations.
Example:
A man was injured and
thus has a 28% permanent impairment rating of his low back. It was
determined that his disability for lifting requires documentation. We
supplied him with Work Restriction Documentation:
limiting him to Sedentary Work
with a restriction to lifting no more than 5 lbs. MAXIMUM, occasionally
throughout the workday.

Lost Pre-Injury and Capacity Documentation -
A written document
which gives Guidelines for Work Capacity in the form of Lost Pre-Injury status
and Work Capacity status.
Example:
A person has
suffered neck and low back injuries from an automobile accident. We
determined from her Spinal Disability Evaluation
that she has a Spinal Disability Rating
of 25%.
Lost
Pre-Injury Capacity: Disability precluding heavy
lifting, repeated bending, stooping and crawling. This individual has also
lost approximately HALF of their pre-injury capacity of lifting, bending
stooping and crawling.

Scoliosis Impairment Rating
- Tells you in terms
of a percentage (25%, 40%, 60%, 75% etc.) exactly how much impairment that your
scoliosis has caused to your whole body.
Example:
A 32 year-old woman has a thoracic
scoliosis measuring 40 degrees. Her scoliosis decreases her ability to sit
and sleep. After we further analyze her x-rays, it is determined
that her Scoliosis Impairment
Rating is 32%
Whole Body.

Regional Scoliosis Impairment Rating -
This
figure, in the form of a percentage, shows how much impairment is involved in a
particular region of the spine i.e. neck, mid-back, low back.
Example:
A
person presents with a Scoliosis
Impairment Rating of 32%.
Her Regional Spinal
Impairment Rating is 80%.
In other words her scoliosis
has caused 32% of her entire body to be impaired and
80% of her thoracic spine
is impaired. Therefore
only 20%
of her thoracic spine is functional.

Case Review - File Review -
A
written report based upon your medical file records that you provide stating if
your diagnosis, treatment and prognosis are all applicable to your condition. Utilization
Review, Peer
Review and File
Review are all other names
for Case Review.
Example:
A person has been in an
accident and diagnosed with whiplash. After 6 months of treatment, the
patient feels that they are not getting any better. Case
Review suggests that the patients' physician alter
their treatments and place the patient on sedentary work restrictions for 2
months.

Note:
All of the above definitions and fictional examples are presented for
demonstration purposes only. In no way does the above information reflect
or define your condition, diagnosis, prognosis, impairment or disability. Consult a licensed
physician for specific recommendations and treatment.

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Contact Information
Dr. Gerald R. Lapinsky, Chiropractic Physician, D.C., C.S.D.E., D.A.B.D.A.
Chiropractic Physician
Certified Spinal Disability Evaluator
Senior Diplomate American Board of Disability Analysts
- Telephone
- 602-997-2273...Due to the tremendous
amount of out-of-state calls,
we regret that we cannot return long distance phone calls.
Postal address
- P.O. Box 10185, Phoenix, AZ 85064-0185
