Chronic Pain: The Elephant in the Room

For many years, plaintiffs experiencing chronic pain and/or fibromyalgia have already been at the mercy of ridicule by insurers in addition to the Courts. Some of the skepticism towards such plaintiffs was alleviated by the Supreme Court of Canada's decision in Martin v. Nova Scotia (Workers'Compensation Board, The Court stated:

"There's no authoritative definition of chronic pain. It is, however, generally regarded as being pain that persists beyond the conventional healing time for the underlying injury or is disproportionate to such injury, and whose existence isn't supported by objective findings at the website of the injury under current medical techniques. Regardless of this lack of objective findings, there is undoubtedly that chronic pain patients are suffering and in distress, and that the disability they experience is real... Not surprisingly reality, since chronic pain sufferers are impaired by a condition that cannot be supported by objective findings, they've been afflicted by persistent suspicions of malingering on the section of employers, compensation officials and even physicians."

Personal injury lawyers for plaintiffs who suffer from chronic pain or fibromyalgia have already been forced to develop and implement legal strategies to tackle the challenge of representing men and women who experience pain, often extreme pain, when the basis for their pain experience can not be proven by an objective test such as for example an x-ray. Whether in the context of case involving an alternative party insurer, or a long term disability ("LTD") policy with a primary party insurer, lawyers rely on the utilization of experts to assist in demonstrating that their client is experiencing a serious condition, or disability, that's impairing their ability to work and live their lives without constant pain. It's essential for lawyers to know the difference between strategies for proving disability in the LTD context from those cases involving third party insurers. In either context, choosing the best medical experts to gauge the client and knowing how to use them to the majority of effectively advance the client's case are important aspects of any personal injury law practice. Since every client is unique and because chronic pain and fibromyalgia are essentially subjective medical conditions, each case will need its strategy based on the unique circumstances of the particular client. In order to provide their clients with superior legal representation, lawyers handling LTD cases should have a strong understanding of the definitions of both chronic pain and fibromyalgia, the information of what it means to be struggling with these conditions and how to take care of them, the ability to consult the medical experts best suitable for evaluate and report on chronic pain and fibromyalgia and the skill and expertise to successfully represent their client experiencing chronic pain and/or fibromyalgia through the litigation.

The Difference between LTD and Third Party Insurer Cases

It is very important to note a significant difference exists between case involving a 3rd party insurer and an LTD case. Where in actuality the former involves an action arising out of a particular event like a motor vehicle collision or perhaps a slip and fall accident, an LTD case is less dedicated to a "before and after" analysis. In non-LTD actions involving pain-associated disorders, lawyers litigating these cases must possess an entire picture of the plaintiff's pre-accident history. Acontrast must certanly be drawn involving the plaintiff's life ahead of the accident and the significant changes which have occurred considering that the accident in areas such as physical and mental health, employment, recreational and social activities and personal relationships. For the lawyer to gain an understanding of what the plaintiff's life was like before the accident, he or she must obtain and review the client's pre-accident clinical notes and records from their family doctor(s) and the client's decoded OHIP summary. In the non-LTD context, some of the very most challenging cases to prove causation are those where in actuality the plaintiff already had a history of medical complaints ahead of the accident giving rise to the lawsuit.

In LTD cases, a claimant's medical history is a lot less of a concern, until a policy is being denied due to misrepresentation(s) on the application form for LTD benefits. In LTD cases, the issue is often whether the claimant meets the definition of "disability" to be able to qualify for benefits under the policy. For lawyers, much time and energy can be saved because medical histories don't need to be extensively reviewed in preparation of Discovery, Mediation or Trial. In LTD cases, the emphasis for lawyers is how, with the right evidence, you can prove that their client should qualify for benefits beneath the specific policy. The focus is more geared towards today's and future, with less of a concern for the past. For this reason lawyers must know which medial experts are most suitable to offer evidence to show why their client is entitled to benefits under an LTD policy.

Understanding the Medical TerminologyAcupuncture Jacksonville FL


Pain is defined by the International Association of the Study of Pain as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage" (Merskey and Bogduk 1994). Chronic pain is really a serious healthcare problem in North America. Chronic pain is usually associated with soft tissue musculoskeletal pain disorders such as whiplash, low back pain and repetitive strain injuries that have not and may never subside over a person's life. Fibromyalgia could be looked at as a form of chronic pain. Nearly all fibromyalgia sufferers are permanently injured and many never return to work. Most fibromyalgia sufferers are not able to enjoy the same standard of living as before they began struggling with the condition.

Comments