Decision #92/08 - Type: Workers Compensation
Preamble
The worker filed a claim with the Workers Compensation Board (“WCB”) for a low back injury that she related to her activities in the workplace on September 27, 2007. The claim for compensation was denied by both primary adjudication and Review Office on the grounds that there was no relationship between the onset of the worker’s back symptoms and her employment activities. The worker appealed this decision to the Appeal Commission. A hearing was held on June 18, 2008.Issue
Whether or not the claim is acceptable.Decision
That the claim is not acceptable.Decision: Unanimous
Background
The worker filed a claim with the WCB for a low back injury that occurred on September 27, 2007 and was reported to the employer on October 1, 2007. The worker believed her injury was caused from opening and closing 150 lb. doors when delivering lease renewals. She indicated that she went through 36 doors in approximately 45 minutes on September 26, 2007. On September 27, 2007, she went through 14 doors in approximately 15 minutes. She was holding a folder tucked under her left arm and opened the doors with her right hand. The worker advised that she sees a chiropractor for regular maintenance of her back every four to six weeks.
The worker indicated that she first noticed symptoms on September 27, 2007 which started as a severe stiffness in the lower mid back. The next morning she felt a sharp low back pain with a radiating pain that traveled down her left leg into the left toe. She did not notice that she had restricted range of motion with bending or twisting but noticed it was very painful to move.
The Employer Report of Injury stated that the worker “possibly got hurt when she was delivering lease renewal forms”.
Medical information was received from a general practitioner who diagnosed the worker’s back condition as left sciatica. X-rays of the lumbosacral spine dated October 1, 2007 revealed osteoarthritic changes at L4-5 and L5-S1. The treating chiropractor’s diagnosis after examining the worker’s back on October 9, 2007 was a lumbar strain/sprain injury.
On October 22, 2007, the worker was advised that responsibility for her claim had been denied. The adjudicator indicated in the decision that she reviewed a worksite and job analysis that was carried out on August 8, 2007 by a WCB rehabilitation specialist on the worker’s prior 2007 claim. The adjudicator stated,
“It was noted that the exterior and fire doors are self closing and are residential in size as opposed to larger commercial doors. If was noted that after entering the building, you would take the lease to the tenant’s door, where if they are home they would sign the lease. If not at home, a repeat call is made. Leases are sorted so all in one building can be developed at the same time. It was noted that the number of doors you open varies, but they are opened one at a time with activity between tasks. Given that there is a change in activity between door openings, this task would not be considered to be a repetitive activity.”
Based on the above information, the adjudicator said she was unable to establish a relationship between the activity of opening doors and a low back strain/strain injury with sciatica.
In early January 2008, the worker submitted a letter from her treating chiropractor dated December 19, 2007 for consideration by primary adjudication.
On January 14, 2008, the worker was advised that the WCB was unable to alter its previous decision. The adjudicator noted that the attending chiropractor had treated the worker’s back problems on and off since 1982. The worker attended the chiropractor on September 17, 2007 which was approximately 10 days prior to her delivering the lease renewals, with low back complaints that she related to work. As well, the chiropractor expressed the opinion that opening doors while delivering lease renewals would be considered repetitive. The adjudicator stated in part, that as the worker is only pulling doors open half the time when entering buildings (and pushing doors when leaving a building) and there is activity between door openings, it was her opinion that pulling open the doors would not be considered highly repetitive in nature.
At the worker’s request, the case was considered by Review Office on February 14, 2008. Review Office indicated that the evidence did not support that there was a causal relationship between the worker’s work activities prior to her onset of symptoms and said symptoms. The worker had a back at significant risk which apparently has become symptomatic and required periodic treatment regardless of her activities. Review Office therefore confirmed the adjudicator’s decision that the claim for compensable was not acceptable. On March 13, 2008, a worker advisor appealed Review Office’s decision to the Appeal Commission and a hearing was arranged.
Reasons
Applicable Legislation
The Appeal Commission and this panel are bound by The Workers Compensation Act (“the Act”) and by policies made by the Board of Directors of the WCB.
As this appeal deals with claim acceptance, subsection 4(1) is applicable. It provides that compensation is payable where a worker is injured by an accident arising out of and in the course of employment. For a claim to be acceptable as an accident, the claim must satisfy the requirements of subsection 1(1) which defines accident as follows:
"accident" means a chance event occasioned by a physical or natural cause; and includes
(a) a wilful and intentional act that is not the act of the worker,
(b) any
(i) event arising out of, and in the course of, employment, or
(ii) thing that is done and the doing of which arises out of, and in the course of, employment, and
(c) an occupational disease,
and as a result of which a worker is injured;
Worker’s Position
The worker attended the hearing with a worker advisor who made a submission on her behalf. The worker answered questions posed by her representative and the panel. The employer was not represented and did not participate in the appeal.
The worker advised that she had been seeing the treating chiropractor since 1982. She attributed the first treatments to lifting and carrying her infant child. She advised that she continued to receive treatment on an occasional basis which she indicated was up to 14 treatments per year.
The worker described her duties with the accident employer. Her duties included showing apartments to the public, completing lease application forms, and delivering lease renewals to apartments in the complex. She noted there are over 300 apartments in the complex located in 3 storey walk-up buildings. She explained that in delivering leases she was required to open many heavy doors which involved turning a key and pulling the door open. She said each lease is approximately 3 pages and there are two copies in each envelope.
She advised that she injured her shoulder and back performing her duties in spring 2007. Her claim was accepted. She worked reduced hours and was not required to deliver leases.
With respect to the claim which is under appeal the worker advised that she injured her lower back performing her duties. The worker advised that she was delivering leases in late September when over a period of three nights she developed pain in her lower back. When she left work on the third night she felt a “pressure pain” or strong tension in her back. She woke up the next morning with a shooting pain which went down her back to her foot. This was different than her prior symptoms. She said there were 15 leases to deliver in September and that on her final night of work there were only 3 or 4 leases to deliver.
The worker also described an incident involving the balcony door on the office suite. She said she had difficulty closing the door on the last night of work and had to slam it shut three times before it closed properly. She believed that she had trouble with the door over a few nights. She said it was not a heavy door like the doors to the individual buildings on the complex.
In answer to a question from her representative she acknowledged that she had received a treatment from her chiropractor on September 17, 2007 which was before this injury occurred. She said that this treatment was for her upper back. The worker advised that she saw her chiropractor after the injury and continues to see her chiropractor for adjustments. When asked if the treatments she received for the lower back were different from those for the upper back, she replied that “I don’t know that they were necessarily different”. She also stated that she hardly remembered the chiropractor not adjusting her whole back in any treatment. She advised that on occasion she still has pain that goes down to her foot.
The worker acknowledged that her physician advised that she did have some degeneration in her back which was typical for anyone her age. She said that she was not provided with exercises or treatments for the degeneration.
The worker’s representative noted that the treating chiropractor provided a report dated December 19, 2007 which supported a causal connection between the worker’s injury and her employment. He advised that the worker is seeking wage loss benefits for a defined period.
Analysis
The issue before the panel is whether the worker’s claim is acceptable. For the appeal to be successful the panel must find that the worker sustained a personal injury by accident arising out of and in the course of her employment. In other words the panel must find that the worker injured her back in a workplace accident. The panel was not able to reach this conclusion. The panel could find no incident or incidents at work to explain the worker’s low back symptoms.
In reaching the above decision, the panel notes that over the three night period that the worker believes the injury developed, she was dealing with approximately 15 leases, which she described as “not a huge number…”. On the final night, September 27, 2007 the worker indicates she was only delivering 3 or 4 leases. The panel finds that this small number of leases is not heavy to carry and is not likely to cause an injury. As well, because of the small number of leases the worker was not required to open a large number of heavy doors. The panel notes that this description of her activities provided at the hearing differs somewhat from that provided in her report of injury. In any case the panel finds that her work activities did not cause an injury.
The panel notes that the worker has seen a chiropractor on a routine basis for treatment of her back for many years, commencing in 1982. The worker indicated that for the most part the treatment has remained the same and involves a whole back adjustment. In this regard, the panel notes that on September 17, 2007, slightly more than a week before the alleged incidents, the worker received a treatment from the chiropractor for a complaint of “lower back discomfort relating to work activities.”
The panel accepts that the worker’s symptoms as reported to the chiropractor and described at the hearing, increased after September 27, 2007, but the panel is unable to attribute the increase to the worker’s employment. However the panel notes the worker has a degenerative condition in her back and finds that this condition is a more likely cause of increased symptoms than the performance of her duties in September 2007.
The panel notes that at the hearing the worker referred to an incident involving difficulty closing an exterior door to the office suite. This was the first time that this incident was identified. The panel finds that the evidence on the claim file and provided at the hearing does not support a finding that this was a workplace accident.
The panel finds, on a balance of probabilities, that the worker did not sustain a personal injury by accident arising out and in the course of employment. The worker’s claim is not acceptable and the appeal is denied.
Panel Members
A. Scramstad, Presiding OfficerA. Finkel, Commissioner
M. Day, Commissioner
Recording Secretary, B. Kosc
A. Scramstad - Presiding Officer
Signed at Winnipeg this 31st day of July, 2008