Cody Auxier v. Srikanth Nithyanandam

Court of Appeals of Kentucky·Decided August 14, 2026·No. 2025-CA-0889·Published

Opinion

RENDERED: AUGUST 14, 2026; 10:00 A.M.

TO BE PUBLISHED

Commonwealth of Kentucky

Court of Appeals

NO. 2025-CA-0889-MR

CODY AUXIER APPELLANT

APPEAL FROM SCOTT CIRCUIT COURT v. HONORABLE KATHRYN H. GABHART, JUDGE ACTION NO. 22-CI-00481

SRIKANTH NITHYANANDAM; CENTRAL KENTUCKY RADIOLOGY, PLLC; AND ROBERT COUNTS POPE APPELLEES

OPINION

AFFIRMING

** ** ** ** **

BEFORE: ACREE, EASTON, AND KAREM, JUDGES. EASTON, JUDGE: This is a medical negligence case. Appellant Cody Auxier (Auxier) appeals the summary judgment of the Scott Circuit Court in favor of Appellees Srikanth Nithyanandam (Physician), Robert Pope (Radiologist), and Central Kentucky Radiology, PLLC (CKR). Auxier filed a malpractice action seeking damages for failure to properly recognize and treat a herniated disc,

including failure to restrict his football and weightlifting activities at Georgetown College, which worsened his condition and resulted in permanent damage to his spinal cord. The circuit court granted summary judgment against Auxier upon finding the Complaint was time-barred. Auxier argues the circuit court erred in its application of the discovery rule and by including Radiologist and CKR in Physician’s dispositive motion. Physician argues waiver as an alternative defense. After our review, we affirm.

FACTS AND PROCEDURAL BACKGROUND Auxier is a gifted athlete who played football for state champion Trinity High School and for Georgetown College. As a football player, Auxier had a history of concussions and hip, shoulder, and back injuries both before and after the event at issue. In August 2020, Auxier was weightlifting with kettlebells as part of his participation in strength training with his college football team when he felt a “pop” in his lower back, immediately followed by pain that radiated down his leg. Auxier was evaluated by the team athletic trainer, who suspected a possible herniated disc. She recommended that Auxier see the team doctor and arranged an appointment for him the following day.

Auxier was seen by Physician, who is employed by UK Health and serves as a contractor for Georgetown College. Physician diagnosed Auxier with a lumbar strain at L5-S1 without neurological deficits and ordered an X-ray of his

lower back. Radiologist dictated his findings from the images, noting a loss of disc space at L5-S1, minimal degenerative endplate changes, normal alignment, and to “[c]onsider further evaluation with MRI.”

Physician did not speak to Radiologist directly and did not order an MRI. Neither Physician nor Radiologist made note of any observations or concerns with the T12-L1 region of Auxier’s spine. Physician referred Auxier to physical therapy but placed no restrictions on either his football or weightlifting activities. Auxier was a defensive tackle nose guard whose weightlifting regimen included bench pressing 350 pounds and squatting 500-pound repetitions.

Auxier continued to play football and participate in weightlifting.

Although there may have been initial relief from symptoms following the kettlebell incident, this would prove to be temporary. Auxier later sustained further injuries to his foot, ankle, and hip. Auxier continued to experience pain in his lower back, despite physical therapy, and stated later to his primary care physicians that he was told to “train through it.” Physician’s notes from the initial visit and follow-up care in 2020 indicate Auxier was advised to report to the emergency room if he experienced any red-flag symptoms, such as urinary or fecal incontinence or saddle

anesthesia.1 There is dispute in the deposition testimony whether Auxier reported such red-flag symptoms to Physician or the athletic trainer prior to July 2021.

At the end of the academic year, Auxier returned home where he continued to complain of low back pain. His symptoms were getting worse. His mother was concerned that Auxier may have suffered more than just a lumbar strain, so she arranged for her son to be seen by doctors at the University of Louisville Orthopedics and Sports Medicine group. On July 8, 2021, Auxier presented to Dr. Miller and Dr. Pohlgeers with a chief complaint of persistent lower back pain, which he attributed to the August 2020 kettlebell injury. The office visit notes state that patient’s pain began 10 months ago after lifting a kettlebell.

Dr. Miller ordered an MRI, which showed disc protrusions at both L5-

S1 and T12-L1 with nerve compression. Both Dr. Miller and Dr. Pohlgeers discussed the results of the MRI with Auxier on July 20, 2021. The protruding disc at T12-L1 was then pressing on the spinal cord and required an immediate referral to a spine specialist.

1 Saddle anesthesia is numbness or loss of feeling in the areas that would touch a saddle, such as the inner thighs, backs of the legs, and around the rectum. Saddle anesthesia, along with bladder and bowel dysfunction, may indicate cauda equina syndrome, a medical emergency requiring quick treatment. Cauda equina is the bundle of nerves at the end of the spinal cord within the spinal canal. Herniated disk, Mayo Clinic, https://www.mayoclinic.org/diseases- conditions/herniated-disk/symptoms-causes/syc-20354095 (last visited Jul. 17, 2026).

Auxier was referred to an orthopedic surgeon, Dr. Gum, who initially advised Auxier that he needed a simple discectomy. Unfortunately, subsequent CT scan results would reveal that Auxier actually needed a more extensive and invasive procedure. Auxier and his mother decided to seek a second opinion with a neurosurgeon, Dr. Villanueva, who was unable to evaluate Auxier until January of 2022. Prior to this scheduled consultation, Auxier suffered a loss of bladder control and numbness in the groin area, as well as erectile dysfunction. He reported to the emergency room at Baptist Health Louisville, where Dr. Villanueva had hospital privileges. Auxier was then evaluated by Dr. Villanueva in August 2021.

Dr. Villanueva explained that Physician should have ordered an MRI at the time of the kettlebell injury instead of just ordering an X-ray. He further explained that Radiologist had misread the X-ray image from August 2020 because he failed to see calcifications that were evidence of injury to the T12-L1 region of Auxier’s spine. It is not clear to what extent Dr. Villanueva thought a disc herniation was apparent on the 2020 X-ray or if nerve compression could be seen on such an image, but there was a sign of a problem that should have been evaluated at that time according to Dr. Villanueva.

Dr. Villanueva thought that Auxier should have been restricted from football and weightlifting activities until the disc at T12-L1 was further evaluated

and treated. Dr. Villanueva explained that the calcifications or bone growth indicated on the MRI scans take time to develop and did not happen overnight. Whatever the timeline for the injury at T12-L1, the bone was now pushing on the spinal cord in the cauda equina region and required prompt surgical intervention. Dr. Villanueva also explained that the problems at T12-L1 could have caused the other injuries Auxier later suffered to his foot, ankle, and hip. Auxier testified at his deposition that this consultation with Dr. Villanueva on August 31, 2021, was the first time he realized he had received “bad care” from Physician and Radiologist.

On September 23, 2021, Auxier underwent a decompression, discectomy, and posterolateral fusion at the T12-L1 region of his lumbar spine. He was left with irreversible erectile dysfunction, urinary incontinence, and fecal incontinence. To date, he continues to suffer from pain and weakness in the lumbar region, weakness in the legs, erectile dysfunction, pilonidal cysts,2 and depression.

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