James Conrad v. Food Lion 1463

Court of Appeals of Virginia·Decided August 18, 2026·No. 0117252·Unpublished

Opinion

COURT OF APPEALS OF VIRGINIA Record No. 0117-25-2

JAMES CONRAD

v.

FOOD LION #1463, ET AL.

Present: Chief Judge Decker, Judges Beales and Athey Argued at Richmond, Virginia Opinion Issued August 18, 2026*

FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION Philip J. Geib (Philip J. Geib, P.C., on brief), for appellant. Steven H. Theisen (Midkiff, Muncie & Ross, P.C., on brief), for appellees.

MEMORANDUM OPINION BY

JUDGE CLIFFORD L. ATHEY, JR.

The Virginia Workers’ Compensation Commission (“Commission”) denied James Conrad’s (“Conrad”) claim against Food Lion #1463 and its insurance carrier Delhaize America, LLC (collectively, “Food Lion”), for a lifetime medical award and temporary total disability benefits arising out of a cervical spine injury, finding that his claim was time-barred under Code § 65.2-601. On appeal, Conrad contends that he filed his claim within the statute of limitations. We disagree and therefore affirm the Commission.

*

This opinion is not designated for publication. See Code § 17.1-413(A).

I. BACKGROUND1

Injury, Diagnoses, and Treatment On April 23, 2019, Conrad, a long-time Food Lion store employee, was working as an assistant manager at a store in Virginia Beach. While lifting a 75-pound case of floor mats from the top of a pallet of water, he sustained an injury when his “right arm fell to the floor, dropping the whole case.” He sought treatment at Patient First the next day and was referred to Atlantic Orthopaedic Specialists, where he was assessed by Dr. Bradley C. Carofino (“Dr. Carofino”) on May 1, 2019. After obtaining X-rays of the right shoulder and cervical spine, Dr. Carofino noted three diagnoses: cervicalgia; acute cervical radiculopathy; and a right rotator cuff tear. Based on the “radiographic findings” and the possibility of a “neurologic component,” Dr. Carofino ordered a right shoulder MRI and a cervical spine MRI to be completed before Conrad’s next appointment.

Conrad next visited Dr. Carofino on May 29, 2019, to review his MRI results. Dr. Carofino noted that Conrad had “a large rotator cuff tear” and “some significant cervical spine pathology,” to include “a central disk extrusion at C7” and “foraminal stenosis at C5-6.” Dr. Carofino recommended rotator cuff surgery. Based on the cervical spine pathology, Dr. Carofino also had Dr. David Clifford (“Dr. Clifford”), a cervical spine specialist, see Conrad the same day. Dr. Clifford recommended that Conrad have rotator cuff surgery before reevaluation of the cervical spine. Conrad underwent rotator cuff surgery on July 23, 2019. Later that month, Dr. Carofino noted Conrad’s work injury and diagnoses—“cervicalgia, cervical radiculopathy, and right rotator cuff tear”—on an FMLA questionnaire.

After meeting with Conrad for a follow-up appointment on December 4, 2019, Dr. Carofino noted that Conrad was progressing slowly from his surgery and had profound “external rotation

1 Our recitation of the facts “construe[s] the evidence in the light most favorable to” Food Lion, “the prevailing parties before the Commission.” Jeffreys v. Uninsured Emp.’s Fund, 297 Va. 82, 87 (2019).

weakness.” He further noted, “I am wondering if some of these symptoms are related to the cervical spine.” Conrad was also examined by Dr. Clifford the same day. Although Conrad denied neck pain, Dr. Clifford assessed Conrad as having cervicalgia and cervical radiculopathy. Dr. Clifford recommended right upper extremity electromyography (“EMG”) and right C6-C7 epidural steroid injections (“ESI”).

In January of 2020, Conrad underwent the EMG and followed up with both Dr. Clifford and Dr. Carofino. Regarding Conrad’s “significant dysfunction with the arm in regard to [his] ability to externally rotate and reach up in the air,” Dr. Carofino ordered a right shoulder MRI to rule out a rotator cuff retear. But he also noted that Conrad’s “cervical spine could be significantly causing” his problems. He encouraged Conrad to have the cervical spine ESI, which Conrad underwent on February 3, 2020. At a follow-up appointment after the MRI, Dr. Carofino recommended reverse arthroplasty, noting that Conrad “ha[d] a failed rotator cuff repair.”

Conrad next followed up with Dr. Clifford on March 11, 2020, telling him the first ESI was about 25% “helpful.” Dr. Clifford reviewed the EMG and noted that it “show[ed] a carpal tunnel on the right.”2 Dr. Clifford’s impression was “[c]ervical spondylosis [sic] with bilateral upper extremity radiculopathy.” Dr. Clifford recommended a second ESI, which Conrad underwent on March 31, 2020. On April 8, 2020, Conrad reported to Dr. Clifford that he had no change after the second ESI and complained of “bilateral hand numbness.” Dr. Clifford noted impressions of “[m]oderate central stenosis C5-C6, C6-C7 herniated nucleus pulposus, and a right carpal tunnel.” Conrad later told Dr. Clifford during a July 8, 2020 visit that the ESI had “made him well” for about

2 The physician who performed the EMG further explained in her report, “There is electrodiagnostic evidence of a mild right median neuropathy at the wrist (carpal tunnel) affecting the sensory components of the median nerve. This is consistent with carpal tunnel syndrome.”

six weeks and he was interested in another one.3 Dr. Clifford’s impressions were “[c]ervical radiculopathy with a disk herniation at L5-6, L6-7, right-sided carpal tunnel.” He wanted Conrad to follow up with Dr. Carofino for his carpal tunnel before seeing him again.

After Conrad attended a follow-up appointment regarding his “rotator cuff re-tear” with Dr. Carofino in July, Dr. Carofino performed his second surgery on Conrad’s right shoulder on August 18, 2020. Following an appointment in November of 2020, Dr. Carofino recommended that Conrad return to Dr. Clifford for evaluation of his cervical spine due to “profound external rotation weakness,” which he noted “c[ould] be from a cervical process.” In January of 2021, Dr. Carofino repeated that Conrad should return to Dr. Clifford to have his cervical spine evaluated.

In February of 2021, Conrad had a third ESI and followed up with Dr. Clifford, reporting that he felt the third procedure had not provided any relief and actually “made it worse.” Dr. Clifford noted that Conrad “ha[d] a known C5-6, C6-7 disk herniation” and acknowledged numbness and tingling through Conrad’s right arm to his “index and long fingers and thumb.” Further, he observed that Conrad presented with “significant weakness with external rotators, deltoid, abduction of the right arm.” “[R]adiographs . . . obtained . . . while [Conrad] [wa]s in the office . . . show[ed] severe degenerative disk at C5-6.” Dr. Clifford also noted that Conrad’s “biggest concern was range of motion strength to [his] right arm that could be coming from the neck.” He opined that Conrad “certainly ha[d] [two] disks that [we]re herniated from 2019” and ordered an EMG of the “bilateral upper extremities” and a repeat MRI.

On April 14, 2021, Conrad saw Dr. Carofino, who noted that much of Conrad’s profound shoulder weakness could be related to spondylolysis and his transient numbness and tingling in his bilateral upper extremities could correlate to his neck. Conrad also saw Dr. Clifford concerning

3 Dr. Clifford noted in February of 2021 that it was the first ESI that gave Conrad relief for six weeks.

cervical radiculopathy on April 28, 2021, after both his MRI on March 14, 2021, and his EMG on April 6, 2021. Dr. Clifford recommended “a C5-6 and C6-7 anterior cervical diskectomy.” On May 26, 2021, Conrad followed up with Dr. Carofino, who opined, “[Conrad] is at maximal improvement with regard to his shoulder. His ongoing issues in my opinion are related to his cervical pathology.”

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