Opinion
ELDER, J.
Merillat Industries, Inc., and Michigan Mutual Insurance Co. (appellants) appeal from an award by the Industrial Commission compensating Carter McKinnon Parks (claimant) for temporary total work incapacity beginning September 15, 1989, and continuing. Appellants assert (1) that the commission erred in entering an award based on an “occupational disease,” when as a matter of law there was not a disease but instead a noncompensable cumulative injury, and (2) that no credible evidence supported the commission’s conclusion that there was an occupational disease. We find no merit in the arguments urged on us by appellants and affirm the commission’s decision.
On January 10, 1981, while employed as a maintenance mechanic at Merillat, claimant suffered the permanent loss of the use of his right hand and received temporary total compensation benefits through April 14, 1986, the day he returned to Merillat to work as a “wire hanger.” Claimant’s new position required him to remove from a conveyor belt bundled wire hangers and doors weighing up to twenty-five pounds. It also involved repetitive overhead lifting. He held the job until September 6, 1989, when he stopped working due to pain in his left shoulder and chest area.
Claimant consulted a series of medical specialists about his shoulder. After examining him, two orthopedists reached similar conclusions. Dr. Larry G. Lipscomb diagnosed claimant as having “an impingement syndrome and in all probability [a] rotator cuff tear.” Dr. Melvin L. Heiman found “a .typical impingement problem with AC joint arthritis and roughening of the rotator cuff.” A cardiologist, Dr. Harrison D. Turner, ruled out cardiovascular problems as the cause of the pain. Concluding that the problem was of a musculoskeletal nature, Dr. Turner recommended that claimant be medically retired in order to prevent “further injury to the area.”
Claimant filed a claim for an occupational disease of his left shoulder, asking for a finding of temporary total work incapacity beginning September 15, 1989, and continuing.
Dr. Heiman, one of the two orthopedists who examined claimant, diagnosed his condition as “an occupational disease.” Dr. Heiman also reported that “[t]his type of illness is not a disease such as cancer, but is in fact an overuse syndrome related to the type of employment Mr. Parks was engaged in.” The second orthopedist, Dr. Lipscomb, stated that he “would put it into the injury category.” Merillat’s counsel submitted medical records to other orthopedists. Dr. William A. Mcllwain determined from these records that claimant had suffered not from a disease but from an “injury from repetitive use.” Dr. Joseph K. Maloy concluded that claimant had suffered not from a disease but from “stress disorder.” Neither Dr. Mcllwain nor Dr. Maloy examined claimant personally.
In its opinion of January 11, 1991, the commission reasoned that claimant suffered from an occupational disease.
The commission stated
[a]s the parties are aware, the Commission has awarded numerous cases of carpal tunnel syndrome as an occupational disease depending on the evidence, and we have a problem distinguishing this claimant’s rotator cuff tear or impingement syndrome from a carpal tunnel syndrome that has developed through repetitive motions.
The commission further noted that “[tjhere is no evidence in the record of the claimant’s activity outside of the employment contributing to his shoulder problems.”
Appellants assert that the commission erred when it entered an award based on an “occupational disease,” when as a matter of law there was no disease but, instead, a noncompensable cumulative injury.
The commission’s reliance on cases in which a claimant suffering from carpal tunnel syndrome was found to have sustained an occupational disease can be traced to the holding of this Court in
Knott
v.
Blue Bell, Inc.,
7 Va. App. 335, 373 S.E.2d 481 (1988). In
Knott,
we held that, once each of the six conditions set out in Code § 65.1-46
(now Code § 65.2-400) has been met, the commission may conclude that a claimant’s carpal tunnel syndrome is an occupational disease. However, because our holding in
Knott
flowed from an “examination of Code § 65.1-46 as it appeared prior to the legislative changes effective July 1, 1986,”
id.
at 337, 373 S.E.2d at 482, and because of the consequential impact of those legislative changes, we must address anew the question whether a condition gradually incurred as a result of repeated work-related trauma may be deemed an occupational disease under the Workers’ Compensation Act.
I.
Claims for compensation for an occupational disease arising after the General Assembly revised the statutory definitions of both an occupational disease and an ordinary disease of life will be determined by those new definitions, as well as the legislative intent that spawned them. To identify that intent, we set the 1986 revisions in their historical context.
In
Western Electric Co. v. Gilliam,
229 Va. 245, 329 S.E.2d 13 (1985), the Virginia Supreme Court reversed a finding by the Industrial Commission that a claimant’s tenosynovitis was an occupational disease. Tenosynovitis, an overuse syndrome in this instance, resulted from “repeated, work-related trauma.”
Id.
at 247, 329 S.E.2d at 14. The Court accepted the commission’s “factual finding” that tenosynovitis is a disease.
Id.
However, interpreting the statutory provisions in effect prior to the changes of July 1, 1986, it ruled that a disease “gradually-incurred on account of repeated, work-related trauma” is not an occupational disease but an ordinary disease of life.
Id.
Thus, under the statutory definitions then in effect, the condition was not compensable.
Id.
While the Court in
Gilliam
accepted “the factual finding” by the commission that the claimant’s tenosynovitis was a disease as opposed to an injury,
it rejected the commission’s finding that this disease was
“occupational.” Instead, a disease “which had its origin in repeated, work-related trauma, was an ordinary disease of life.”
Gilliam, 229
Va. at 247, 329 S.E.2d at 14 (footnote omitted). However, interpreting “legislative intent as reflected in the totality of the Workers’ Compensation Act
as it exists today,” id.
(emphasis in original) (footnote omitted), the Court expressed a reluctance to hold that the Act extended compensation to disabilities resulting from “diseases caused gradually by repeated trauma.”
Id.
at 247-48, 329 S.E.2d at 14.
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Opinion
ELDER, J.
Merillat Industries, Inc., and Michigan Mutual Insurance Co. (appellants) appeal from an award by the Industrial Commission compensating Carter McKinnon Parks (claimant) for temporary total work incapacity beginning September 15, 1989, and continuing. Appellants assert (1) that the commission erred in entering an award based on an “occupational disease,” when as a matter of law there was not a disease but instead a noncompensable cumulative injury, and (2) that no credible evidence supported the commission’s conclusion that there was an occupational disease. We find no merit in the arguments urged on us by appellants and affirm the commission’s decision.
On January 10, 1981, while employed as a maintenance mechanic at Merillat, claimant suffered the permanent loss of the use of his right hand and received temporary total compensation benefits through April 14, 1986, the day he returned to Merillat to work as a “wire hanger.” Claimant’s new position required him to remove from a conveyor belt bundled wire hangers and doors weighing up to twenty-five pounds. It also involved repetitive overhead lifting. He held the job until September 6, 1989, when he stopped working due to pain in his left shoulder and chest area.
Claimant consulted a series of medical specialists about his shoulder. After examining him, two orthopedists reached similar conclusions. Dr. Larry G. Lipscomb diagnosed claimant as having “an impingement syndrome and in all probability [a] rotator cuff tear.” Dr. Melvin L. Heiman found “a .typical impingement problem with AC joint arthritis and roughening of the rotator cuff.” A cardiologist, Dr. Harrison D. Turner, ruled out cardiovascular problems as the cause of the pain. Concluding that the problem was of a musculoskeletal nature, Dr. Turner recommended that claimant be medically retired in order to prevent “further injury to the area.”
Claimant filed a claim for an occupational disease of his left shoulder, asking for a finding of temporary total work incapacity beginning September 15, 1989, and continuing.
Dr. Heiman, one of the two orthopedists who examined claimant, diagnosed his condition as “an occupational disease.” Dr. Heiman also reported that “[t]his type of illness is not a disease such as cancer, but is in fact an overuse syndrome related to the type of employment Mr. Parks was engaged in.” The second orthopedist, Dr. Lipscomb, stated that he “would put it into the injury category.” Merillat’s counsel submitted medical records to other orthopedists. Dr. William A. Mcllwain determined from these records that claimant had suffered not from a disease but from an “injury from repetitive use.” Dr. Joseph K. Maloy concluded that claimant had suffered not from a disease but from “stress disorder.” Neither Dr. Mcllwain nor Dr. Maloy examined claimant personally.
In its opinion of January 11, 1991, the commission reasoned that claimant suffered from an occupational disease.
The commission stated
[a]s the parties are aware, the Commission has awarded numerous cases of carpal tunnel syndrome as an occupational disease depending on the evidence, and we have a problem distinguishing this claimant’s rotator cuff tear or impingement syndrome from a carpal tunnel syndrome that has developed through repetitive motions.
The commission further noted that “[tjhere is no evidence in the record of the claimant’s activity outside of the employment contributing to his shoulder problems.”
Appellants assert that the commission erred when it entered an award based on an “occupational disease,” when as a matter of law there was no disease but, instead, a noncompensable cumulative injury.
The commission’s reliance on cases in which a claimant suffering from carpal tunnel syndrome was found to have sustained an occupational disease can be traced to the holding of this Court in
Knott
v.
Blue Bell, Inc.,
7 Va. App. 335, 373 S.E.2d 481 (1988). In
Knott,
we held that, once each of the six conditions set out in Code § 65.1-46
(now Code § 65.2-400) has been met, the commission may conclude that a claimant’s carpal tunnel syndrome is an occupational disease. However, because our holding in
Knott
flowed from an “examination of Code § 65.1-46 as it appeared prior to the legislative changes effective July 1, 1986,”
id.
at 337, 373 S.E.2d at 482, and because of the consequential impact of those legislative changes, we must address anew the question whether a condition gradually incurred as a result of repeated work-related trauma may be deemed an occupational disease under the Workers’ Compensation Act.
I.
Claims for compensation for an occupational disease arising after the General Assembly revised the statutory definitions of both an occupational disease and an ordinary disease of life will be determined by those new definitions, as well as the legislative intent that spawned them. To identify that intent, we set the 1986 revisions in their historical context.
In
Western Electric Co. v. Gilliam,
229 Va. 245, 329 S.E.2d 13 (1985), the Virginia Supreme Court reversed a finding by the Industrial Commission that a claimant’s tenosynovitis was an occupational disease. Tenosynovitis, an overuse syndrome in this instance, resulted from “repeated, work-related trauma.”
Id.
at 247, 329 S.E.2d at 14. The Court accepted the commission’s “factual finding” that tenosynovitis is a disease.
Id.
However, interpreting the statutory provisions in effect prior to the changes of July 1, 1986, it ruled that a disease “gradually-incurred on account of repeated, work-related trauma” is not an occupational disease but an ordinary disease of life.
Id.
Thus, under the statutory definitions then in effect, the condition was not compensable.
Id.
While the Court in
Gilliam
accepted “the factual finding” by the commission that the claimant’s tenosynovitis was a disease as opposed to an injury,
it rejected the commission’s finding that this disease was
“occupational.” Instead, a disease “which had its origin in repeated, work-related trauma, was an ordinary disease of life.”
Gilliam, 229
Va. at 247, 329 S.E.2d at 14 (footnote omitted). However, interpreting “legislative intent as reflected in the totality of the Workers’ Compensation Act
as it exists today,” id.
(emphasis in original) (footnote omitted), the Court expressed a reluctance to hold that the Act extended compensation to disabilities resulting from “diseases caused gradually by repeated trauma.”
Id.
at 247-48, 329 S.E.2d at 14.
[Sjuch a consequential decision, impacting as it must a broad spectrum of economic and social values, is a matter of public policy reserved to the original and exclusive jurisdiction of the General Assembly, and we will not trespass on its domain.
Id.
at 248, 329 S.E.2d at 15.
II.
In the wake of
Gilliam,
a joint subcommittee comprised of members of the House Committee on Labor and Commerce and members of the Senate Committee on Commerce and Labor reviewed the Workers’ Compensation Act with an eye to possible revision. The central question addressed in a series of meetings held in 1985 and 1986 was “whether the Supreme Court reasonably interpreted the definition of ‘occupational disease’ in
Gilliam.”
H. Doc. No. 27, at 3 (1986). From these discussions emerged revisions to the statutory definitions of “occupational disease” and “ordinary disease of life.”
A report tracing the history of the subcommittee’s work, and creating the context in which the eventual revisions must be understood, set out the various alternatives considered by the subcommittee. Among these was an amendment
which would exempt any conditions originating or arising within the muscular, ligamentous, or skeletal system so as to draw a line where the Supreme Court makes its determinations in cases involving such systems. It was explained that this would eliminate “wear and tear” conditions.
H. Doc. No. 27, at 8 (1986). The joint subcommittee in fact proposed such an amendment. In its final recommendations it expressly favored language exempting from coverage “any conditions originating or
arising within the muscular, ligamentous, or skeletal system” over less restrictive language exempting only “conditions of the neck, back or spinal column.” The subcommittee felt that, were it to recommend less restrictive language, the proposed bill “would put the Industrial Commission back into the position it was in prior to
Gilliam
yet the joint subcommittee felt that language should be more restrictive.”
The joint subcommittee thus sent a clear message .that ‘ ‘wear and tear conditions” should be exempt from coverage under the Workers’ Compensation Act. Just as clearly, the General Assembly rejected that recommendation when it enacted into law language exempting conditions of the back, neck, and spinal column only. Code § 65.1-46 (now Code § 65.2-400). Understood in light of those background considerations expressly set out in the joint subcommittee’s report, the plain intent of the legislature in adopting the less restrictive language was to “put the Industrial Commission back into the position it was in prior to
Gilliam.''
During the hearings held before the joint subcommittee, the Industrial Commission summarized its
pre-Gilliam
approach to ordinary diseases of life.
The Industrial Commission informed the subcommittee that the feeling at the Commission prior to
Gilliam
was that even though a claimant’s disease was “an ordinary disease of life” it could be compensated if all six conditions specified in § 65.1-46 were met. . . . They pointed out that over the years they have made a conscious effort to show a causal connection between the disease and the work before awarding claims and that they felt the system worked fairly for both the injured employee and the employer.
H. Doc. No. 27, at 5 (1986). Just as the Industrial Commission was guided by the principle of causality, so too will we be guided as we apply the 1986 revisions of the Workers’ Compensation Act and interpret the legislative intent that inspired them.
III.
The revision of Code § 65.1-46 (now Code § 65.2-400), which defines occupational diseases, and the enactment of Code § 65.1-46.1 (now Code § 65.2-401), which identifies those ordinary diseases of
life that may be treated as occupational diseases, introduced new language to govern the compensability of occupational diseases. However, because we hold that claimant’s shoulder condition is compensable as an occupational disease under Code § 65.1-46 (now Code § 65.2-400), in the same way that it would have been
pre-Gilliam,
we do not decide whether his condition might also be an ordinary disease of life under Code § 65.1-46.1 (now Code § 65.2-401).
In order for a disease to be compensable under Code § 65.1-46 (now Code § 65.2-400), each of six conditions must be met. Only one of these conditions underwent significant revision in 1986. Prior to 1986, Code § 65.1-46(4) read, “It does not come from a hazard to which workmen would have been equally exposed outside of the employment.” In 1986, this provision was amended to read, “It is neither a disease to which an employee may have had substantial exposure outside of the employment, nor any condition of the neck, back or spinal column.” Code § 65.1-46(4) (now Code § 65.2-400(B)(4)).
Following the 1986 amendment, if a claimant’s occupational disease may have resulted from substantial exposure outside of the employment, that claimant must meet the more rigorous standard of proof set out in Code § 65.1-46.1 (now Code § 65.2-401).
However, where, as here, there is no suggestion that claimant’s condition resulted from exposure outside of his employment, we need not look beyond the four comers of Code § 65.1-46 (now Code § 65.2-400).
In
Gilliam,
the Supreme Court held that a disease “which had its origin in repeated, work-related trauma, was an ordinary disease of life.”
Gilliam,
229 Va. at 247, 329 S.E.2d at 14 (footnote omitted). In light of the previous discussion, it is clear that the General Assembly intended to “put the Industrial Commission back into the position it was in prior to Gilliam.” H. Doc. No. 27, at 8 (1986). Prior to
Gilliam,
the Industrial Commission treated wear and tear conditions as occupational diseases, compensable under Code § 65.1-46 (now Code § 65.2-400). Because of the General Assembly’s plain intent to revert to the commission’s
pre-Gilliam
approach, if a claimant’s condition is compensable under Code § 65.1-46 (now Code § 65.2-400), we need not reach the question whether such condition may also be an ordinary disease of life.
IV.
In order to establish that his condition is compensable, a claimant must prove an injury. Code § 65.1-7 (now Code § 65.2-101) defines an injury as either an injury by accident or an occupational disease “arising out of and in the course of the employment,” but not including “a disease in any form, except when it results naturally and unavoidably from either of the foregoing causes.” Here, claimant’s condition is not an injury by accident.
See Morris v. Morris,
238 Va. 578, 385 S.E.2d 858 (1989) (holding that injuries from repetitive trauma are not injuries by accident).
Code § 65.1-46 (now Code § 65.2-400) provides that, in order for an occupational disease to be compensable, each of six factors must be established.
See
note 1,
supra.
In an August 7, 1990, opinion, the deputy commissioner reviewed the history of this case and found that, based on evidence satisfying each of the six conditions set out in Code § 65.1-46 (now Code § 65.2-400), claimant’s disease was an occupational disease arising out of and in the course of his employment.
The commission expressly upheld these findings.
“ ‘Whether a disease is causally related to the employment and not causally related to other factors is ... a finding of fact.’ ”
Ross Lab.,
13 Va. App. at 377, 412 S.E.2d at 208 (quoting
Island Creek Coal Co.
v.
Breeding,
6 Va. App. 1, 12, 365 S.E.2d 782, 788 (1988)). “When there is credible evidence to support it, such a finding is ‘conclusive and binding’ on this court.”
Id.
We see nothing in the evidence to undermine the commission’s conclusion that claimant’s condition flowed from his employment as a natural consequence.
For the foregoing reasons, the decision of the commission is affirmed.
Affirmed.
Koontz, C.J., and Coleman, J., concurred.