KELLER, Justice.
I. ISSUE
In this automobile accident case, the jury awarded Susan Miller damages for medical expenses and lost wages but awarded no damages for pain and suffering by writing a zero (“0”) on that portion of the verdict form. Miller contends that the trial court erred in denying her motion for a new trial which alleged that the jury’s zero pain and suffering award was inadequate as a matter of law because it was inconsistent with the jury’s award of damages for medical expenses and lost wages. Because the evidence at trial supported a finding by the jury that Miller did not suffer additional pain as a result of the accident, we find the jury’s pain and suffering award legally proper and hold that the trial court acted within its discretion in denying Miller’s motion for a new trial.
[600]*600II. FACTS
Miller, the operator of one of the automobiles involved in a two-automobile accident, initiated this personal injury action against the operator of the other vehicle, Roger Swift.1 Miller sought to recover damages for personal injuries she allegedly suffered as a result of the accident. Both Miller and Swift asserted that the other was responsible for the accident. The jury found both at fault and returned a verdict which apportioned 60% of the fault to Swift and 40% to Miller.
In addition to seeking recovery for her medical expenses and lost wages, Miller sought damages for pain and suffering. Miller claimed that the accident resulted in enhanced pain in addition to the pain she suffered prior to the accident from rheumatoid arthritis, carpal tunnel syndrome, gastritis and problems with her knee and shoulder. Based on the pain associated with Miller’s pre-existing condition, however, Swift claimed that Miller suffered no additional pain as a result of the accident. A considerable amount of testimony during the three-day trial related to the question of Miller’s damages for pain and suffering.
The jury returned a verdict2 awarding Miller damages as follows:
(a) For her pain and suffering which she has endured in the past, and is reasonably certain to endure in the future, (not to exceed $30,000.00, the amount claimed); $ 0
(b) For her past medical expenses, (not to exceed $5,951.11, the amount claimed); $3570.67
(c) For her lost wages, (not to exceed $2,831.36, the amount claimed); $1698.82
Miller filed a motion for a new trial3 on the ground that the jury’s pain and suffering award was inadequate as a matter of law. The trial court denied Miller’s motion for a new trial and entered judgment4 upon the jury’s verdict. The Court of Appeals, in a split 7-6 en banc5 opinion, affirmed the trial court’s judgment and denial of Miller’s motion for new trial. Miller sought discretionary review in this Court, which we granted, and we now affirm the Court of Appeals.
III. STANDARD OF REVIEW
Miller alleges that the trial court erred when it denied her motion for a new [601]*601trial. Our review, therefore, is limited to whether the trial court’s denial of her motion was clearly erroneous:
Our recent decision in Cooper v. Fultz, Ky., 812 S.W.2d 497 (1991), laid to rest any confusion which previously existed with respect to such appellate review. We began by declining any review until the trial court had first considered the substance of the claim and quoted with approval from Davis v. Graviss, Ky., 672 S.W.2d 928 (1984), which described a CR 59.01 ruling as “a discretionary function assigned to the trial judge who has heard the witnesses firsthand and observed and viewed their demeanor and who has observed the jury throughout the trial.” Id. at 932. We followed Prater v. Arnett, Ky.App., 648 S.W.2d 82 (1983), in which the appellate court was held to be precluded from stepping “into the shoes” of the trial court, and precluded from disturbing its ruling unless it was found to be clearly erroneous.
Our decision in Cooper amounts to a recognition that a proper ruling on a motion for new trial depends to a great extent upon factors which may not readily appear in an appellate record. Only if the appellate court concludes that the trial court’s order was clearly erroneous may it reverse.6
Accordingly, if the jury’s verdict of zero damages for pain and suffering is supported by evidence, the trial court was not clearly erroneous in denying Miller’s motion for a new trial.
IV. ADEQUACY OF JURY’S PAIN AND SUFFERING AWARD
Miller argues that the trial court abused its discretion and erred as a matter of law when it denied her motion for a new trial because the jury’s failure to award her any amount of money for pain and suffering was contrary to the evidence and inconsistent with its award of more than $5000 for medical expenses and lost wages. After a review of the record, we find that the trial court acted within its discretion in determining that the jury’s verdicts were legally and factually consistent.
Miller’s argument presupposes legal inconsistency when a jury awards damages for medical expenses and lost wages, but awards no damages to compensate the plaintiff for pain and suffering. The law in Kentucky, however, does not require a jury to award damages for pain and suffering in every case in which it awards medical expenses. In Cooper v. Fultz,7 this Court, faced with a jury verdict similar to the one now before us, remanded the case for the trial court to determine the adequacy of a jury’s award, and plainly avoided holding such a verdict inconsistent or inadequate as a matter of law:
The question before us is whether, by thus specifying a deliberate intention to make no award for one (or more) elements of damages, the jury has returned a verdict with a patent irregularity which is waived by failing to timely object, or whether this represents a completed verdict which is subject to challenge as inadequate on motion for a new trial. It is our opinion that this a complete verdict; that it may be inadequate but it is not inconsistent ....
It is indeed a “booby trap” to send back a jury which has flatly decided that the claimant’s pain and suffering is worth nothing to replace the “-0-” with a dollar amount ... Erasing the zero and replacing it with a few dollars will not correct the inadequacy. The first ver-[602]*602diet as completed should be received and should be subject to a motion for a new trial which should be granted unless there is countervailing evidence such that the jury’s verdict, taken as a whole, withstands the test of inadequacy.8
In Cooper, this Court explained that it remanded the case back to the trial court because the “inadequacy” inquiry requires evaluation of the evidence submitted at trial:
Whether the award represents “excessive or
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KELLER, Justice.
I. ISSUE
In this automobile accident case, the jury awarded Susan Miller damages for medical expenses and lost wages but awarded no damages for pain and suffering by writing a zero (“0”) on that portion of the verdict form. Miller contends that the trial court erred in denying her motion for a new trial which alleged that the jury’s zero pain and suffering award was inadequate as a matter of law because it was inconsistent with the jury’s award of damages for medical expenses and lost wages. Because the evidence at trial supported a finding by the jury that Miller did not suffer additional pain as a result of the accident, we find the jury’s pain and suffering award legally proper and hold that the trial court acted within its discretion in denying Miller’s motion for a new trial.
[600]*600II. FACTS
Miller, the operator of one of the automobiles involved in a two-automobile accident, initiated this personal injury action against the operator of the other vehicle, Roger Swift.1 Miller sought to recover damages for personal injuries she allegedly suffered as a result of the accident. Both Miller and Swift asserted that the other was responsible for the accident. The jury found both at fault and returned a verdict which apportioned 60% of the fault to Swift and 40% to Miller.
In addition to seeking recovery for her medical expenses and lost wages, Miller sought damages for pain and suffering. Miller claimed that the accident resulted in enhanced pain in addition to the pain she suffered prior to the accident from rheumatoid arthritis, carpal tunnel syndrome, gastritis and problems with her knee and shoulder. Based on the pain associated with Miller’s pre-existing condition, however, Swift claimed that Miller suffered no additional pain as a result of the accident. A considerable amount of testimony during the three-day trial related to the question of Miller’s damages for pain and suffering.
The jury returned a verdict2 awarding Miller damages as follows:
(a) For her pain and suffering which she has endured in the past, and is reasonably certain to endure in the future, (not to exceed $30,000.00, the amount claimed); $ 0
(b) For her past medical expenses, (not to exceed $5,951.11, the amount claimed); $3570.67
(c) For her lost wages, (not to exceed $2,831.36, the amount claimed); $1698.82
Miller filed a motion for a new trial3 on the ground that the jury’s pain and suffering award was inadequate as a matter of law. The trial court denied Miller’s motion for a new trial and entered judgment4 upon the jury’s verdict. The Court of Appeals, in a split 7-6 en banc5 opinion, affirmed the trial court’s judgment and denial of Miller’s motion for new trial. Miller sought discretionary review in this Court, which we granted, and we now affirm the Court of Appeals.
III. STANDARD OF REVIEW
Miller alleges that the trial court erred when it denied her motion for a new [601]*601trial. Our review, therefore, is limited to whether the trial court’s denial of her motion was clearly erroneous:
Our recent decision in Cooper v. Fultz, Ky., 812 S.W.2d 497 (1991), laid to rest any confusion which previously existed with respect to such appellate review. We began by declining any review until the trial court had first considered the substance of the claim and quoted with approval from Davis v. Graviss, Ky., 672 S.W.2d 928 (1984), which described a CR 59.01 ruling as “a discretionary function assigned to the trial judge who has heard the witnesses firsthand and observed and viewed their demeanor and who has observed the jury throughout the trial.” Id. at 932. We followed Prater v. Arnett, Ky.App., 648 S.W.2d 82 (1983), in which the appellate court was held to be precluded from stepping “into the shoes” of the trial court, and precluded from disturbing its ruling unless it was found to be clearly erroneous.
Our decision in Cooper amounts to a recognition that a proper ruling on a motion for new trial depends to a great extent upon factors which may not readily appear in an appellate record. Only if the appellate court concludes that the trial court’s order was clearly erroneous may it reverse.6
Accordingly, if the jury’s verdict of zero damages for pain and suffering is supported by evidence, the trial court was not clearly erroneous in denying Miller’s motion for a new trial.
IV. ADEQUACY OF JURY’S PAIN AND SUFFERING AWARD
Miller argues that the trial court abused its discretion and erred as a matter of law when it denied her motion for a new trial because the jury’s failure to award her any amount of money for pain and suffering was contrary to the evidence and inconsistent with its award of more than $5000 for medical expenses and lost wages. After a review of the record, we find that the trial court acted within its discretion in determining that the jury’s verdicts were legally and factually consistent.
Miller’s argument presupposes legal inconsistency when a jury awards damages for medical expenses and lost wages, but awards no damages to compensate the plaintiff for pain and suffering. The law in Kentucky, however, does not require a jury to award damages for pain and suffering in every case in which it awards medical expenses. In Cooper v. Fultz,7 this Court, faced with a jury verdict similar to the one now before us, remanded the case for the trial court to determine the adequacy of a jury’s award, and plainly avoided holding such a verdict inconsistent or inadequate as a matter of law:
The question before us is whether, by thus specifying a deliberate intention to make no award for one (or more) elements of damages, the jury has returned a verdict with a patent irregularity which is waived by failing to timely object, or whether this represents a completed verdict which is subject to challenge as inadequate on motion for a new trial. It is our opinion that this a complete verdict; that it may be inadequate but it is not inconsistent ....
It is indeed a “booby trap” to send back a jury which has flatly decided that the claimant’s pain and suffering is worth nothing to replace the “-0-” with a dollar amount ... Erasing the zero and replacing it with a few dollars will not correct the inadequacy. The first ver-[602]*602diet as completed should be received and should be subject to a motion for a new trial which should be granted unless there is countervailing evidence such that the jury’s verdict, taken as a whole, withstands the test of inadequacy.8
In Cooper, this Court explained that it remanded the case back to the trial court because the “inadequacy” inquiry requires evaluation of the evidence submitted at trial:
Whether the award represents “excessive or inadequate damages appearing to have been given under the influence •of passion or prejudice or in disregard of the evidence or the instructions of the court,” CR 59.01(d), is a question dependent on the nature of the underlying evidence. In Hazelwood v. Beauchamp, [Ky.App., 766 S.W.2d 439 (1989)], where the plaintiffs “hand was crushed and mangled” in a hay baler, the proof of pain and suffering, and of lost earnings, was so compelling that the award of “0” was clearly so inadequate that failure to grant a new trial on damages was clearly erroneous. On the other hand, in Spalding v. Shinkle, [Ky.App. 774 S.W.2d 465 (1989)], where there was an award of “$1,000” for “reasonably certain future medical expenses, but ‘0’ for future pain and suffering,” the Court of Appeals upheld the decision of the trial court not to grant a new trial for inadequate damages stating:
“There was countervailing evidence of a substantial nature; therefore the jury was not bound to believe Spald-ing’s version, and they did not, as evidenced by no damages being awarded for the claimed item.. .There was no error in the trial court overruling Spalding’s motion for a new trial in this regard.”
Thus, the trial court must now consider the substance of the appellant/movant’s motion for a new trial, and rule on whether “-0” is adequate for pain and suffering considering the evidence heard by the jury,9
In Cooper, this Court rejected the contention that a jury’s pain and suffering award was automatically inadequate as a matter of law when a jury intentionally indicated no pain and suffering award but awarded damages for medical expenses or lost wages. Instead, the Cooper Court remanded the matter for the trial court to determine whether, based upon the evidence submitted at trial, the jury’s pain and suffering award was adequate.
It appears that some confusion has resulted from Prater v. Coleman,10 where a three-judge panel of the Court of Appeals misconstrued the Cooper holding and remanded a similar case for a new trial. In the case now before us, however, we believe the majority of the en banc panel correctly interpreted Cooper. We now overrule Prater v. Coleman to the extent it holds that a “0” award of pain and suffering damages, regardless of the evidence, is inadequate as a matter of law when accompanied by awards for medical expenses and lost wages.
Because the parties litigated the question of whether Miller endured additional pain and suffering as a result of this collision and Swift solicited testimony which would support the jury’s conclusion, we hold that the trial court did not abuse its discretion in denying Miller’s new trial motion. One of the issues that this jury was empaneled to decide was whether the accident aggravated or aroused Miller’s [603]*603pre-existing pain, and the parties actively contested this factual issue. The trial court properly instructed the jury regarding permissible damages for pain and suffering when pre-existing conditions may have been aggravated,11 and the jury concluded, on the basis of the evidence submitted to it, that Miller was not entitled to compensation for this item of damages. Even though they awarded Miller over $5000 in medical expenses and lost wages, the jury made a conscious decision to award nothing for pain and suffering.
The civil justice system uses juries to decide exactly these types of factual disputes, and the testimony and evidence at trial in this case contained substantial support for the jury’s verdict. Both parties presented the jury with probative evidence on the issue of whether this collision caused Miller any additional pain and suffering, and the trial court properly denied Miller’s motion for a new trial.
For the foregoing reasons, we affirm the judgment of the Court of Appeals.
COOPER, JOHNSTONE and WINTERSHEIMER, JJ„ concur.
GRAVES, J., dissents by separate opinion, with LAMBERT, C.J. and STUMBO, J., joining that dissent.