Rainey, David v. U.S. Xpress, Inc.

2025 TN WC App. 39
CourtTennessee Workers' Compensation Appeals Board
DecidedAugust 28, 2025
Docket2024-10-3184
StatusPublished

This text of 2025 TN WC App. 39 (Rainey, David v. U.S. Xpress, Inc.) is published on Counsel Stack Legal Research, covering Tennessee Workers' Compensation Appeals Board primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rainey, David v. U.S. Xpress, Inc., 2025 TN WC App. 39 (Tenn. Super. Ct. 2025).

Opinion

FILED Aug 28, 2025 07:00 AM(CT) TENNESSEE WORKERS' COMPENSATION APPEALS BOARD

TENNESSEE BUREAU OF WORKERS’ COMPENSATION WORKERS’ COMPENSATION APPEALS BOARD

David Rainey ) Docket No. 2024-10-3184 ) v. ) State File No. 19611-2023 ) U.S. Xpress, Inc., et al. ) ) ) Appeal from the Court of Workers’ ) Heard August 1, 2025, Compensation Claims ) in Nashville, TN Thomas L. Wyatt, Judge )

Reversed and Remanded

In this interlocutory appeal, the employer challenges the trial court’s award of medical and temporary disability benefits. The employee, a commercial truck driver, claimed that the cab of his truck shook violently over a ninety-minute period as he attempted to park at a truck stop, causing an injury to his cervical spine. The employer initially accepted the claim as compensable based on the authorized physician’s opinion and provided medical and temporary disability benefits. The employer then retained an orthopedist to perform a medical records review, and that physician concluded the employee had reached maximum medical improvement with respect to his alleged work-related accident. Consequently, the employer ceased paying temporary disability benefits. The employer also reviewed data from the truck’s vehicle monitoring systems, and, because those reports did not reflect the alleged event as described by the employee, it denied any further benefits. The treating physician eventually recommended cervical spine surgery and opined the need for surgery was caused primarily by the alleged work accident, but the employer had, by that point, denied the claim. The employer then asked the orthopedist it previously retained for the medical records review to perform a medical examination of the employee, and he opined that even if the incident occurred as described by the employee, it was less than fifty percent the cause of the need for the recommended surgery. After an expedited hearing, the trial court found the employee was likely to prevail at trial in showing that his cervical spine condition arose primarily out of the event he had described. It also determined the authorized treating physician offered the most probable explanation of the primary cause of the need for surgery, and it awarded additional medical and temporary disability benefits. The employer has appealed. Upon careful consideration of the record and the arguments of counsel, we reverse the trial court’s order and remand the case.

1 Judge Meredith B. Weaver delivered the opinion of the Appeals Board in which Presiding Judge Timothy W. Conner and Judge Pele I. Godkin joined.

C. Scott Johnson, Chattanooga, Tennessee, for the employer-appellant, U.S. Xpress, Inc.

Ashley B. McGee, Hendersonville, Tennessee, for the employee-appellee, David Rainey

Factual and Procedural Background

David Rainey (“Employee”) was hired by U.S. Xpress, Inc. (“Employer”), as a truck driver in February 2023. On March 9, 2023, following his scheduled delivery, Employee stopped at a Love’s truck stop in Dickson, Tennessee for the night. The following day, he made his next delivery to another Tennessee location and then called Employer to report an injury he said had occurred the evening before while parking his truck. According to an internal injury report, Employee stated that “while backing the truck/trailer unit into [the] parking spot for the night he observed the warning lamp [il]luminate ‘Clutch Overheat.’ While attempting to back the unit the truck started bucking back and forth when suddenly he began to feel his back hurting. [Employee] complains of extreme pain to the lower back and has requested to seek treatment.” Following receipt of this report, Employer authorized emergency medical care, and Employee proceeded to Williamson Medical Center at 5:01 pm on March 11, 2023, where he reported “driving on some steep hills and inclines recently and . . . when he was backing up his big rig [a] couple of nights ago the cab of the truck began shaking violently.” Employee complained of neck/back pain, and a CT of the cervical spine was obtained, which indicated “straightening of the C- spine indicating spasms.” Employee was given pain medication and a muscle relaxer and told to follow up with his physician when he returned to his home state of Florida.

Upon his return to Florida, Employee went to an emergency room in Gainesville on March 18 and reported an injury to his right shoulder, right upper back, and neck when his truck malfunctioned and began “‘jerking in an upward and downward motion’ for approximately 45 minutes.” CT scans of the cervical and thoracic spine were obtained, and the cervical scan was compared with a prior CT scan of Employee’s neck dated July 29, 2022. The radiology report stated, “No acute fracture or traumatic subluxation in the cervical or thoracic spine. . . . Findings that are non-emergent, not unexpected, relatively minor, already known, not significantly changed or are unlikely to result in short term morbidity.” X-rays of Employee’s right shoulder were also completed and compared to prior studies dated June 29, 2022, and the radiologist also noted there was no significant change in those studies. Employee was given a Toradol injection and discharged.

Employee then sought authorized treatment at another urgent care facility, 1st Choice Urgent Care, on March 28, 2023. At that time, he complained of neck and right shoulder pain from his “truck . . . violently jump[ing] up and down.” He described his pain as constant, and, although it radiated from his neck to his right shoulder, he denied any

2 numbness or tingling in his hands. Employee returned to the clinic in April and was prescribed physical therapy, which Employer authorized. At his initial physical therapy appointment on May 12, 2023, Employee described his injury as occurring “when his truck and the trailer started bouncing due to a faulty transmission, where he had to, for an hour, try to park the truck. [Employee] state[d] that the entire time he was getting hit in the head with his personal canned goods etc[.] in storage compartments, and also had his right arm behind the passenger seat trying to safely look behind him.” He denied any pain or symptoms initially but reported that the following morning “he couldn’t lift his head and walk to the bathroom well enough, even had to pee into a bottle lying down.” Employee returned to 1st Choice Urgent Care in June and complained that physical therapy made his pain worse. Despite this, he remained in physical therapy for ninety days. Due to a lack of improvement, the physician’s assistant at the urgent care facility referred Employee to a neurosurgeon, Dr. John Stevenson.

Employee was initially seen by Dr. Stevenson on December 13, 2023, for complaints of numbness, tingling, and burning in his neck, shoulder, and arm. He reported taking ibuprofen as needed and using cannabis for pain. Employee described the injury as occurring when he “was parking his tractor trailer when there [was] a malfunction with the equipment [and] a lot of jerking in the cab which led to the onset of his neck[,] shoulder[,] and arm pain.” Dr. Stevenson ordered a cervical epidural steroid injection, which was performed in March 2024. At his appointment with Dr. Stevenson in April, Employee reported he had experienced a 50% improvement in his pain for several days following the injection but that he had returned to baseline. Dr. Stevenson ordered a cervical MRI, which was completed in May 2024 and revealed “advanced intervertebral degenerative disc and joint disease [C3-C7] with severe neuroforaminal stenosis.” Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
2025 TN WC App. 39, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rainey-david-v-us-xpress-inc-tennworkcompapp-2025.