Stevens, Lane v. Ryder Transportation Solutions, LLC

2025 TN WC 9
CourtTennessee Court of Workers' Compensation Claims
DecidedFebruary 19, 2025
Docket2024-60-5520
StatusPublished

This text of 2025 TN WC 9 (Stevens, Lane v. Ryder Transportation Solutions, LLC) is published on Counsel Stack Legal Research, covering Tennessee Court of Workers' Compensation Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stevens, Lane v. Ryder Transportation Solutions, LLC, 2025 TN WC 9 (Tenn. Super. Ct. 2025).

Opinion

FILED Feb 19, 2025 11:08 AM(CT) TENNESSEE COURT OF WORKERS' COMPENSATION CLAIMS

TENNESSEE BUREAU OF WORKERS’ COMPENSATION IN THE COURT OF WORKERS’ COMPENSATION CLAIMS AT NASHVILLE

John Stevens, ) Docket No. 2024-60-5520 Employee, ) v. ) Ryder Transportation Solutions, LLC, ) State File No. 860304-2024 Employer, ) And ) Indemnity Insurance Company of ) Judge Kenneth M. Switzer North America, ) Carrier. )

EXPEDITED HEARING ORDER (DECISION ON THE RECORD)

In this accepted claim, the current dispute is whether John Stevens is entitled to additional medical benefits. Ryder Transportation Solutions initially furnished treatment of his lumbar and thoracic spine and later authorized an evaluation of the right shoulder. Mr. Stevens seeks evaluation and treatment of his neck and both shoulders. Because he has not shown he is likely to prove that the injuries he now alleges arose primarily out of employment, his requests are denied.

Claim History

Mr. Stevens’s proof

According to the petition, on August 5, 2024, Mr. Stevens injured his “[c]ervical, thoracic, and lumbar spine” at work. Specifically, “[w]hile driving a forklift, Employee hit/ran over objects that caused the forklift to ‘jolt,’ causing immediate back pain.” Mr. Stevens described the accident in his declaration as follows: “in my lane, there were approximately four (4) metal bolts on the ground. I unintentionally ran over the bolts, causing the forklift to jolt and injure my back.”

1 Mr. Stevens was seen at a clinic two days later; he testified that he “presented with moderate upper and lower back pain that radiated into my right arm.” Records from the visit describe the accident as “hitting a piece of metal while driving forklift,” and they confirm that his symptoms were “[u]pper and lower Back and right posterior shoulder pain.” The doctor diagnosed strains of the lumbar and thoracic regions, placed work restrictions, and prescribed physical therapy for “[s]train of lumbar region.”

Mr. Stevens returned a week later, where a physical therapist noted a different mechanism of injury: “Pt was backing up in forklift and ran over steel rods sticking out of the ground which were not marked. This caused a jarring or compressive type force causing immediate pain in the lumbar and thoracic spine as well as the R shld.” Mr. Stevens saw a nurse practitioner that same day, who repeated the diagnoses from the first visit and increased the work restrictions.

At a follow-up visit a week later, the nurse practitioner noted that x-rays showed “[m]ild degenerative changes” and “moderate scoliosis.” He also ordered an MRI of the lumbar and thoracic spine.

Mr. Stevens returned in September, and the nurse practitioner documented the same complaints and repeated the diagnoses. The nurse practitioner wrote that the MRI was stopped before it could be completed, and he referred Mr. Stevens “to ortho spine to further evaluate for causation.”

Mr. Stevens saw Dr. Tarek Elalayli in October, whose notes document that the “reason for appointment” was solely “lumbar,” despite him also mentioning the neck. Dr. Elalayli, a panel physician, wrote:

He was backing up his forklift when he ran over some steel rods and bounced quite hard. He had immediate onset of pain in the mid back, neck pain, and low back pain. About a week later, he started experiencing some right shoulder pain. . . . Patient presents with multiple complaints, but I am authorized to evaluate his lower back.

Dr. Elalayli reviewed the MRI findings, noting that the procedure was incomplete but nonetheless “did not demonstrate any acute or concerning findings.” He diagnosed a lumbar strain and referred Mr. Stevens to Dr. Jeffrey Hazlewood, a physical medicine and rehabilitation specialist, for “LBP” (lower back pain).

Mr. Stevens returned to Dr. Elalayli a week later, seeking “an evaluation of his entire spine including his cervical and thoracic.” Dr. Elalayli wrote, “My understanding is that I was previously authorized to treat just the lower back. There does seem to be some confusion[.]” Dr. Elalayli repeated that Dr. Hazlewood should assume Mr. Stevens’s care.

2 Mr. Stevens saw Dr. Hazlewood on December 9. He did not offer the doctor’s complete treatment notes. Rather, the only record offered by Mr. Stevens is a final medical report placing him at maximum medical improvement for the lumbar spine on that date and assigning a 0% impairment rating with no restrictions.

According to Mr. Stevens’s declaration, Dr. Hazlewood examined his low back but also:

[S]tated that he was very concerned about the left side of my neck and right shoulder because I could not raise my right arm very high. Dr. Hazlewood also stated that I lost five percent (5%) of my height. Following my physical examination, Dr. Hazlewood stated that he wanted to get me back in to look at my neck and right shoulder as well as order a new MRI.

Ryder Transportation’s proof

Ryder Transportation offered notes from the December 9 visit with Dr. Hazlewood, as well as a record review report and responses to a questionnaire; they paint a very different picture of Mr. Stevens’s encounter with Dr. Hazlewood and of the doctor’s opinions.

Dr. Hazlewood described the accident as “[h]e was backing up on a lift and ran over metal rods that were left hanging out of the floor and it caused the back end of his lift to rear up, slam down on the ground and he got a jerk/jar to his low back.” Dr. Hazlewood examined the right shoulder and spine including the neck.

Below are Dr. Hazlewood’s impressions:

1. Diffuse cervical thoracic and lumbar pain of unknown etiology. I am only approved to treat the thoracic and lumbar spine and I find nothing to suggest any disc herniation, radicular symptoms or radiculopathy in either region. He had an abbreviated MRI of the lumbar spine that apparently was unremarkable. That is per Dr. Elalayli’s record and we are trying to get the report. This would be a mechanical/soft tissue injury and I have [no] explanation given the mechanism of injury which was a “non-violent” event of why he would be getting worse not better with axial pain only 4 months later. 2. He also complains of cervical pain with diffuse referral down the right upper extremity non-anatomically. He also complains of right shoulder pain. Differential diagnosis might include disc herniation in the cervical spine but I doubt it. Differential diagnosis would include a rotator cuff tear in the shoulder but I can not explain how it would occur with this injury. There is inconsistency of when this began as he told me today it was from day 1 of

3 the injury yet seemed to indicate to Dr. Elalayli that it was just recently that began which he denies today.

Dr. Hazlewood recommended:

[T]here is nothing else I know to provide from my standpoint for the thoracic and lumbar spine and that is what we are approved for today. I think it is a musculoskeletal injury and I can not [sic] explain why it is not resolving and especially why it is getting worse later in this setting of significant non- physiological signs on exam. With that being stated, I think he has reached MMI for no more than soft tissue injuries in the thoracic lumbar region.

(Emphasis added). Dr. Hazlewood additionally wrote that Mr. Stevens could return “as needed.”

Approximately two weeks later, Dr. Hazlewood performed a “medical record review” at Ryder Transportation’s attorney’s request.1

Counsel asked whether the August 5 accident injured Mr. Stevens’s cervical spine or right shoulder. Dr. Hazlewood responded no. He questioned if the mechanism of injury as he understood it could cause a cervical disc herniation or rotator cuff tear. Dr.

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Related

§ 50-6-239
Tennessee § 50-6-239

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Bluebook (online)
2025 TN WC 9, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stevens-lane-v-ryder-transportation-solutions-llc-tennworkcompcl-2025.