Valentine, Markcus v. Volkswagen of America, Inc.

Tennessee Workers' Compensation Appeals Board·Decided July 17, 2026·No. 2025-10-5856·Published

Opinion

FILED Jul 17, 2026 09:54 AM(CT)

TENNESSEE

WORKERS' COMPENSATION

APPEALS BOARD

TENNESSEE BUREAU OF WORKERS’ COMPENSATION WORKERS’ COMPENSATION APPEALS BOARD

Markcus Valentine Docket No. 2025-10-5856

v. State File No. 52744-2024

Volkswagen of America, Inc., et al.

Appeal from the Court of Workers’ Compensation Claims Audrey A. Headrick, Judge

Affirmed and Remanded

In this interlocutory appeal, the employee asserts the trial court issued its expedited hearing order without a complete evidentiary record and that, therefore, the order should be reversed. The employee reported suffering pain in his mid-back and shoulder after pushing a heavy cart at work. He was eventually provided a panel of physicians, from which he selected the physician at the employer’s on-site medical clinic. After the employee was seen by several providers at that clinic, a nurse practitioner referred him to an orthopedic physician. The on-site clinic’s supervising physician, who had never examined the employee personally, approved the referral, as did the employer. Thereafter, the orthopedic physician determined that the employee had suffered a thoracic strain at work that had resolved. He placed the employee at maximum medical improvement and released him to return to work without restrictions. The employee then sought unauthorized medical care, including a cervical spine surgery, and filed his claim for additional medical and temporary disability benefits from the employer. Following an expedited hearing, the trial court declined to award additional benefits based on the unrebutted causation opinion of the orthopedic physician. The employee has appealed. Having carefully reviewed the record, we affirm the trial court’s interlocutory order and remand the case.

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

Markcus Valentine, employee-appellant, pro se

Jeffrey Powell, Nashville, Tennessee, for the employer-appellee, Volkswagen of America, Inc.

Factual and Procedural Background

Markcus Valentine (“Employee”) worked for Volkswagen of America, Inc.

(“Employer”), at its plant in Harrison, Tennessee. 1 On June 17, 2024, Employee reported pain in his mid-back and shoulder while pushing a heavy cart at work. After reporting the incident to his supervisor, Employee was apparently advised to return to the physician who had previously treated his low back several years earlier. He was then seen at CHI Memorial Family Practice Associates by nurse practitioner (“NP”) Cynthia Shaffer. He underwent an MRI on June 19 that revealed “no fractures or subluxations” but “multilevel degenerative changes” in his thoracic spine. 2 On June 24, NP Shaffer assigned restrictions of no lifting over 25 pounds, no pushing, no twisting, limited bending, and limited stooping for six weeks.

Employer provided Employee a panel of physicians approximately one week after the accident, from which he selected Dr. David Tutor at Employer’s on-site medical clinic. Although he was evaluated and treated at that clinic on several occasions by various nurse practitioners, he never actually saw Dr. Tutor. Employee was first seen at the on-site clinic on June 25 by NP Gergana Dinina, who diagnosed mid-back pain. He was released to return to restricted duty and was advised to wear a back brace for support. On July 8, NP K. Bowers noted her review of the June 19 thoracic MRI and the diagnosis of multilevel degenerative changes. At that visit, Employee reported using over-the-counter pain medications and wearing an elastic back support. He specifically denied any neck pain at that time. On July 12, Employee returned to the clinic complaining of a new “pinching” sensation between his thoracic spine and left shoulder blade. He was advised by NP Susan Gasque to continue with the same work restrictions and to return to the clinic in one week. On July 18, Employee described his symptoms to NP Dinina as a “constant dull pinch that feels like nerve pain.”

Due to Employee’s persistent symptoms over the following several weeks, NP Gasque referred Employee to Dr. Rickey Hutcheson, an orthopedic surgeon. On the referral order dated September 4, NP Gasque noted a diagnosis of “thoracic back pain.” Employer approved this referral, and Employee first saw Dr. Hutcheson on September 24.

Dr. Hutcheson diagnosed a strain of the thoracic spine and thoracic spondylosis, the latter of which he described as “non work related.” 3 He prescribed additional physical therapy and medications and assigned work restrictions of no lifting over ten pounds, no

1 In the record, Employer is alternatively identified as “Volkswagen of America, Inc.” and “Volkswagen Group of America, Inc.” 2 The June 19 MRI report is the earliest report from CHI Memorial Family Practice Associates in the record.

3 Copies of Dr. Hutcheson’s reports contained in the record on appeal are, in part, blurry, faint, and difficult to read.

pushing, no pulling, and no carrying. Dr. Hutcheson’s next report, the date of which is illegible but appears to be late October, reflects a diagnosis of “strain of muscle and tendon of front wall of thorax.” Dr. Hutcheson ordered an updated thoracic MRI to compare to the previous scan. He initially indicated Employee could return to regular duty work, then added an addendum to his report in response to Employee’s call on October 25 assigning work restrictions pending receipt of the updated MRI.

Significantly, Dr. Hutcheson also noted that Employee had been in pain management treatment “for the past 3 years” due to his prior lumbar fusion that Employee described as having “failed.” Employee reported taking hydrocodone “QID” as prescribed by his pain management provider. 4

On October 30, 2024, Employee underwent a second thoracic MRI, which revealed “multilevel degenerative disc disease” and “thoracic spondylosis.” In his November 1, 2024 report, Dr. Hutcheson opined that “greater [than] 51% of his symptoms [are] associated with his thoracic spondylosis.” He placed Employee at maximum medical improvement from his work-related thoracic strain and assigned no permanent medical impairment related to that condition.

Thereafter, Employee sought unauthorized medical care at EMG Chattanooga Bone and Joint Clinic. After reviewing prior diagnostic scans, NP Jacob Faulkner diagnosed “thoracic spondylosis without myelopathy.” He opined that the decreased sensation in Employee’s right arm was “likely emanating from the cervical spine.” As a result, he ordered a cervical MRI, which revealed “moderate to severe right-sided neural foraminal narrowing at C6-7.” NP Faulkner diagnosed cervical radiculitis and cervical spondylosis. He recommended an epidural steroid injection (“ESI”) at the C7-T1 level of the spine.

In late December 2024, Employee reported “very little instant relief” from the ESI.

He described “continued . . . significant burning and aching pain . . . between the shoulder blades.” On February 25, 2025, after Employee reported little to no symptom relief from a series of ESIs, NP Faulkner referred Employee to Dr. Prayash Patel, a neurosurgeon, who had performed Employee’s previous lumbar surgery. He first evaluated Employee’s cervical complaints and MRI results on March 19, 2025, at which time he recommended surgery. Employee underwent cervical spine surgery on April 22, 2025.

Meanwhile, in response to Dr. Hutcheson’s opinions, Employee asked for a second opinion examination addressing his work-related injury, which Employer agreed to provide. Of the physicians listed on a panel offered to Employee, only Dr. Jay Jolley would agree to see Employee. In his March 10, 2025 report, Dr. Jolley noted no physical abnormalities but some limitations in range of motion in the cervical spine. However, he

4 The term “QID” as used in the context of prescription medication means “four times per day.” See https://www.merriam-webster.com/ dictionary/qid (last visited July 16, 2026).

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Valentine, Markcus v. Volkswagen of America, Inc., (Tenn. Super. Ct. 2026).

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