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  • AMA Ethics and Independent Medical Examinations: What IME Physicians Should Do With Incidental Findings

    Posted on: 26-May-2026

    Independent medical examinations occupy a unique position in medicine. The physician performing an IME is not the treating physician. The examination is usually requested by a third party, such as an insurer, employer, attorney, court, or claims administrator. The purpose is typically to answer medical-legal questions about diagnosis, causation, impairment, work capacity, treatment necessity, prognosis, or disability.

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  • CRPS After Minor Electrical Injury: Diagnosis, Disuse, Causation, and Medicolegal Analysis

    Posted on: 26-May-2026

    Complex regional pain syndrome, commonly called CRPS, is one of the most challenging diagnoses in medicolegal evaluation. It is painful, disabling, controversial, and often poorly understood. In workers’ compensation, personal injury, disability, and independent medical examination settings, CRPS may be alleged after fractures, sprains, surgery, crush injuries, burns, electrical exposures, or even seemingly minor trauma.

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  • Facet Syndrome After Minor Accident: Medial Branch Blocks, Radiofrequency Ablation, and Lifetime Treatment Claims

    Posted on: 26-May-2026

    Facet-mediated spinal pain is a frequent issue in personal injury, workers’ compensation, disability, and independent medical examination cases. A common pattern is familiar to many physician experts: a minor accident, no fracture, no instability, no radiculopathy, no objective structural injury, several months of conservative care, then diagnostic medial branch blocks followed by radiofrequency neurotomy or radiofrequency ablation. The claimant reports temporary improvement, and the treating physician recommends repeat procedures indefinitely.

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  • Mental Health Symptoms and Chronic Pain in IMEs: How Physician Experts Should Analyze Mood, Anxiety, and Delayed Recovery

    Posted on: 26-May-2026

    Pain and mental health symptoms commonly travel together. In independent medical examinations, disability evaluations, workers’ compensation cases, personal injury claims, and chronic pain reviews, claimants frequently report that depression, anxiety, irritability, poor sleep, and loss of motivation are “secondary to pain.” They may explain that when their pain is lower, their mood is better, and if the pain resolved, they believe their mental health would return to baseline.

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  • Chronic Trigger Point Injections After a Motor Vehicle Accident: Medical Necessity, Fibromyalgia, and Causation Analysis

    Posted on: 26-May-2026

    Trigger point injections are commonly used in the treatment of myofascial pain. In selected acute or subacute cases, they may provide short-term symptom relief and help a patient participate more effectively in Physical Therapy, stretching, strengthening, and functional restoration. However, chronic repetitive trigger point injections after a minor motor vehicle accident present a different medicolegal question.

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