Why doesn't the insurance adjuster believe my client's carpal tunnel syndrome is related to her accident?
I just got off of the phone with an adjuster for a large Florida automobile insurance company and she had the gall to tell me that my client's carpal tunnel syndrome was not related to the car accident. She said that carpal tunnel syndrome is not related to trauma. I wasn't in a good mood and I didn't have the patience to deal with this adjuster so I snapped at her:
- Where did you go to medical or nursing school?
- Did you look at the emergency room record where my client gave a history of jamming her wrist against the steering wheel and complained of wrist pain to the emergency room personnel?
- Did you take the time to search the medical literature?
I knew the answers. Of course the insurance adjuster wasn't a nurse or a doctor. She didn't understand the medical record and she didn't search the medical literature. Trauma is a recognized cause of carpal tunnel syndrome. In 2006, the Mayo Clinic published research in a journal Plastic and Reconstructive Surgery that suggests carpal tunnel syndrome begins with a shearing injury in the wrist. As the injury heals, the body puts down scar tissue that impacts the way the tendons that travel through the wrist works. The median nerve begins to be compressed and blood flow to the nerve is decreased. This process causes the pressure build-up in the carpal tunnel that causes symptoms in the hand and wrist.
There was no educating this adjuster. Once this matter goes into a lawsuit, there will be a new adjuster assigned who may actually do the work to understand my client's injuries.
If you have any questions about carpal tunnel syndrome following a Florida accident, give me a call at (352) 267-9168 or fill out the internet consultation form on the right side of the screen.