Chronic pain management treatment plan approved; physiotherapy plans denied as applicant reached maximal medical recovery.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits for a multi-disciplinary chronic pain management treatment plan and two physiotherapy treatment plans.
The adjudicator found the chronic pain management treatment plan to be reasonable and necessary, relying on the applicant's orthopaedic expert who established a direct causal relationship between the accident and the applicant's severe chronic pain.
However, the adjudicator dismissed the claims for the physiotherapy treatment plans, noting that the applicant had reached maximal medical recovery from a musculoskeletal perspective and that the chronic pain program already included multiple body sites therapy.
The applicant was awarded interest on the overdue chronic pain benefit.
OLATOntario Licence Appeal TribunalMar 20, 2020
