Application for accident benefits dismissed; proposed treatments and chronic pain program found not reasonable and necessary.
The applicant sought medical and rehabilitation benefits under the Statutory Accident Benefits Schedule following a motor vehicle accident.
The respondent denied the treatment plans, initially placing the applicant in the Minor Injury Guideline (MIG) before removing him upon discovering a toe fracture.
The Tribunal found that the disputed treatment plans, including laser therapy, a bone growth stimulator, further chiropractic and physiotherapy services, and a chronic pain management program, were not reasonable and necessary.
The Tribunal preferred the respondent's medical evidence, finding that the toe fracture was uncomplicated and that the applicant did not meet the criteria for chronic pain syndrome under the AMA Guides.
The application was dismissed, and claims for an award and interest were denied.
OLATOntario Licence Appeal TribunalOct 8, 2025