Physiotherapy treatment plan approved; pain relief found to be a legitimate treatment goal.
The applicant, who was catastrophically impaired following a motor vehicle accident, sought payment for a $7,121.93 physiotherapy and massage treatment plan.
The insurer denied the plan, arguing the applicant had developed an inappropriate dependency on the treatment and that it would not promote recovery.
The Tribunal applied the Violi factors and found the treatment plan reasonable and necessary.
The adjudicator held that pain relief is a legitimate treatment goal and preferred the evidence of the applicant's treating practitioners over the insurer's assessors, noting the applicant's complex physical and psychological impairments.
The insurer was ordered to pay for the treatment plan with interest.
OLATOntario Licence Appeal TribunalApr 16, 2020
