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Tribunal awards medical benefits for physiotherapy and psychological services to address chronic pain from accident.
The applicant sought various medical and rehabilitation benefits following a 2017 motor vehicle accident, having previously been found to suffer from chronic pain and psychological impairments.
The Licence Appeal Tribunal considered whether several treatment plans for physiotherapy, physical rehabilitation, psychological services, and assistive devices were reasonable and necessary under the Statutory Accident Benefits Schedule.
The Tribunal found that further facility-based treatment, including physiotherapy, physical rehabilitation, acupuncture, and a back support, were reasonable and necessary to address the applicant's chronic pain and functionality.
The Tribunal also approved the treatment plan for psychological services, finding a causal link between the applicant's chronic pain and psychological symptoms.
Claims for an orthopaedic mattress, an elbow brace, and an award for unreasonable delay were dismissed.
Application for statutory accident benefits dismissed due to inconsistent self-reporting and lack of objective medical evidence.
The applicant, an elderly pedestrian who was struck by a motor vehicle in a parking lot, applied for statutory accident benefits including non-earner benefits, attendant care benefits, and medical/rehabilitation benefits.
The adjudicator dismissed the application in its entirety.
The adjudicator found that the applicant failed to prove she suffered a complete inability to carry on a normal life, noting inconsistencies in her self-reporting and relying on insurer's examinations that found no objective impairment preventing her pre-accident activities.
Claims for attendant care and medical benefits were similarly dismissed due to a lack of persuasive medical evidence and inconsistencies in the applicant's submitted treatment plans.
No linked lawyers found.
No linked judges found.