Assisting Clients Across California Since 1993

The doctor says you’ve fully recovered, but you’re still in pain

Nobody knows you better than you know yourself. After all, it’s your body and you know when you feel well or ill. 

Therefore, it is frustrating when a doctor says that you are fully recovered from your workplace injury, but you’re still experiencing excruciating pain.

How does workers’ comp work?

Workers’ comp is a type of insurance your employer must carry. It provides certain benefits, such as coverage for medical bills and compensation for lost wages, to employees with workplace injuries or illnesses.

You need to report your injury or illness to your employer as soon as possible. They, or the insurance carrier, will provide you with forms to fill out. Your employer will likely schedule an appointment with a doctor in the Medical Provider Network (MPN), or they may provide you with an approved list to plan your own visit. 

Upon examination, the doctor will determine if you can return to work at full capacity or in a temporary modified duty position. The healthcare provider may also decide you need to be off from work for a few days for recovery, along with pain medication and physical therapy. You must follow all medical advice. You will need to attend follow-up appointments with the provider so they can check on the progress of your recovery.

After a few weeks, the doctor may determine that you’ve recovered enough to return to work. But what if you disagree?

First, it’s important to trust your body. Just because a problem isn’t showing up on a scan doesn’t mean it’s not there. You can also request a second opinion with another doctor in the MPN. If there continues to be a dispute after a second and third opinion, the insurance carrier or you can request an independent medical review (IMR). 

You may need the help of someone who understands the workers’ comp process. They can advocate for you and help ensure you receive the medical treatment and compensation you are entitled to.