Posted on Friday, May 7th, 2021 at 12:12 pm
This is the second part of our discussion on the use of pain scale tests in North Carolina and Virginia workers’ compensation cases. As a reminder, pain scales are a way that doctors and others interested in your workers’ compensation case try to measure your pain. The results of pain scales test can affect your right to continued treatment and other work injury rights, such as pain management treatment.
Pain scale tests are “self-reporting.” This means they’re easy to administer and are generally clerical in nature. Most patients just use a pen or marker and respond to questions on a written sheet of paper. The scales can confirm a worker’s injuries. The scales can also help show if a worker isn’t credible.
The results may be compared to objective tests. The results may also be compared to prior pain scale tests which means workers need to be extra-careful to given honest answers. The doctors and your employer will look for inconsistent answers.
We discussed many of the pain scale tests in part one of this discussion. Here are a few more common pain scale tests.
According to Pain Scale, the McGill Pain Questionnaire (MPQ):
Another common pain scale test is the Pain, Enjoyment and General Activity Scale (PEG). Pain scales are used to help assess the severity of your pain, whether treatments are working, and what types of other treatments may be needed. Pain scales such as the PEG scale are sometimes used to help determine whether you have a permanent impairment and/or whether and how your pain should be categorized according to American Medical Association guidelines.
There are three pain-related questions:
The test is graded by finding the average – adding up the three numbers and then dividing by three.
The PEG test can be answered in your doctor’s office. The test can also be answered on the phone or at your home. The test can be used at different intervals in your recovery. It can also be used for different types of pain. For example, it can be used to determine how well your physical therapy is going. The PEG test can also be used to help your doctor understand how well any prescribed medications are working.
If the numbers aren’t improving, that suggests the rehabilitation isn’t working. So be careful, the employer will look to see if your physical therapy is helping. If therapy isn’t helping, the employer (or the insurance carrier for the employer) may seek to terminate the therapy.
The pain scores should improve after you take the medication and stay stable as you continue to take the prescribed medications.
North Carolina and Virginia workers’ compensation lawyer Joe Miller has been fighting for injured workers for more than 30 years. He works to verify your medical injuries. He fights to ensure the employer doesn’t terminate your right to medical treatment or work loss benefits before you’re healthy enough to return to work. To speak with an experienced workers’ compensation lawyer, call lawyer Joe Miller, Esq., at 888-667-8295 or fill out my online contact form to schedule an appointment.
Employees in North Carolina and Virginia can also now fill out our New Electronic Case Review. The link is a new way of communicating with clients that we’re offering – to allow workers to contact us remotely during the pandemic.