2020.2.14 未分類
Q&A on the sequelae of traffic accidents
I Q&A on the sequelae of cervical spine sprain, traumatic neck syndrome, and whiplash.
Note: In the case of "cirrhosis of the right or left upper limb" or "paresthesia of the upper limb (tactile sensation/pain),
Read the section on "neck pain"(pain in the neck).
e.g. 'Neck Pain' → 'Numbness of upper limb'
If the patient continues to have a numbness of right upper limb, is it a sequela?
Question 1: Persistent neck pain after being hit, but is it a sequela?
Question 2: Cervical spine sprains cause neck pain, which is why I request to write a medical certificate for residual disorders. If this is the case, do you recognize a sequela grade 14?
Question 3: I asked the orthopedic department to write a diagnosis for sequelae of cervical spine sprain due to cervical pain, but in what case is the 14 grade allowed?
Question 4: Under what conditions is 14 grade recognized for the neck pain of cervical spine sprain ?
Question 5: The patient has been treated for 5 months for traumatic neck syndrome, but the neck pain does not improve. Is aftereffect recognized?
Question 6: I have been treated for whiplash and a painful neck, but the insurance company told me to fix my symptoms since the treatment would be six months at the end of the month. Is aftereffect recognized?
Question 7: I was collided and got whiplash, but the insurance company told me that they would pay the treatment up to three months due to minor damage to the car. I would like to claim for sequelae. What do you think?
Question 8: I first consulted orthopedic surgery for whiplash neck pain, but since I have a job, I have had a treat with orthopedic surgery several times and I almost get a treatment at the osteopath now. Is aftereffect recognized with several treatments at the osteopath?
Question 9: I had been treated for neck pain, but the insurance company asked for a medical certificate for sequelae disability with fixed symptoms. .I would like to consult a lawyer, but please give me some preliminary knowledge.
Question 10: If I have whiplash, I was told that residual disability would remain. Can I get paid compensation for residual disabilities?
If you have any questions from Question 1 to Question 10 above, check the following questions.
Question 1: The cost of repairing your car (assuming 1200cc to 1500cc of normal car).
① Between 200,000 and more than 300,000 yen.
② Not more than 200,000 yen.
Answer 1: For those who answered ② in Question 1, it may be determined that the external force due to the impact of the rear-end collision has not been applied to the neck enough to cause residual damage,
aftereffect may be excluded.
Question 2: Number of days of visiting orthopaedic or other hospitals since the date of the accident
① It is within 3 days of the accident date.
② More than 4 days have passed since the accident date.
Answer 2: When answering ② in Question 2, the date of initial diagnosis is too late, so cervical sprain is judged to be mild. Residual disabilities may become inappropriate.
Question 3: When answered ① in Question 2,
① The treatment is about 6 months.
② Treatment is still less than 6 months.
Answer 3: If you answer ② in Question 3, please visit a hospital for about 6 months. If all the following questions ; question 1 ①,Question 2①, Question 4①, Question 5①, Question 6①, Question 7① are applied. then, the possibility of 14-class accreditation is great.
Question 4: When answered ① in Question 3,
① The number of days treated in the hospital ranges from 80 to 90 days (however, the case is main treatment only at the hospital).
② The number of days treated in the hospital is 70 days or less.
Answer 4: The patient answered ② in question 4 was judged to have less cervical sprain because the number of days of treatment was small.
Residual disability may become inappropriate.
Question 5: When answered ① in Question 4,
① Neck pain continues to be consistent 6 months after initial presentation.
② The neck pain has been relieved.
Answer 5: In the future, if answered ② in question 5, the symptoms of cervical spine sprain are alleviated.
Residual disability may become inappropriate.
Question 6: When answered ① in Question 5,
① There was no interruption of the treatment over 1 month in the middle of the treatment.
② The work was busy during the course of treatment, so the treatment was interrupted for more than a month.
Answer 5: In the future, if answered ② in question 5, the symptoms of cervical spine sprain are alleviated.
Residual disability may become inappropriate.
Question 7: When answered ① in Question 6,
① Radiographs of the neck and MRI are showing degenerative changes in the cervical spine (age-related changes, disc herniation)
② Radiographs and МRI showed no abnormalities.
③ It was said that there was no abnormality by X-ray, but МRI was not taken.
Answer 7: Those who answered ① in Question 7 "Remaining neurological symptoms in the local area" in Post-Self-Liability Disorder No. 14 Class 9's is likely to be present'.
Answer 8: If you answer ② in Question 7, there should be no abnormalities in the neck on cervical X-ray and MRI. Thus, the cause of neck pain was judged to be "medically unexplained" and the sequelae were not affected. This can be the case.
Answer 9: If you answered ③ in Question 7, take a MRI, and herniate the cervical spine into the cervical spine, degenerative changes, such as a bulge of the intervertebral disc, may be seen.
If degenerative changes are observed in the cervical spine, they may become class 14 certified.