Does the defense doctor claim your client’s pain is going down the “wrong” side?
The defense doctor may be “wrong”!
Let’s say your client has a herinated disc on the left side and your client is complaining of right sided pain. Most defense doctors will claim your client is a fraud.
Point out that studies clearly show that a nerve injury on one side of the nerve (in rats) actually showed contralateral neuroapthic pain (pain in the other side). See
Hatashita, Satoshi, MD et all, Contralateral Neruopathic Pain and Neuropathology in Dorsal Root Ganglion and Spinal Cord Following Hemilateral Nerve Injury in Rats, Spine, volume 33, november 12, page 1344- 1355.
5/20/08.
Then ask the doctor about the anatomy of pain and how hemilateral nerve injuries in rats were found to cause contralateral mechanical allodynia induced by hemilateral spinal nerve which was associated with upregulation of satellite cells and TNFa in the contralateral DRG…additional research suggests that spinal astrocytes also played a part in these changes on the opposite side of the lesion.
Ask the doctor if he knows what TNFa is.
How does the upregulation of satellite cells occur?
How do spinal astrocytes play a part in this?
Dorothy Clay Sims, Esq. ~ Sims, Stakenborg & Henry, PA.
Offices in Ocala, Marion County, Florida and Gainesville, Alachua County, Florida. We provide service to the surrounding areas. Our telephone number is: 352-629-0480. Please visit our website at: www.ocalaw.com