Megan Vaniman

Managing Chiropractic Care in Oregon

Vaniman-Megan_160-x-222 By: Megan Vaniman Chiropractic care is often frequent and long-lasting. Oregon Workers’ Compensation laws limit the time a chiropractic doctor can act as an attending physician. ORS 656.005(12)(b)(B)(i). However, a claimant can continue to receive chiropractic care if an otherwise authorized attending physician continues to prescribe it. Once the new attending physician prescribes the treatment, the chiropractic doctor becomes an ancillary care provider. The chiropractic doctor can continue to treat under a treatment plan authorized by the attending physician. This, of course means, chiropractic care can continue for some time. Several studies have concluded there is little to no evidence of the effectiveness of chiropractic treatment for acute or chronic low back pain.[1] While… Continue reading

Brown v. SAIF: End of the Combined Condition?

Vaniman-Megan_160-x-222A recent Court of Appeals decision changes the test for closing an accepted combined condition claim. What does Brown v. SAIF mean for employers and insurers? In Brown v. SAIF, SAIF initially accepted a lumbar strain and was later ordered to accept a lumbar strain combined with lumbar disc disease and spondylolisthesis. A closing exam demonstrated the accepted condition was no longer the major contributing cause of the need for treatment or disability of the combined condition. SAIF then issued a current combined condition denial which claimant appealed. The ALJ and Board upheld the denial. The Court of Appeals reversed finding the proper inquiry was whether the compensable injury, not the accepted condition, was no longer… Continue reading