If you have been involved in a serious car accident, it is possible to have a shoulder injury. This can happen with direct impact to the shoulder area - or perhaps while bracing for an impact by gripping the steering wheel very tightly. The rotator cuff or labrum can be injured or torn during such an accident.

If you feel shoulder pain, make sure you discuss it with your doctor as soon as possible. Don't do things that can aggravate the injury or the insurance company will try to blame the injury on a subsequent event.  If you are treating with a chiropractor, make sure they know about the shoulder pain right away so they can refer you to an orthopedist for evaluation. This is not the kind of thing where you want to "wait and see" what happens.  If you don't mention it, the insurance company will likely conclude a future complaint of shoulder pain must be unrelated to the accident.  That goes for any injuries you ignore and/or fail to document. 

Generally speaking, when it comes to shoulder surgery, it is an option of last resort. In some cases, the orthopedist may order an immediate MRI if they suspect a shoulder tear. If they are not sure it is a shoulder tear, they might refer you for physical therapy for traditional conservative treatment. In most cases, physical therapy will last approximately six to eight weeks at which time the orthopedist will re-evaluate you.

After the re-evaluation, if you are making good progress, the orthopedist may order additional shoulder physical therapy. In the meantime, the physical therapist should keep your orthopedist aware of your progress or lack of progress or any other concerns the physical therapist has.  It is important for the physical therapist and orthopedist keep in touch with each other regularly. 

If you are not making progress with the shoulder pain, the doctor may indeed order an MRI to see if you have a tear of any sort. The MRI can be "with" or "without contrast." If the doctor orders the MRI with contrast, that usually involves an injection of a dye into the body. That is a painful procedure but might reveal more than a regular MRI would. Of course, an MRI with contrast is usually more expensive than an MRI without contrast.

If the MRI confirms there is a tear, and the tear is not getting better with conservative treatment, the doctor might recommend pain management. If pain management doesn't work, the doctor might recommend surgery. Make sure you discuss all these options with your doctors after a severe car accident if you are having pronounced and significant shoulder pain.

VIDEO TRANSCRIPT:

Hello everybody, this is Robert Mansour, today talking to you about the notion of negligence. Sometimes clients call my office and they say, "Hey, this other person caused an accident," or this other person did this, that, or the other, "I would like to make a claim." And I say, "Okay, first, we have to decide whether it ... was that person negligent?" Because if they weren't negligent and they didn't do anything wrong, we're going to have a little bit of a hard time going after that person or their insurance carrier.

So, negligence generally has four components to it. Number one is duty. Did the other person have a duty to do X, Y, or Z? So, if I'm driving a car, I have a duty to follow the law, for example. I have to stop at a stoplight. I have to yield to pedestrians. I have to drive at a reasonable speed. That is my duty as a driver. The next thing is breach. So, once we establish that that individual had a duty, we have to ask ourselves did they breach that duty? Did they break that promise to do X, Y, or Z? So, if somebody was driving recklessly or driving too fast, or failed to stop at a stoplight, or blew through a stop sign, we can argue that they breached their duty.

So, we have duty, we have a breach of that duty, or a break if you will, of that promise to do X, Y or Z. The next fundamental component is something called causation. So duty, breach, causation. What is causation? Well, just because somebody has a duty and somebody breaches that duty, doesn't mean that that caused the injury, or caused the accident to occur. So, causation is very important because sometimes it's an intervening cause or something entirely different. Or, the individual had a pre-existing injury that he or she is trying to bootstrap onto the accident. So you gotta be very careful. Just because somebody broke the law and did something wrong, doesn't necessarily mean it caused the harm.

The final component is damages. Let's say somebody has a duty, they breached that duty and it was a cause of the accident. Just because it was a cause of the accident doesn't mean that it was also a cause of the harm, and it also doesn't mean that there was a harm. I got a client call one time, he was involved in an accident and I said, "Okay, well, what happened?" He goes, this, that ... I'm like, "Okay, go on." I said, "Were you hurt?" He said, "No, I wasn't hurt. I'm fine." I said, "Well, then there really is no damage." I mean, there's property damage and the insurance company's fixing his car, but beyond that, he said he's fine. He doesn't have any injuries. So there is no damages to pursue.

So, just because, once again, somebody had a duty, they breached that duty, there was causation, you have to have damages, that last component. Generally speaking, breaking a nail in a car accident or scratching your nail, that's not appreciable injury. Generally speaking, you don't want to pursue a case unless you have a significant or appreciable injury. 'Cause otherwise, a judge or a jury or an insurance company's just going to tell you to go away. People don't like frivolous claims. People don't like folks who try to get away with stuff, who try to make mountains out of molehills.

So, all that being said, just because somebody else did something wrong, doesn't necessarily mean you get to make a claim or that you even have a claim worth pursuing. Duty, breach, causation and damages. Thank you very much for watching this video. I hope you found it helpful. My name is Robert Mansour. Feel free to call my office if you have any additional questions about your accident case. 

VIDEO TRANSCRIPT:

Today I want to speak to you about the importance of how property damage figures into the evaluation of your personal injury case. After practicing law since 1993, it has become painfully obvious to me that the amount of property damage to your vehicle is an important factor in having an insurance company, or a jury, or a judge, believe that you are injured. What the insurance companies and the defense often do, is they say, "Well, there wasn't a lot of property damage to your car, so therefore you couldn't have been injured." Or, "The extent of your injuries isn't as bad as you say because the damage to your vehicle is not that bad."

The truth is, after years in the courtroom and after years of doing this, there is a lot of truth to that. Generally speaking, juries, judges, insurance adjusters want to see an appreciable amount of property damage to your vehicle, or else they're going to give you a hard time. Now, are they right in doing so? Well, some people out there try to make mountains out of molehills and they do try to allege that they were injured in an accident when in fact they weren't. What the problem is, is that if you were indeed injured, if you don't have property damage that matches the degree of your injury, don't be surprised if the insurance company gives you a hard time.

If you barely have a scratch to your car and you're alleging all kinds of injuries and you need surgery and this, that or the other, just be prepared for the argument. So you need to be able to show, even though there's not a lot of property damage, you still might have been injured. You see, there are many studies out there that show that even at lower velocity, impacts, depending on the individual, they can still be injured. Some people might also be inclined to injury. They may have a predisposition to injury. They might have a prior condition that makes them more susceptible to injury. You might be one of those people who's standing at the edge of the cliff and then an impact occurs and pushes you off that cliff, even though the impact itself wasn't horrific and wasn't terribly large. The other thing you can do is you could see if there was any frame damage to the vehicle. Sometimes, frame damage is a way to show that the impact was stronger than it might look on the exterior of the car.

But just keep in mind that the amount of damage to your vehicle will likely be a factor in the insurance company's appraisal of your injuries. The more significant the property damage, the easier it is for them to believe that you were injured. The lower the property damage, the more they're going to give you a hard time. Thank you very much for watching this video. I hope you found it helpful. 

I want to spend a few minutes clearing up a common misconception. Many people seem to think that their car insurance company is going to "take care of everything" after their car accident. That is not what auto insurance companies do. They don't "take care of everything." They only take care of what matters to them. For example, many clients think their car insurance company is going to arrange for health care after an accident. They think the insurance adjuster is going to contact a doctor or give the client a list of doctors to pick from. You can keep waiting by the phone for that to happen, but you will be waiting by the phone forever.

The insurance company's job is not to arrange for doctors to care for you after a car accident. For example, if you have collision coverage on your policy, your insurance company will probably fix your car. If you make a claim of the other party's insurance company, they might also fix your car. Neither one, however, is going to obtain medical care for you.

The problem with this misconception is that many people continue to wait by the phone and, as such, they failed to get any health care after an accident. They keep waiting for the insurance adjuster to call them. I'm not sure where this misconception came from, but that's not what auto insurance companies do.

Even if you were seriously injured, they are not going to arrange for your health care. All they might do is perhaps fix your car and maybe pay some medical bills you present to them. Remember, the insurance company's job is to protect the insurance company, and not to protect you as many of the commercials seem to imply. That's not to say that insurance adjusters are heartless people or that insurance companies don't care about their customers. Most adjusters (notice I said "most") certainly do have hearts and certainly do care. But they are only going to do what the insurance contract calls for. They are not your health care providers or general caretakers after an accident.  Obtaining prompt and proactive medical care after your car wreck is your job - not theirs.  Don't make that mistake.

Most insurance companies will rent you car after an accident.  All you have to do is go to the car rental counter with a claim number in hand, and it's generally taken care of.   However, some smaller insurance companies who don't have relationships with the big car rental companies will tell you to rent your own car and they will "reimburse" you. This is not entirely true.  They will reimburse you, but they don’t give you the "fine print."  They will pay what THEY believe is reasonable.

If you rent a car for more than $25 a day or $30 a day, you may run into resistance when trying to get said reimbursement. The problem is that most rental car places won’t provide you with a comparable car for that daily rate. What the insurance company is willing to pay on a daily basis and what the real world charges are often two separate things. Therefore, if insurance company tells you they will "reimburse" you, DON'T believe them!  You must find out how much they are willing to spend. Don’t go rent a car for $50 a day only to find out the insurance company is only willing to pay you $25 a day. They don’t tell you this information up front for reasons unknown to me.  Once they tell you how much they are willing to pay per day, get it in writing or send them a confirmation yourself.

This is true if you rent a vehicle on your own policy as well. You may find you have a daily rate as well as a cap on the number of days you are allowed to rent a vehicle. In most cases, your own insurance company will pay about $25-$30 a day for up to 30 days. This is contractual between you and your insurance company.

With respect to another person’s insurance company, have the insurance company rent you a car directly whenever possible. Don't pay then have them "reimburse" you.  In some cases, that may be your only option with some of the smaller players. Do not fall into the trap of renting a car on your own and then seeking reimbursement.

If you’ve been involved in a serious car accident, it is entirely possible that you may have scarring from the accident. Sometimes, the scarring is from a major laceration to the skin. Sometimes, the scarring is caused by abrasions, and in some cases, by the airbags deploying and burning the skin.

If you have scarring from an auto accident, you should seek medical attention as soon as possible. Also, make sure you take photos of your scar(s) from many different angles and in many different lighting situations. Sometimes, photos do not do justice to the scar and you should do your best to make sure your photos really convey just how pronounced the scarring is. Remember to take photos of your scarring every week to document the healing process (or in some cases the "lack" of healing).  If you are unable to take photos, ask a friend or family member to do so.  Take close up shots as well as shots from further away.  Shots that are taken too closely may not fairly portray the extent of your scarring.  Simply put, your job is to convey the extent of the scarring - not just that you have scarring.

Remember, the insurance company's job from the very beginning is to minimize your claim. If you tell them about scarring, they might assume you simply have a minor "scratch." You need to preserve the evidence and show them just how bad the scarring is. Also, the location of the scar is very important. If the the scar is on a highly visible part of your body like your face, that may affect the evaluation of your claim. Don’t assume that scarring is just is something benign.  Don't feel embarrassed to raise the issue.  When it comes to personal injury claims, you want to receive compensation for ALL injuries - not just a choice few. You should make it part of your overall claim.

If you have residual scarring, that may affect your case as well. If the scar doesn't completely heal after a few months, you might consider asking a plastic surgeon for an a valuation. The surgeon can tell you whether or not this is a permanent scar and how you could either repair the scar or minimize its appearance. In some cases, there may be nothing you can do about it. However, it might be good to get an evaluation nevertheless because the insurance adjuster may try to marginalize your claim of scarring.  The extent of your residual scarring may affect the value of your case as well.

In short, do not ignore your scarring injuries after an accident. Scarring is an injury to you just like anything else.  In some cases of permanent scarring, it can be a lifelong reminder of your car accident.

If you’ve had a serious injury from a car accident, then you might be experiencing some nerve pain. If traditional physical therapy and other treatments don’t help, you might need to entertain epidural steroid injections to minimize the pain. Another option is a joint block which involves the injection of a local anesthetic and steroid where your pelvis and spine meet. You have to work closely with a pain management specialist to assist you with these treatments.

Epidural steroid injections decrease inflammation which often helps relieve the pain. It is commonly performed in a doctor's office with a local anesthetic. However, in some cases, you may need to go to a surgical facility with conscious sedation (or in some cases go completely under). The injection helps decrease inflammation and swelling of the spine so the nerves aren't as affected. This reduction of inflammation is caused by injecting a steroid into the epidural space where the pain is located. The pain relief can last from a few days to a few months. If it doesn’t work the first time, your pain management doctor might recommend a second or third round of injections.

Joint blocks helps relieve sciatic pain. It involves an injection of a local anesthetic to the sacroiliac joint. It can take 3 to 5 days to fully take effect. Ultimately, these types of treatments may provide an accident victim who has tried all other conservative treatments several months of relief. However, in some cases where the pain keeps recurring, a doctor may discuss the option of surgery (which is almost always the option of last resort). Every patient is different and so you should work closely with your pain management doctor and other healthcare professionals.

If you've been involved in a serious accident and need assistance or guidance, please call our office at (661) 414-7100 to see if we can help you.

When it comes to personal injury cases, you generally have to prove two things.  First, you must show that someone was negligent.  That doesn't simply mean that an accident happened.  Accidents happen all the time, and sometimes, it's no one's fault in particular.  Basically, you have to show that someone did something wrong - like blowing through a red light or turning left in front of oncoming traffic.  Once you have established fault, then you have to prove that you were injured as a result of that person's negligence.  Therefore, just because someone was negligent doesn't mean you have a claim.  You must also be injured.  Generally speaking, your injury must be appreciable or the insurance company adjuster isn't going to offer you very much. 

There is basically a continuum of injuries that can be broken down into several categories:

1) Basic soft tissue injuries (sprain/strain) that heal over time.
2) Soft tissue injuries that don't completely heal, leaving some measure of residual injury.
3) Very painful injuries that don't require surgery but aren't helped much by physical therapy and/or medication.  In some cases, pain management injections are necessary.
4) Bad injuries that don't resolve over time and surgery is recommended - but the injured party chooses to live with the pain and manage it versus having the surgery.
5) Bad injuries where the injured party actually had surgery and healed properly.
6) Bad injuries where the injured party had surgery but will still have residual issues.

So if you are injured, how can you prove it?

1) Take photos of visible injuries.  Telling the insurance company about your bruising, cuts, scrapes is good, but showing them the injuries is even better.  Also, take photos over time, showing the progress (or lack of progress) of the injury healing.

2) Soft tissue cases (sprain/strain) are very hard to prove because there is nothing to show.  You can't point to an image on an xray or other imaging tool.  You can't say, "See, there's my injury!"  Therefore, your behavior becomes very important.  If you are claiming a shoulder injury, don't post videos of yourself doing push-ups on the internet!  How the accident affects your daily life activities is the best way to "demonstrate" your injuries to others.  The severity of the impact will help others understand your injuries.  If there isn't much damage to your car, the insurance company (and most juries) won't give you much for such claims.  On the flip side, if your car has moderate to severe damage, others will more easily believe your claim of injury.  

3) If you have a tear, disc bulge, or other serious injury from the accident, you will definitely need an MRI or CT scan to prove the injury.  Negative findings will be used against you.  Positive findings will be viewed with suspicion by insurance adjusters, especially if (a) you are older than 40 years of age, (b) if you have a previous accident, or (c) previous health issues.  Folks over 40 years of age often have orthopedic issues simply due to the aging process.  Having disc bulges in your neck or back is something common, even for people who have not been in an accident.  If you are relatively young, most people won't expect such serious issues.  Therefore, if you are 21 years old and have a serious disc bulge in your neck, that would certainly be unusual.

​4) Also, if you have significant image findings and/or significant injuries, your past medical records will definitely come into play.  The insurance company will want to see your past records to see if there are any similar complaints in your past.  I hate to say this but many people try to "pull a fast one" on the insurance companies by claiming injury to body parts when, in fact, they had the same issues before the accident.  If you are interested in committing insurance fraud, please DON'T call my office! (Disclaimer: I am NOT encouraging insurance fraud!) By the same token, if your past medical history is devoid of similar complaints, that will play in your favor.  Also, if your complaints surfaced immediately after the accident, that is helpful to show proof of injury.  If the police report and/or ER records show complaints, that is helpful to your case.  In contrast, complaints that surfaces weeks or months after an accident are very difficult to connect to the accident and are often viewed with suspicion.

Proving injuries in a personal injury case is a tricky affair.  You have to use objective proof, documentation, photos, circumstantial evidence, corroborating evidence, etc.  A helpful personal injury lawyer can guide you and help you understand how to prove your injuries. 

VIDEO TRANSCRIPT:
Hello, everyone. This is Robert Mansour. I wanted to make a brief video today about general damages. You see, if you've been involved in a serious automobile accident, a serious car accident, and you are injured and you want to bring a claim, there are two components to your case. The first component is what's called special damages or the economic damages. Those are damages that can be easily measured such as medial bills, lost wages from your work, the damage to your car, things that are quantifiable generally, that there's some kind of estimate or a receipt or some kind of a bill.

Then, there's something called your general damages. Your general damages are generally your pain and suffering. It's a much more subjective analysis. You might think your pain and suffering is way up here, but the insurance company thinks your pain and suffering is way down here.

How do you convey general damages? Well, the best way to do it is to keep a journal of how the accident is affecting you. Anytime you have a particularly rough day, write it down. Write down what happened, what challenges you've had, who might be able to corroborate that. For example, let's say you had a really bad day at work. There was so much pain, and you have to keep getting up and taking breaks, walking around the office so that your back doesn't hurt you so much. Maybe you had a colleague take you home early several times because you were in so much pain.

Those are the kinds of things that you need to write down and journal. It doesn't have to be everyday. It could be every few days, or if you have a particularly rough day. Say for example you had to cancel a family vacation, or you had stay off of work for a long period of time. Let's say for example you couldn't go out with friends because you were in so much pain, or you canceled a big family birthday. A whole bunch of things you can write down and keep track of, because here's the thing: The insurance adjuster who is evaluating the case is not going to know about those things unless you tell him or her, unless you convey it to them. The other thing I like to do is near the end of the case when I'm about to present your case to the insurance company is I like to prepare declarations for you to sign, for your family to sign, for friends to sign, people who observed how the accident affected your life.

If you've been involved in a serious Santa Clarita car accident and need an attorney's advice, give our office a call to see if we can assist you. 

VIDEO TRANSCRIPT:

Hello, everybody. This is Robert Mansour, and I wanted to make a brief video today to present you with a timeline of how a typical personal injury case works.

The first thing that happens of course is the accident. Without an accident, you don't have a personal injury case. The next thing is you have to be injured. You could get into an accident, but you walk out and you're just fine. Then you're not going to have a personal injury case. Let's assume that you're injured.

The next thing we have to figure out is, okay, the police might come investigate the accident, you might have to get a police report. You may not get that right away. You might have to order it a few days later, or sometimes a few weeks later. Your insurance company also might help you get that police report.

You also might need medical care right away. Don't forget, that's the most important thing. You might go to the hospital, you might take an ambulance, you might go to urgent care, and you might get some medical care.

Then at some point you might say, "You know what...I should run this by a lawyer to see what my options are." You might visit with that attorney. If the attorney is a conscientious, good lawyer, they're going to tell you all of your options. You might decide, "Well, I don't really want to bring a personal injury case; it's really not in my best interest," or, "I have a very remote chance of prevailing and I really don't want to do it." Perhaps you're just very busy and you don't even want to take the time. That's a very valid concern.

The lawyer might tell you, "Listen, I think you have a good case and you might want to proceed with it," in which case you should continue going through with all of your medical care as your doctors direct you. In some cases, you may go through your own health care channels. In other cases, you might work with doctors who do personal injury cases.

In any event, there's going to come a point during your treatment when you just basically plateau. There's nothing more that the doctor can do. Either you have reached pre-accident status, or you have plateaued and you're 20% off of what you used to be or 30%. Who knows what the case may be? If you have a really bad injury, maybe there's surgery recommended or maybe you actually have surgery, but at some point, there's not much more that can be done. That's when your attorney's going to start to collect all of your medical records from all of your providers, analyze them, present the case to the insurance company, see if we need to get any declarations from friends or family to discuss how the accident affected you.  Because remember your case has two components: the economic damages and then the non-economic damages, which are sometimes known as pain and suffering.

Then the insurance company will make an offer to us, and we discuss it, and we decide whether that's a good offer, a bad offer, or whether we should file a lawsuit. If we're going to file a lawsuit, we should sit down and talk about the pros and cons of doing so. Because sometimes you might recover more during a lawsuit, but by the time you finish paying all the costs involved, you're basically right where you were before you ever filed the lawsuit.

That's kind of a macro view of how these accident cases work. My website has a lot more information. You're more than welcome to click around or use the search box at the very top of the screen to find more information. Again, my name is Robert Mansour. Thank you for watching this video. I hope you found it helpful.

Call (661) 414-7100 to see if we can assist you with your accident case.