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Williams Industries Inc. v. Wagoner2/11/1997
d his back injury. The most competent medical evidence supporting the commission's Conclusion includes the February 13, 1995 note from Dr. Mathews, which reported that claimant "has had bilateral hip, and coring by Dr. Jiranek and certainly his hips have been made worse by the lumbar spine surgery and the protection that he has had to do for his back and also the stairs and steps which have been part of his job requirements." (Emphasis added.) On March 8 and March 15, 1995, Dr. Mathews again commented on the interrelationship between claimant's back and hip pain, stating that claimant's ongoing spine condition "has certainly caused wear and tear in his hips which has propagated an ongoing condition of ." Lastly, Dr. Bigoney opined that claimant's AVN "clearly appears to be related to the previous back injury." This evidence supports the commission's finding that claimant's increasingly debilitating AVN was a natural consequence that flowed from and was a direct result of his back injury. Accordingly, claimant met his burden of proving that his AVN was a compensable consequence of his back injury.
Finally, we agree with the commission's determination that employer should pay all costs related to claimant's treatment for his AVN. The commission stated:
" ecause the must be treated to reduce the symptomatology and its effects on the direct work injury , such treatment is effectively treatment of the direct work injury, and the employer must be responsible for the costs of such treatment on these grounds also. . . . t is clear that the claimant's is both aggravated by and aggravates the claimant's work injury, so the employer is liable for that condition also, even if it was idiopathic in etiology."
The commission did not err, therefore, in holding the employer responsible for all the expenses.
For these reasons, we affirm the commission's decision.
Affirmed.
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