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Understanding and Managing the Increase in Chronic Claims and ...

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−8−The differ<strong>in</strong>g perspectives presented by <strong>the</strong> various experts at <strong>the</strong> conference substantiated <strong>the</strong> viewof many of <strong>the</strong> experts that <strong>Chronic</strong> Pa<strong>in</strong> <strong>and</strong> Fibromyalgia are complex <strong>and</strong> controversial areas.Many of <strong>the</strong> experts also stated that while <strong>the</strong>re cont<strong>in</strong>ue to be those <strong>in</strong>dividuals who rema<strong>in</strong>skeptical of <strong>the</strong> existence of <strong>the</strong>se conditions, <strong>the</strong>re are a number of specialities that have begun torecognize <strong>the</strong>se conditions <strong>and</strong> are attempt<strong>in</strong>g to develop strategies to measure <strong>and</strong> assess <strong>the</strong>conditions <strong>and</strong> <strong>the</strong>ir effect on a sufferer’s function<strong>in</strong>g <strong>in</strong> <strong>the</strong> work environment <strong>and</strong> <strong>in</strong> daily life.As well, many of <strong>the</strong> experts noted that because of <strong>the</strong> multiplicity of factors, both physiological <strong>and</strong>emotional, associated with <strong>the</strong>se conditions, an multi-discipl<strong>in</strong>ary approach is called for.6. Implications for LitigationThe grow<strong>in</strong>g recognition of <strong>the</strong>se conditions <strong>in</strong> <strong>the</strong> medical community <strong>and</strong> <strong>the</strong> multi-discipl<strong>in</strong>aryapproach advocated has implications <strong>in</strong> <strong>the</strong> legal realm.In general, <strong>Chronic</strong> Pa<strong>in</strong>, Fibromyalgia <strong>and</strong> <strong>Chronic</strong> Fatigue Syndrome cases, whe<strong>the</strong>r <strong>in</strong> <strong>the</strong> contextof a tort action, accident benefits claim or long-term disability action, are difficult cases <strong>and</strong> presentunique challenges. This is not only because of <strong>the</strong> complexities of <strong>the</strong>se medical conditions butbecause of <strong>the</strong> need to expla<strong>in</strong> how a seem<strong>in</strong>gly <strong>in</strong>nocuous <strong>in</strong>jury can result <strong>in</strong> a Pla<strong>in</strong>tiff becom<strong>in</strong>gvocationally <strong>and</strong>/or functionally disabled.As <strong>in</strong> any personal <strong>in</strong>jury action, <strong>in</strong> <strong>Chronic</strong> Pa<strong>in</strong>, Fibromyalgia <strong>and</strong> <strong>Chronic</strong> Fatigue Syndromecases, it is necessary to marshall <strong>the</strong> appropriate expert evidence <strong>in</strong> order to provide <strong>the</strong> trier of factwith a medical framework <strong>and</strong> a greater underst<strong>and</strong><strong>in</strong>g of <strong>the</strong> Pla<strong>in</strong>tiff’s medical condition <strong>and</strong> howthat condition affects <strong>the</strong> Pla<strong>in</strong>tiff’s life.

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