United States Department of Labor 

Employees’ Compensation Appeals Board 

__________________________________________ 

J.M., Appellant 

and 

U.S. POTAL SERVICE, POST OFFICE, 

Corpus Christi, TX, Employer 

__________________________________________ 

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Docket No. 14-1374 

Issued: November 13, 2014 

Appearances: Case Submitted on the Record

Douglas Sughrue, Esq., for the appellant

Office of Solicitor, for the Director 

DECISION AND ORDER 

Before: 

COLLEEN DUFFY KIKO, Judge 

PATRICIA HOWARD FITZGERALD, Judge 

MICHAEL E. GROOM, Alternate Judge 

JURISDICTION 

On May 29, 2014 appellant, through his attorney, filed a timely appeal from a 

December 4, 2013 decision of the Office of Workers’ Compensation Programs (OWCP) denying 

his claim for a recurrence of disability commencing October 10, 2008. Pursuant to 20 C.F.R. 

§§ 501.2(c) and 501.3, the Board has jurisdiction over the merits of the case. 

ISSUE 

The issue is whether appellant has established a recurrence of disability commencing 

October 10, 2008 causally related to accepted right elbow and shoulder conditions. 

On appeal, counsel asserts that under Board precedent, clinical judgment combines both 

art and science1 that medical conclusions need only be sound and rational2 and that appellant was 

not required to demonstrate that work factors were the sole or primary cause of the claimed 

 1 T.T., Docket No. 08-30 (issued April 8, 2008). 

2 Robert P. Bourgeois, 45 ECAB 745 (1994). 
2

recurrence of disability.3

 He contends that the reports of Dr. Melissa Y. Macias, an attending 

neurosurgeon, were sufficient to demonstrate that appellant sustained a recurrence of disability 

beginning on October 10, 2008 causally related to a right elbow contusion and calcific tendinitis 

of the right shoulder sustained in a May 5, 2008 motor vehicle collision. 

FACTUAL HISTORY 

This case has previously been before the Board. By order issued May 13, 2013 under 

File No. xxxxxx098,4

 the Board remanded the case to OWCP to double File No. xxxxxx613, 

with the current file. The facts of the case as set forth in the Board’s prior order are hereby 

incorporated by reference. The relevant history is set forth. 

OWCP accepted that on May 5, 2008 appellant, then a 52-year-old maintenance 

mechanic, sustained a right elbow contusion and calcific tendinitis of the right shoulder when he 

struck his arm on a steering wheel during a front end collision that occurred in the performance 

of duty. Dr. Guy Racette, an attending Board-certified family practitioner, diagnosed a right 

elbow contusion due to the May 5, 2008 collision. X-rays were negative for fracture. 

Dr. Racette released appellant to full duty as of May 5, 2008. In a May 16, 2008 follow-up 

report, he diagnosed right lateral epicondylitis caused by the May 5, 2008 contusion. Dr. Racette 

released appellant to full duty. He found that appellant attained maximum medical improvement 

as of June 4, 2008. 

On January 26, 2010 under File No. xxxxxx613, appellant claimed a recurrence of 

disability (Form CA-2a) commencing October 10, 2008, when he began to experience numbness 

in both hands, with severe left upper arm pain beginning in January 2010. Imaging studies in 

August 2009 showed “damage to spine not present in x-rays taken on February 1, 2008 -- four 

months before accident.” Appellant missed work on January 22, 2010 due to his symptoms but 

did not otherwise stop work. He submitted additional medical evidence. 

In a February 5, 2008 report, Dr. Joshua T. Woody, an attending Board-certified 

orthopedic surgeon, noted that appellant had been involved in a motor vehicle accident while in 

military service. He opined that appellant had a normal cervical and thoracolumbar spine based 

on clinical findings and x-rays. 

In a July 9, 2009 report, Dr. Juan E. Bahamon, an attending Board-certified neurologist, 

found diminished pinprick sensation in a stocking-glove distribution in all extremities, confirmed 

by nerve conduction velocity testing of the lower extremities. He diagnosed systemic peripheral 

neuropathy of unknown etiology. Dr. Bahamon noted in an August 3, 2009 report that 

laboratory testing revealed a mild decrease in hemoglobin but no other abnormalities. In an 

August 25, 2009 report, he diagnosed bilateral carpal tunnel syndrome demonstrated by 

August 3, 2009 electrodiagnostic studies. An August 4, 2009 magnetic resonance imaging scan 

revealed mild discogenic disease at C6-7 with a left-sided disc bulge and left-sided 

 3 Beth P. Chaput, 37 ECAB 158 (1985). 

4

 Docket No. 13-09 (issued May 13, 2013). 
3

neuroforaminal narrowing. Dr. Bahamon opined that appellant’s upper extremity paresthesias 

were caused by a combination of C6-7 disc disease and carpal tunnel syndrome. 

On March 5, 2010 OWCP noted that it would develop appellant’s claim for a recurrence 

of disability as a new occupational disease claim. It assigned the new claim File No. xxxxxx098. 

In a March 29, 2010 letter, OWCP advised appellant of the additional evidence needed to 

establish his claim, including a factual statement regarding the circumstances of the recurrence 

and medical evidence addressing the causal relationship between the accepted May 5, 2008 

injury and his condition on and after October 10, 2008. Appellant was afforded 30 days in which 

to submit such evidence. 

In response, appellant submitted an April 21, 2010 statement asserting that the 

May 5, 2008 motor vehicle collision aggravated a preexisting cervical spine condition, causing 

radiculopathy into the left arm beginning in October 2009. 

By decision dated April 29, 2010, OWCP denied appellant’s claim for a bilateral upper 

extremity condition on the grounds that causal relationship was not established.5

 

In a June 20, 2012 letter and brief, counsel requested reconsideration. He asserted that 

new medical reports from Dr. Macias were sufficient to establish appellant’s claim of a new 

occupational injury. 

In a July 30, 2010 report, Dr. Macias opined that appellant’s peripheral neuropathy in all 

extremities, as well as the damage repaired by surgery on May 27, 2008, was consistent with 

damage caused by the May 5, 2008 motor vehicle accident. In an August 7, 2011 letter, she 

noted performing an anterior cervical decompression and fusion on May 27, 2010, which 

resolved his neck and upper extremity pain. Regarding causal relationship, Dr. Macias opined 

that, while “an underlying condition may have been present, [appellant] clearly states that he 

developed pain and progression of the above symptoms six months after involvement in the 

motor vehicle collision.” Although she could not state with certainty that the motor vehicle 

collision caused his cervical pathology in its entirety, the trauma may have aggravated an 

underlying degenerative condition leading to an exacerbation of neck pain and discomfort for 

which he sought treatment. 

By decision dated June 25, 2012, OWCP found that Dr. Macias’ opinion was insufficient 

to meet appellant’s burden of proof to establish a new occupational condition. 

Counsel filed an appeal with the Board, resulting in the issuance of the May 13, 2013 

order remanding the case to double File No. xxxxxx098 with File No. xxxxxx613 and issuance 

of a de novo decision regarding the claimed recurrence of disability. 

In an October 1, 2013 letter, OWCP advised appellant of the evidence needed to establish 

his claim for recurrence of disability, including a factual statement regarding the circumstances 

of the recurrence and medical evidence addressing the causal relationship between the accepted 

 5

 On May 26, 2010 counsel requested an oral hearing. He withdrew the request on August 16, 2010 to pursue 

reconsideration. 
4

right elbow and shoulder injuries and his condition on or after October 10, 2008. Appellant was 

afforded 30 days in which to submit such evidence. 

In an October 30, 2013 letter, counsel contended that, based on the Board’s May 13, 2013 

order, appellant “should not have to provide any new factual or medical evidence.” 

By decision dated December 4, 2013, OWCP denied appellant’s claim for a recurrence of 

disability finding that causal relationship was not established as Dr. Macias did not provide 

adequate medical reasoning supporting that the accepted right elbow and shoulder conditions 

disabled appellant for work commencing October 10, 2008. It further found that Dr. Macias did 

not explain how appellant’s cervical spine condition or upper extremity paresthesias were related 

to the accepted right elbow contusion or right shoulder tendinitis due to the May 5, 2008 motor 

vehicle accident. 

LEGAL PRECEDENT 

OWCP implementing regulations define a recurrence of disability as “an inability to work 

after an employee has returned to work, caused by a spontaneous change in a medical condition 

which has resulted from a previous injury or illness without an intervening injury or new 

exposure to the work environment that caused the illness.”6

 When an appellant claims a 

recurrence of disability due to an accepted employment-related injury, he or she has the burden of 

establishing by the weight of reliable, probative and substantial evidence that the recurrence of 

disability is causally related to the original injury. This burden includes the necessity of furnishing 

evidence from a qualified physician, who on the basis of a complete and accurate factual and 

medical history, concludes that the condition is causally related to the employment injury. 

Moreover, sound medical reasoning must support the physician’s conclusion.7 An award of 

compensation may not be based on surmise, conjecture or speculation or on appellant’s 

unsupported belief of causal relation.8

ANALYSIS 

OWCP accepted that appellant sustained a right elbow contusion and calcific tendinitis of 

the right shoulder in a May 5, 2008 motor vehicle collision. Dr. Racette, an attending Boardcertified family practitioner, released appellant to full duty as of the date of the accident. He 

opined that appellant had reached maximum medical improvement as of June 4, 2008. On 

January 26, 2010 appellant claimed a recurrence of disability commencing October 10, 2008, 

asserting that the May 5, 2008 accident had aggravated his preexisting cervical spine condition 

and upper extremity paresthesias. OWCP developed his recurrence claim as a new occupational 

disease claim. It denied the occupational disease claim on April 29, 2010, affirmed on 

June 25, 2012. Pursuant to the prior appeal, the Board remanded the claim to OWCP to 

 6

 20 C.F.R. § 10.5(x); Federal (FECA) Procedure Manual, Part 2 -- Claims, Recurrences, Chapter 

2.1500.3.b(a)(1) (May 1997). See also Philip L. Barnes, 55 ECAB 426 (2004). 

7 Ricky S. Storms, 52 ECAB 349 (2001). 

8 Alfredo Rodriguez, 47 ECAB 437 (1996). 
5

adjudicate the recurrence issue. The December 4, 2013 OWCP’s decision denied appellant’s 

claim for recurrence of disability. 

 Appellant has the burden of providing sufficient evidence, including rationalized medical 

evidence, to establish the causal relationship asserted between the accepted right elbow 

contusion and right shoulder tendinitis and her condition on and after October 10, 2008.9

 She 

submitted reports from several attending physicians. The opinions of Dr. Racette and 

Dr. Woody, a Board-certified orthopedic surgeon, and Dr. Bahamon, a Board-certified 

neurologist, do not sufficiently address appellant’s disability on or after October 10, 2008 and are 

of diminished probative value. 

Appellant also submitted reports from Dr. Macias, an attending neurosurgeon, who 

performed an anterior cervical discectomy and fusion on May 27, 2010. Dr. Macias opined on 

July 30, 2010 that the May 5, 2008 motor vehicle accident could have caused peripheral 

neuropathy and unspecified pathologies of the cervical spine. On August 7, 2011 she noted that 

the May 5, 2008 accident “may have aggravated an underlying degenerative condition leading to 

an exacerbation of neck pain and discomfort for which [appellant] sought treatment.” 

Dr. Macias speculated that the May 5, 2008 accident may have caused other injuries. She did not 

opine, however, that the accepted right elbow contusion and calcific tendinitis worsened as of 

October 10, 2008. Dr. Macias did not address the accepted conditions. Her opinion is therefore 

insufficient to meet appellant’s burden of proof. 

 OWCP advised appellant in an October 1, 2013 letter of evidence needed to establish his 

claim for a recurrence of disability, including medical evidence addressing how and why the 

accepted right shoulder condition and right elbow injuries had worsened as of October 10, 2008. 

As appellant did not submit such evidence, it properly issued its December 4, 2013 decision 

denying his recurrence claim. 

On appeal, counsel notes that, according to Board precedent, clinical judgment combines 

both art and science10 that medical conclusions need only be sound and rational11 and that 

appellant was not required to demonstrate that work factors were the sole or primary cause of the 

claimed recurrence of disability.12 He contends that, under these principles, Dr. Macias’ opinion 

is sufficient to meet appellant’s burden of proof in establishing his recurrence claim. However, 

as stated above, Dr. Macias did not opine that the accepted right elbow contusion and right 

shoulder tendinitis worsened on or after October 10, 2008. Instead, she attributed appellant’s 

condition to cervical disc disease. Dr. Macias’ opinion therefore does not establish that he 

sustained a recurrence of disability. 

 9 Supra note 7. 

10 T.T., Docket No. 08-30 (issued April 8, 2008). 

11 Robert P. Bourgeois, 45 ECAB 745 (1994). 

12 Beth P. Chaput, 37 ECAB 158 (1985). 
6

CONCLUSION 

The Board finds that appellant has not established a recurrence of disability on or after 

October 10, 2008 causally related to an accepted right elbow contusion and calcific tendinitis of 

the right shoulder. 

ORDER 

IT IS HEREBY ORDERED THAT the decision of the Office of Workers’ 

Compensation Programs dated December 4, 2013 is affirmed. 

Issued: November 13, 2014 

Washington, DC 

 

 Colleen Duffy Kiko, Judge 

 Employees’ Compensation Appeals Board 

 

 Patricia Howard Fitzgerald, Judge 

 Employees’ Compensation Appeals Board 

 

 Michael E. Groom, Alternate Judge 

 Employees’ Compensation Appeals Board