Permanent injuries are those which will remain with you for the remainder of your life. These are more often than not associated with spinal injuries and fractures of bones in your body or joints. After an injury, the body seldom returns to its pre-accident/pre-injury condition. The loss of functionality in whole or in part is considered a permanent injury. This opinion, just like the one above on future medical treatment, must be testified to by a physician to a reasonable degree of medical certainty to establish the existence of the alleged injury.