Court Opinion

ID: 3168208
Source: CourtListenerOpinion
Date Created: 2016-01-08 17:07:49.389823+00
Date Added: 2024-06-11T12:16:25.527755
License: Public Domain

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Tanisha Nesmith,                                :
                                                :
                                Petitioner      :
                                                :
                  v.                            :   No. 532 C.D. 2015
                                                :
Workers’ Compensation Appeal                    :   Submitted: September 4, 2015
Board (Southeastern Pennsylvania                :
Transportation Authority),                      :
                                                :
                                Respondent      :

BEFORE:           HONORABLE RENÉE COHN JUBELIRER, Judge
                  HONORABLE P. KEVIN BROBSON, Judge
                  HONORABLE ROCHELLE S. FRIEDMAN, Senior Judge

OPINION NOT REPORTED

MEMORANDUM OPINION
BY JUDGE COHN JUBELIRER                                     FILED: January 8, 2016

         Tanisha Nesmith (Claimant), pro se,1 petitions for review of an Order of the
Workers’         Compensation      Appeal     Board    (Board)    affirming    a   Workers’
Compensation Judge’s (WCJ) Decision denying Claimant’s Petition to Reinstate
Compensation Benefits (Reinstatement Petition) and Petition to Review
Compensation Benefits (Review Petition), and granting the Southeastern

         1
             Claimant was represented by counsel during the proceedings before the WCJ and the
Board.
Pennsylvania Transportation Authority’s (Employer) Petition to Terminate
Benefits (Termination Petition). On appeal, Claimant argues that: (1) the WCJ’s
finding that she has recovered from her work-related injuries is not supported by
substantial evidence; (2) the medical testimony relied upon by the WCJ in making
the factual findings was equivocal; (3) the WCJ did not issue a reasoned Decision;
and (4) the WCJ erred in denying her Reinstatement Petition because the WCJ
required Claimant to prove the causal connection between her current condition
and the original work-related injury. Because we conclude that the WCJ issued a
reasoned Decision supported by substantial evidence and discern no error of law,
we affirm.

  I. BACKGROUND
      Claimant was injured in the course and scope of her employment as a bus
driver for Employer on August 14, 2011. (WCJ Decision, Findings of Fact (FOF)
¶¶ 1-2.) Employer issued a Notice of Temporary Compensation Payable (NTCP)
on August 29, 2011 accepting a “[s]prain/strain of mid to low back. Muscle Pain
[p]ost M[otor] V[ehicle] A[ccident]” and granting compensation based on an
average weekly wage of $686.73. (NTCP, C.R. at Item B-1.) The NTCP states
that the injury was the result of a vehicle running a red light and making contact
with the bus Claimant was driving. Employer filed a Notice of Compensation
Payable (NCP) on September 20, 2011 accepting the same injuries. (FOF ¶ 1.)
Claimant received workers’ compensation benefits for her injuries from August 14,
2011 until Employer suspended Claimant’s benefits on September 20, 2011 on the
basis that Claimant had returned to work at her pre-injury salary level. (Notice of
Suspension or Modification, C.R. at Item B-1; FOF ¶ 1.) Claimant’s workers’

                                        2
compensation benefits were reinstated on a partial basis effective September 28,
2011 because Claimant was placed on light duty by a second opinion doctor,
resulting in a loss of earnings. (FOF ¶ 1.) Claimant returned to work with no loss
of earnings on October 29, 2011, leading Employer to suspend Claimant’s
workers’ compensation benefits effective October 29, 2011. (FOF ¶ 1.) Claimant
and Employer entered into a Supplemental Agreement for Compensation for
Disability or Permanent Injury (Supplemental Agreement) on October 29, 2011
stating:

         Employee’s recurrence of total disability ended [October 2, 2011] and
         partial total disability ended as of [October 28, 2011]. Employee
         reported to work as of [October 29, 2011] at wages equal or greater to
         the [average weekly wage] of $686.73. No further medical treatment
         required. Therefore, benefits terminated as of October 29, 2011.

(Supplemental Agreement, C.R. at Item B-1.)

         Claimant filed a Reinstatement Petition on June 8, 2012, seeking to reinstate
benefits as of May 30, 2012. Claimant alleges in her Reinstatement Petition that
her condition has worsened and that her injury is causing a decrease in earning
power. Claimant then filed a Review Petition on August 30, 2012, alleging that the
NCP “is materially incorrect as it does not recognize work[-]related [injuries to
her] neck, left knee, persistent distal patellar tendinitis as well as tibial tubercle
pain.”     (Review Petition at 2, C.R. at Item 6.)       Employer filed the instant
Termination Petition on November 2, 2012, alleging that Claimant has fully
recovered from her work-related injuries and was able to return to unrestricted
work as of August 29, 2012.         Answers were filed to the three Petitions, the

                                           3
Petitions were consolidated, and assigned to the same WCJ for hearings and
disposition.

  II. PROCEEDINGS BEFORE THE WCJ
      In support of her Reinstatement and Review Petitions, Claimant testified on
her own behalf at a July 24, 2012 hearing before the WCJ and submitted the
deposition testimony of medical experts Seth David Krum, D.O., and Maxwell
Stepanuk, Jr., D.O. In support of its Termination Petition, Employer presented the
deposition testimony of its medical expert, Christian Fras, M.D.

      Claimant testified as follows. Claimant worked as a bus driver for Employer
since 2009.    On August 14, 2011, Claimant was driving an empty bus for
Employer when another vehicle struck the front right side of the bus. Claimant
was wearing a seatbelt at the time, but the bus was only equipped with a lap belt
and the impact of the collision caused Claimant to hit her head.           Claimant
attempted to leave the bus to assess the damage. While exiting the bus Claimant
hit her knee on the steering wheel of the bus.

      Claimant was treated for neck and back injuries at Jeanes Hospital and
Temple University Hospital until she went back to full duty on October 29, 2011.
Claimant told her doctor at Jeanes Hospital that she injured her knee, but the doctor
there would not acknowledge the injury. Claimant could not remember if she told
the doctor at Temple University Hospital that she injured her knee in addition to
her neck and back.

                                          4
      Claimant acknowledged signing the Supplemental Agreement terminating
benefits on October 29, 2011, but testified that she was still having symptoms in
her knee, neck, and back at that time and told her doctors and Employer such.
Employer and the doctor at Temple University Hospital told Claimant to “see what
[she] [could] do.” (Hr’g Tr. at 14, July 24, 2012.) Upon return to full duty,
Claimant experienced pain in her lower back, neck, and down her left arm and
went to see her family doctor. Claimant’s knee also started to bother her more.
Claimant’s family doctor referred her to pain management and physical therapy,
though she never actually received pain management treatment.            Claimant
continues to receive physical therapy on her back about three times per week.
Claimant also received therapy on her neck, but the treatments were ceased
because they caused Claimant pain.          Claimant’s injuries resulted in her
occasionally missing work, leaving work early, and ultimately caused her to stop
working entirely on May 30, 2012.

      Dr. Krum, a board certified orthopedist, testified as follows. He first saw
Claimant on July 26, 2012 to evaluate her left knee. Dr. Krum took Claimant’s
history and learned about the bus accident. Claimant told Dr. Krum that she
originally did not think much about her knee discomfort and that the pain worsened
over time. Dr. Krum performed an examination on Claimant, which revealed that

      [Claimant] had full left knee range of motion. She had some
      hypertrophy or swelling to the tibial tubercle, and she was markedly
      tender at the tibial tubercle and over the inferior patellar tendon.
      There was not any appreciating interarticular-type pathology on my
      clinical exam. There’s no effusion.

                                        5
(Krum’s Dep. at 9.) Dr. Krum diagnosed Claimant with a contusion to the left
lower patellar tendon and the tibial tubercle site, and patellar tendonitis due to
Claimant striking her knee at the time of the accident.

      Dr. Krum saw Claimant for a follow-up appointment on September 13, 2012
where he observed that Claimant was improving. Dr. Krum also examined an MRI
taken of Claimant’s left knee on August 24, 2012, which Dr. Krum described as
normal. Based on his examination, Dr. Krum did not restrict Claimant from
working her full-duty position and opined that her prognosis is good.

      Dr. Stepanuk, a board certified orthopedic surgeon and one of Claimant’s
treating physicians, testified in support of Claimant’s Petitions as follows. Dr.
Stepanuk’s initial evaluation of Claimant occurred on March 29, 2012, where he
took Claimant’s medical history and conducted a physical exam. Claimant was
working her regular job at the time she first saw Dr. Stepanuk. Dr. Stepanuk’s
physical examination of Claimant’s neck, back, and legs revealed:

      [Claimant] had pain upon palpating the cervical muscles. She had a
      decrease in cervical motion. She had no pain to either upper
      extremity, the reflexes were equal. She had normal sensation. She
      also had pain in the right dorsal region. She had pain in the lumbar
      region upon palpation. She could forward bend to two feet to the
      floor; back and side bending was 30 degrees, which is a restriction. . .
      . [Claimant] has pain in the anterior aspect of the left knee with pain
      about the tibial tubercle. There was a negative Apley’s and
      McMurray’s sign. She had some pain in the right buttock. There was
      no evidence of instability or atrophy and no weakness was present.
      The reflexes were equal and straight leg raising was negative.

                                          6
(Stepanuk’s Dep. at 9-10.) Dr. Stepanuk’s initial diagnosis was “cervical, dorsal
lumbar sprain and strain, a possible right lower extremity radiculopathy, and ruled
out internal derangement of the left knee.” (Stepanuk’s Dep. at 10.)

      Claimant returned to see Dr. Stepanuk on May 17, 2012. Dr. Stepanuk
reviewed MRIs taken on April 24, 2012 of Claimant’s cervical and lumbar spine.
Dr. Stepanuk opined that his physical examination and review of the MRIs
revealed that Claimant had a “cervical strain and sprain, cervical pain secondary to
a disc bulge at C4-5 with the herniation at C3.” (Stepanuk’s Dep. at 13.) He also
opined that Claimant had dorsal pain, a lumbar strain and sprain, lumbar pain
secondary to a disc bulge at L4-5, right lower extremity radiculopathy, and a sprain
of the right anterior cruciate ligament (ACL). Dr. Stepanuk opined that Claimant’s
disc bulge at C5 was aggravated by the work accident and that the herniation at C3,
the bulge at C4, the bulge at L4, and Claimant’s cervical, dorsal, lumbar, and right
knee pain are a direct result of the August 14, 2011 work incident. On cross
examination, Dr. Stepanuk testified that his diagnosis of radiculopathy relied on
the findings of the April 24, 2012 MRI, Claimant’s statements during his
examination, and that there were no objective findings in his physical examination
that would support a diagnosis of radiculopathy.       In Dr. Stepanuk’s opinion,
Claimant has not recovered from her injuries. Dr. Stepanuk acknowledged that
Claimant was working through pain at the time of both of his examinations of
Claimant, but opined that Claimant is not capable of returning to work driving a
bus and should refrain from repetitively twisting, bending, or stooping, and should
not lift more than fifteen pounds.

                                         7
      Dr. Fras testified on behalf of Employer’s Termination Petition as follows.
He is a board certified surgeon who specializes in surgical treatment of spinal
disorders. Dr. Fras conducted an independent medical examination of Claimant on
August 29, 2012. He took a history and reviewed records from the emergency
room, Jeanes Hospital, and Temple University Hospital, as well as reports and
records from Dr. Stepanuk and Claimant’s chiropractor.           Dr. Fras’ physical
examination did not reveal any objective factor that supported Claimant’s
complaints of pain. Dr. Fras reviewed the April 24, 2012 MRI of Claimant’s
cervical spine and opined that

      there was no evidence of any kind of disc herniation or trivial disc
      bulges. These bulges exerted no compression on the neural elements
      and no mass effect on any of the neural elements, be it the spinal cord
      or the exiting nerve roots, and are consistent with physiological disc
      bulges that we all experience. They are inconsistent with any kind of
      disc herniation.

(Fras’ Dep. at 20-21.)     Dr. Fras also reviewed a report of a MRI taken on
Claimant’s cervical spine in March of 2009 and compared the findings to his
reading of the April 24, 2012 MRI of Claimant’s cervical spine. Dr. Fras opined
that the April 24, 2012 MRI shows “the expected natural progression of the modest
degenerative findings that present[ed] in 2009 and continue[d] to progress as
would be expected to the findings of 2012, which remain quite modest.” (Fras’
Dep. at 21.) With regard to Claimant’s knee, Dr. Fras stated that there was no
pathology identifiable at the time of his evaluation. Dr. Fras opined that a direct
blow to the knee, such as the one Claimant allegedly suffered from when exiting
the bus, is not consistent with an injury to the ACL or a knee effusion. Further, a
knee effusion or sprained ACL would have resolved in the eight months between
the date of Claimant’s injury and the date of Dr. Fras’ evaluation.
                                          8
      Dr. Fras opined that Claimant sustained work-related injuries, including a
sprain and strain of the mid to low back, and that Claimant may have suffered a
sprain of the neck. Dr. Fras opined that Claimant had recovered from all her work-
related injuries and that his examination revealed no other injuries that would
cause Claimant to stop working in May of 2012.

      Upon review of the evidence presented, the WCJ found the testimony of Dr.
Fras to be more credible than the testimonies of Dr. Krum and Dr. Stepanuk and
rejected Dr. Krum’s and Dr. Stepanuk’s testimonies insofar as they differ from Dr.
Fras’ testimony. (FOF ¶ 8.) The WCJ cited the following factors used in making
this determination:

      a. Dr. Fras is the only testifying     medical witness who reviewed a
      comprehensive compilation of           medical records including the
      emergency room records from the        date of the injury and Claimant’s
      initial treatment records at [Jeanes   Hospital] and Temple University
      Hospital.

      b. The explanation provided by Dr. Fras regarding the findings on the
      left knee MRI study as being acute findings is more persuasive than
      the testimony of Dr. Krum. While Dr. Krum did not relate any of the
      findings on the April 24, 2012 MRI study to the work injury, he did
      testify Claimant had a left knee injury as a result of striking her knee
      on the steering wheel as she was exiting the bus. This Judge does not
      find this testimony credible in light of the fact that Dr. Krum did not
      review the medical records of Claimant’s initial treatment.
      Furthermore, Claimant did not have any treatment for her knee prior
      to seeing Dr. Krum.

      c. Dr. Stepanuk advised Claimant was unable to perform the duties
      associated with her pre-injury position when in fact she was working
      full duty during both times Dr. Stepanuk examined her prior to his
      testimony.

                                         9
      d. Dr. Stepanuk diagnosed Claimant with lumbar radiculopathy
      despite acknowledging there was no objective finding or examination
      finding to support such a diagnosis.

      e. The explanation provided by Dr. Fras with respect to the
      progression of the mild disc bulges revealed by the cervical MRI
      studies is more credible and persuasive than Dr. Stepanuk’s contrary
      analysis. Claimant’s initial treatment records revealed Claimant
      continued to improve following her work injury and she had returned
      to full duty following her injury approximately two and a half months
      after her work injury.

(FOF ¶ 8(a)-(e).) The WCJ also rejected Claimant’s testimony to the extent that
she asserts she sustained a left knee injury on August 14, 2011 as a result of
striking her knee on the steering wheel of the bus. (FOF ¶ 9.)

      The WCJ made the following findings of fact.

      8. . . .The testimony of Dr. Fras is accepted as fact. . . .

      9. . . . Claimant fully recovered from her work injury as of August 29,
      2012. Therefore, while Claimant may have the neck and back
      complaints she asserts, this Judge finds they are unrelated to the
      August 14, 2011 work injury, after which she returned to full duty for
      approximately five months prior to again leaving work.

      10. Claimant’s disability related to her August 14, 2011 work injury
      did not recur effective May 30, 2012.

      11. Claimant did not sustain any injuries additional to those accepted
      and possibly a neck strain as a result of her work injury. Claimant
      fully recovered from her work injury effective August 29, 2012.

(FOF ¶¶ 8-11.)

                                           10
       Accordingly, the WCJ concluded that Claimant did not meet her burden of
proof to sustain her Reinstatement Petition or Review Petition and denied both
Petitions. (WCJ Decision, Conclusions of Law (COL) ¶¶ 2-3.) The WCJ also
concluded that Employer established that Claimant fully recovered from her
August 14, 2011 work injury as of August 29, 2012, and granted Employer’s
Termination Petition. (COL ¶ 4.)

       Claimant appealed the WCJ’s Decision to the Board. Upon review, the
Board “determined that the WCJ wrote a reasoned Decision supported by
substantial evidence, and [that the WCJ] committed no error of law.” (Board
Decision at 11.) Claimant subsequently filed the instant Petition for Review with
this Court.2

  III. CLAIMANT’S APPEAL
       On appeal to this Court, Claimant first contends that the WCJ’s findings
supporting her Decision are not supported by substantial evidence.                    Claimant
specifically contends that the WCJ’s finding that she had recovered from her work
injuries as of August 29, 2012 and that her current ailments are not work related
are unsupported by the evidence.

       2
         “Our scope of review in a workers’ compensation appeal is limited to determining
whether necessary findings of fact are supported by substantial evidence, whether an error of law
was committed, or whether constitutional rights were violated.” Elberson v. Workers’
Compensation Appeal Board (Elwyn, Inc.), 936 A.2d 1195, 1198 n.2 (Pa. Cmwlth. 2007).

                                               11
      In her Review Petition, Claimant alleges that the NCP is materially incorrect
and seeks to add injuries to her neck and left knee to the description of her work-
related injuries. “An NCP is materially incorrect if the accepted injury fails to
include all of the injuries that the claimant suffered in the work incident, including
injuries that cause an increase in the claimant’s disability.”                Cinram
Manufacturing, Inc. v. Workers’ Compensation Appeal Board (Hill), 932 A.2d
346, 349 (Pa. Cmwlth. 2007). The party seeking to amend the NCP bears the
burden of proving that it is incorrect. Harrison v. Workers’ Compensation Appeal
Board (Auto Truck Transportation Corporation), 78 A.3d 699, 703 (Pa. Cmwlth.
2013).

      Employer’s Termination Petition alleges that Claimant has fully recovered
from her work-related injuries and was able to return to work as of August 29,
2012. In proceedings related to a termination petition, the employer bears the
burden of proving that a claimant’s work injury has ceased. Udvari v. Workmen’s
Compensation Appeal Board (USAir, Inc.), 705 A.2d 1290, 1293 (Pa. 1997).
According to our Supreme Court,

      [i]n a case where the claimant complains of continued pain, this
      burden is met when an employer’s medical expert unequivocally
      testifies that it is his opinion, within a reasonable degree of medical
      certainty, that the claimant is fully recovered, can return to work
      without restrictions and that there are no objective medical findings
      which either substantiate the claims of pain or connect them to the
      work injury. If the WCJ credits this testimony, the termination of
      benefits is proper.

Id.

                                         12
      It is well settled that in workers’ compensation cases, “[t]he WCJ is the
ultimate finder of fact, and the exclusive arbiter of credibility and evidentiary
weight.” LTV Steel Company, Inc. v. Workers’ Compensation Appeal Board
(Mozena), 754 A.2d 666, 676 (Pa. 2000). In executing its fact finding role, “the
WCJ is free to accept or reject, in whole or in part, the testimony of any witness.”
Id. The WCJ’s evidentiary findings are not, however, immune from review. “The
WCJ must base its decision on substantial evidence.” 3 Id.

      The WCJ here found Dr. Fras’ testimony credible and accepted his
testimony, including his view that Claimant had recovered from her work-related
injury as of August 29, 2012, as fact. Dr. Fras opined that Claimant had no injuries
other than those from which she had already recovered and that Claimant is free to
return to work without restriction. (Fras’ Dep. at 23-24.) The fact that “the record
contains evidence to support findings other than those by the WCJ” is of no
moment when conducting a substantial evidence review. Pocono Mountain School
District v. Workers’ Compensation Appeal Board (Easterling), 113 A.3d 909, 918

      3
          Substantial evidence is

      relevant evidence that a ‘reasonable person might accept as adequate to support a
      conclusion.’ In reviewing a decision for substantial evidence, the court must view
      the evidence in the light most favorable to the party who prevailed before the
      WCJ and draw all reasonable inferences from the evidence in favor of the
      prevailing party. . . . [I]t is irrelevant whether the record contains evidence to
      support findings other than those made by the WCJ; the critical inquiry is whether
      there is evidence to support the findings actually made.

Pocono Mountain School District v. Workers’ Compensation Appeals Board (Easterling), 113
A.3d 909, 918 (Pa. Cmwlth. 2015) (citations omitted).

                                             13
(Pa. Cmwlth. 2015). Thus, we conclude that the WCJ’s finding that Claimant had
fully recovered from her work-related injuries as of August 29, 2012, and that any
physical ailments Claimant now suffers from are unrelated to her August 14, 2011
injury, is supported by substantial evidence.

      Claimant argues that the WCJ erred by finding Dr. Fras’ testimony as fact
because the testimony was equivocal. Claimant contends that because the Board
acknowledged that Dr. Fras’ testimony was equivocal with regard to her alleged
neck injury and Dr. Fras’ testimony on her back was contradictory, his testimony
that she was fully recovered from her work-related injuries is also equivocal.
Unlike questions of evidentiary weight and witness credibility, whether an expert’s
testimony is equivocal is a question of law subject to this Court’s plenary review.
Potere v. Workers’ Compensation Appeal Board (Kemcorp), 21 A.3d 684, 690 (Pa.
Cmwlth. 2011). “Medical testimony is equivocal if it is less than positive or
merely based upon possibilities.” Id. We review medical testimony as a whole to
determine whether it is equivocal. Id.

      The Board concluded that Dr. Fras’ testimony with regard to whether
Claimant sustained a neck injury was equivocal, but did not find Dr. Fras equivocal
with regard to his opinion that Claimant had recovered from her work-related
injuries. Upon review, we agree with the Board. Dr. Fras’ opinion regarding
Claimant’s neck injury was equivocal.           When asked for his opinion as to
Claimant’s condition as a result of the work injury, Dr. Fras stated:

      My opinion is that [Claimant] sustained injuries including sprain and
      strain of the mid to low back. I was of the opinion and remain of the

                                         14
      opinion that she may have also sustained a sprain of the neck. There
      was no indication of any other injuries sustained.

(Fras’ Dep. at 22.) Because Dr. Fras stated that Claimant “may have” sustained a
sprain of the neck, Dr. Fras’ testimony in this regard is less than positive.
However, when his testimony focused on Claimant’s current condition, Dr. Fras
was definite. Dr. Fras was unequivocal that “by the time of [his] evaluation on
August 29, 2012, [Claimant] recovered from the sprain and strain, mid to low back,
and any sprain of the neck that also occurred.” (Fras’ Dep. at 23.) Dr. Fras opined
further that he “found no indication of any other injury to have occurred in
association with the episode of August 14, 2011.” (Fras’ Dep. at 23.) Thus, while
Dr. Fras’ testimony does not support Claimant’s allegation that the NCP is
materially incorrect, the testimony as a whole unequivocally supports a conclusion
that Claimant has recovered from her injuries.

      Claimant also contends that Dr. Fras’ testimony regarding her back was
equivocal and contradictory. Claimant specifically points to the portion of Dr.
Fras’ report stating that “[s]traight leg raise testing bilaterally fails to provoke any
radicular leg pain and is therefore to be regarded as negative. It does provoke
subjective reports of back pain on the part of [Claimant] but further questioning
verifies that it fails to provoke any radicular leg complaints.” (Fras’ Report at 3,
C.R. at Item E-2.)     According to Claimant, Dr. Fras’ opinion was equivocal
because he acknowledged that the test caused her back pain but still concluded that
Claimant made a full recovery.

                                          15
      We see no equivocation in Dr. Fras’ testimony regarding Claimant’s back.
Dr. Fras was clear that, while Claimant experienced pain in her back during the
straight leg raising test, this type of pain “is a common finding and is . . . not
suggestive or indicative of any particular condition.” (Fras’ Dep. at 16.) Dr. Fras
further explained that a straight leg raising test would indicate a herniation only if
the test provokes radicular leg complaints, which Claimant did not experience. We
understand Dr. Fras’ testimony as a whole to unequivocally support a conclusion
that Claimant did not suffer from a disc herniation or any other injury to her back
at the time of his evaluation.

      Claimant next argues that the WCJ did not issue a reasoned Decision within
the meaning of Section 422(a) of the Workers’ Compensation Act4 because the
WCJ failed to adequately explain the reasons for her credibility determinations. A

      4
          Act of June 2, 1915, P.L. 736, as amended, 77 P.S. § 834. Section 422(a) provides:

      Neither the board nor any of its members nor any [WCJ] shall be bound by the
      common law or statutory rules of evidence in conducting any hearing or
      investigation, but all findings of fact shall be based upon sufficient competent
      evidence to justify same. All parties to an adjudicatory proceeding are entitled to a
      reasoned decision containing findings of fact and conclusions of law based upon
      the evidence as a whole which clearly and concisely states and explains the
      rationale for the decisions so that all can determine why and how a particular
      result was reached. The [WCJ] shall specify the evidence upon which the [WCJ]
      relies and state the reasons for accepting it in conformity with this section. When
      faced with conflicting evidence, the [WCJ] must adequately explain the reasons
      for rejecting or discrediting competent evidence. Uncontroverted evidence may
      not be rejected for no reason or for an irrational reason; the [WCJ] must identify
      that evidence and explain adequately the reasons for its rejection. The
      adjudication shall provide the basis for meaningful appellate review.

Id.

                                               16
WCJ’s decision is reasoned when it “allows for adequate review by the [Board]
without further elucidation and if it allows for adequate review by the appellate
courts under applicable review standards.” Daniels v. Workers’ Compensation
Appeal Board (Tristate Transport), 828 A.2d 1043, 1052 (Pa. 2003).           “[I]n
rendering a reasoned decision in a case with conflicting evidence, the WCJ ‘must
adequately explain the reasons for rejecting or discrediting competent evidence.’”
Id. (quoting Section 422(a) of the Act).

       The WCJ’s Decision provides numerous reasons for accepting Dr. Fras’
testimony as fact and rejecting the testimonies of Dr. Stepanuk and Dr. Krum. The
WCJ explained that: (1) Dr. Fras was the only medical expert who reviewed a
comprehensive compilation of medical records; (2) Dr. Krum’s testimony relied on
Claimant’s attestations regarding how her knee was injured, which the WCJ found
incredible; (3) Dr. Stepanuk opined that Claimant was incapable of performing her
normal job duties when Claimant was, in fact, working full duty both times she
was examined by Dr. Stepanuk; (4) Dr. Stepanuk acknowledged that his physical
examination revealed no objective finding supporting his diagnosis of lumbar
radiculopathy; and (5) Dr. Fras’ explanations with regard to Claimant’s MRI
results were more credible because Claimant continued to improve following her
work injury and had returned to full duty. (FOF ¶ 8(a)-(e).) We conclude that,
because the WCJ provided the above objective reasons for rejecting the portions of
Dr. Krum’s and Dr. Stepanuk’s opinions that conflicted with the opinions of Dr.
Fras, the reasoned decision requirement of Section 422(a) of the Act is plainly
satisfied.

                                           17
      Finally, Claimant contends that the WCJ erred by denying Claimant’s
Reinstatement Petition because the WCJ employed a legal standard that is
inconsistent with the standards set forth by our Supreme Court’s decision in
Bufford v. Workers’ Compensation Appeal Board (North American Telecom), 2
A.3d 548 (Pa. 2010.) In Bufford, the Supreme Court held that “[a] claimant
seeking reinstatement of suspended benefits must prove that his or her earning
power is once again adversely affected by his or her disability, and that such
disability is a continuation of that which arose from his or her original claim.” Id.
at 558. Claimant argues that the WCJ required her to prove a causal connection
between her disability and the work injury, and that Bufford is clear that claimants
bear no such burden.

      While we agree that Claimant does not bear a burden to, once again, prove
her injury for purposes of her Reinstatement Petition, Bufford is clear that
Claimant must prove that her current disability is affecting earning power. Id.
Upon review of the WCJ’s Decision, we see no instance where the WCJ required
Claimant to prove a causal connection between her current disability and the work
injury. The WCJ did not require such for the simple reason that the WCJ found
that Claimant was not currently disabled.       The WCJ found that “Claimant’s
disability related to her August 14, 2011 work injury did not recur effective May
30, 2012” and that “Claimant fully recovered from her work injury effective
August 29, 2012.” (FOF ¶¶ 10, 11.) Because these findings are supported by
credible and unequivocal expert testimony, we see no error in the WCJ’s Decision
to deny Claimant’s Reinstatement Petition.

                                         18
IV. CONCLUSION
  For the foregoing reasons, the Board’s Order is affirmed.

                                    ________________________________
                                    RENÉE COHN JUBELIRER, Judge

                                    19
       IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Tanisha Nesmith,                      :
                                      :
                       Petitioner     :
                                      :
           v.                         :   No. 532 C.D. 2015
                                      :
Workers’ Compensation Appeal          :
Board (Southeastern Pennsylvania      :
Transportation Authority),            :
                                      :
                       Respondent     :

                                    ORDER

     NOW, January 8, 2016, the Order of the Workers’ Compensation Appeal
Board, entered in the above-captioned matter, is hereby AFFIRMED.

                                      ________________________________
                                      RENÉE COHN JUBELIRER, Judge