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Work Place Wellness | Doctors | People to Know

Florida Spine Associates: Committed to Excellence in the Care of Injured Workers

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FROM THE OM DESK Our publication was previously known as Bloom Magazine, which has always been an OM publication. To simplify branding and bring everything under one umbrella, Bloom Magazine has been rebranded as OM Magazine. While the name has changed, the magazine itself has not. It remains the same publication, with the same circulation, the same readership, and the same focus on serving workers’ compensation and orthopedic professionals nationwide. Thank you for being part of our readership and for continuing to support the work we do.

-The OM Team OM MAGAZINE | 05

OM MAGAZINE | 01

TABLE OF CONTENTS A Letter From The OM Team | 01 Editorial Board | 05 Cover Story | 07

WORKERS’ COMPENSATION Managing Exacerbations of Chronic Lumbar Disc Herniation and Chronic Facet Joint Arthropathy in Injured Workers | 58 Traumatic Rotator Cuff Tears in Workers’ Compensation: When Is Early Orthopedic Evaluation Necessary? | 62 Clear Answers for Spine Care in The Workers’ Compensation Setting: Addressing Common Misconceptions to Support Better Outcomes | 66 Interview with Mari Diaz: Inside the New OM Community | 68 OM Establishes the Nation's First Center of Excellence Designation for the Care of Injured Workers | 70 The Evolution and Efficacy of Office-Based Hand Surgery | 74 Interview with Robin Fielding: Providing the Highest Quality Care Every Patient Deserves | 76 Vero Orthopaedics: Caring for Injured Workers Across Vero Beach and Sebastian | 78 The WorkComp Ready™ Certification Setting the Standard in the Care of Injured Workers | 81 Why Employers Choose The Orthopedic Clinic | 83 Dear Dr. Medina Column | 86

WELLNESS OM Team Favorites | 91 Why I Cold Plunge | 92 The Power of Blue Zones | 94 Preventing Workplace Injuries Before They Happen| 98

TRAVEL San Juan: One Cup at a Time | 104 The 10 Summer Destinations I'd Book Right Now | 106 How to Read A City by Its Cafés| 110

NEWS + EVENTS 115-123 WORKSHEETS 124-126 OM MAGAZINE | 02

Befriend the sun, get dirt on your hands, drink water, eat plants, see the beauty of it all and know that you are nature, too. OM MAGAZINE | 03

INVEST IN YOUR GREATEST ASSET.

Your People. Oléa creates customized corporate wellness experiences that help employees move more, manage stress, and build healthier habits.

www.olealivingwell.com

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OM MAGAZINE Editorial Board Founder, CEO Editor in Chief, Creative Director Editor at Large, Design Director Vice President, Marketing Chief Revenue Officer Contributing Writer Contributing Writer Contributing Writer Contributing Writer

Mari Diaz Samantha Diaz Melissa Diaz Ozzy Diaz Osberto Diaz Ronald Gutman, MD Anand Panchal, DO Eric Balaguer, MD Dorian Ash

ABOUT THE COVER In this issue, OM Magazine is proud to spotlight Florida Spine Associates, a practice dedicated to providing comprehensive spine, orthopedic, and pain management care for injured workers.

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Florida Spine Associates: Committed to Excellence in the Care of Injured Workers In this issue, OM Magazine is proud to spotlight Florida Spine Associates, a practice dedicated to providing comprehensive spine, orthopedic, and pain management care for injured workers. With seven locations across South Florida and a team of board-certified physicians specializing in orthopedic spine surgery, interventional pain management, and non-operative general orthopedics, Florida Spine Associates combines clinical expertise, advanced treatment options, and a commitment to helping injured workers recover, restore function, and return to work as safely and efficiently as possible.

Caring for injured workers requires more than clinical expertise. It requires experienced physicians who understand that every injury is different and every patient deserves an individualized approach to care. At Florida Spine Associates, treatment begins with a thorough evaluation and is guided by the physician whose specialty best fits the injured worker's condition. Whether treatment includes conservative care, interventional pain management, orthopedic care, or spine surgery, the focus remains on providing the right care at the right time while supporting the injured worker throughout recovery. At the heart of the practice is an experienced physician team dedicated to the diagnosis and treatment of spine and musculoskeletal injuries. Orthopaedic Spine Surgeons Milad Alam, MD and Robert P. Norton, MD specialize in the evaluation and treatment of cervical, thoracic, and lumbar spine conditions. Their expertise includes both conservative management and advanced surgical care, allowing treatment recommendations to be based on each injured worker's diagnosis, symptoms, and medical needs.

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The practice also includes an experienced team of Interventional Pain Management physicians: Michael Auerbach, DO, Brian J. Burrough, MD, Sue Cohn, MD, Jonathan Kamerlink, MD, and Seth MacMahon, MD. Their work gives injured workers access to advanced diagnostic and interventional procedures designed to reduce pain, improve function, and support recovery when appropriate. The physician team is further strengthened by Arthur Germain, MD, who specializes in non-operative general orthopedics, evaluating and treating a wide range of musculoskeletal injuries commonly seen in workers' compensation through comprehensive, nonsurgical orthopedic care.

Together, these physicians bring experience across spine surgery, pain management, and orthopedics. This allows Florida Spine Associates to care for injuries involving the spine, neck, back, joints, muscles, and nerves while developing individualized treatment plans based on the needs of each injured worker. Florida Spine Associates also offers an extensive range of treatment options, including minimally invasive spine surgery, cervical and lumbar disc replacement, roboticassisted spine surgery, spinal injections, radiofrequency ablation, spinal cord stimulation, kyphoplasty, vertebroplasty, platelet-rich plasma therapy, bone marrow concentrate therapy, and other advanced spine and pain management procedures. OM MAGAZINE | 08

The practice also offers on-site procedure rooms, allowing for convenient and cost-effective scheduling, as well as durable medical equipment and physical therapy, helping injured workers access multiple aspects of their care through one coordinated practice. Having these services available within one practice allows injured workers to receive specialized care while maintaining continuity throughout treatment. It also gives the physicians the ability to adjust the course of care as the injured worker's condition changes, ensuring every treatment plan remains focused on recovery, restoring function, and helping the patient return to work safely. Florida Spine Associates is also a WorkCompReady Certified practice. This designation recognizes practices that understand the responsibilities involved in caring for injured workers and follow workers' compensation best practices. The certification reflects the practice's commitment to timely communication, organized scheduling, accurate documentation, dedicated coordination, and clear processes that support employers, adjusters, nurse case managers, and everyone involved in the care of injured workers. That commitment extends throughout the practice. In addition to its experienced physicians, Florida Spine Associates has a dedicated workers' compensation coordinator who serves as a primary point of contact for adjusters and nurse case managers. The coordinator assists with scheduling, follow-up appointments, and communication, helping streamline patient care and making it easier to coordinate treatment from the initial visit through recovery. Florida Spine Associates serves injured workers through locations in Fort Lauderdale, West Boca Raton, Boca Raton, Boynton Beach, Wellington, West Palm Beach, and Delray Beach. This regional presence provides employers and injured workers with convenient access to experienced specialists across South Florida while allowing care to remain within one coordinated practice. Throughout every stage of care, the physicians and staff at Florida Spine Associates remain focused on one goal: delivering specialized care that helps injured workers recover, restore function, and return to work as safely and efficiently as possible. OM MAGAZINE | 09

For employers, adjusters, nurse case managers, and everyone involved in the care of injured workers, Florida Spine Associates offers an experienced physician team, advanced treatment options, dedicated workers' compensation coordination, multiple South Florida locations, and a practice committed to providing high-quality specialty care for injured workers every day.

Milad Alam, MD

Michael Auerbach, DO

Orthopaedic Spine Surgeon

Interventional Pain Management

LOCATIONS Ft. Lauderdale:‌6000 N. Federal Hwy,‌ Ft. Lauderdale, FL 33308 Boca Raton: ‌670 Glades Road,‌ Suite 200, Boca Raton, FL 33431 West Boca Raton: ‌7200 West Camino Real,‌ Suite 104, Boca Raton, FL 33433 Boynton Beach: ‌11135 S. Jog Road,‌ Suite 5, Boynton Beach, FL 33437

Brian Burrough, MD

Sue Cohn, MD

Interventional Pain Management

Arthur Germain, MD

Jonathan Kamerlink, MD

General Orthopedics

Interventional Pain Management

Wellington:‌3319 State Road 7,‌ Suite 207, Wellington, FL 33449 West Palm Beach: ‌5800 Corporate Way,‌ West Palm Beach, FL 33407 WORKERS COMPENSATION DEPARTMENT Phone: ‌561-869-WORK (9675) Fax:‌561-990-7426 Email:‌workcomp@floridaspineassociates.com

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Seth MacMahon, MD

Robert Norton, MD

Interventional Pain Management

Orthopaedic Spine Surgeon

PEOPLE TO KNOW This section highlights the heart of the workers’ compensation industry—the people!

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Tasha Dunn Senior Resolution Manager, Gallagher Bassett

In an exclusive interview with OM Magazine, we had the pleasure of speaking with Tasha Dunn, Senior Resolution Manager at Gallagher Bassett. Since entering the industry in 2018, Tasha has built a strong foundation in claims adjustment and complex claim resolution, now specializing in managing high-level and escalated cases. In her role, Tasha investigates coverage and liability, negotiates settlements, and works to bring claims to fair and timely resolutions. She balances customer experience, compliance, and company guidelines while handling situations that often require both precision and sound judgment. What Tasha enjoys most about her work is the problem-solving aspect. Each claim presents a diff‌erent set of challenges, and she finds fulfillment in analyzing situations, negotiating outcomes, and seeing cases through to completion. She believes success in her role depends on a combination of analytical thinking, communication, and emotional intelligence. The ability to assess facts accurately, navigate complex issues, and communicate decisions clearly and empathetically is essential. Strong negotiation skills and attention to detail also play a key role in achieving fair and effective outcomes. One of Tasha’s proudest accomplishments is her progression from a claims adjuster to a Senior Resolution Manager. Over time, she has developed the expertise and confidence needed to manage complex, high-impact claims and help guide difficult situations toward resolution. Outside of work, Tasha has a side that often surprises people. Although she grew up in the city, she has a deep appreciation for nature. Botanical gardens are one of her favorite places to unwind, and she enjoys spending time in environments that bring a sense of calm and balance.‌

She finds inspiration in the impact she can make through her work. Being able to s‌upport others during challenging moments and help move situations toward resolution gives her role a strong sense of purpose. One of the most meaningful pieces of advice she has received is to choose work that aligns with who you are. She believes that when your personality and values are reflected in your work, it becomes more fulfilling and meaningful. Tasha describes herself as caring, observant, and supportive, qualities that shape how she approaches both her work and her relationships. Maintaining balance is something she approaches with intention. She prioritizes managing her responsibilities effectively while protecting her personal time, allowing her to stay grounded and present in all areas of her life. Looking ahead, Tasha sees the industry continuing to evolve through technology and automation, improving efficiency and streamlining processes. At the same time, she believes there will always be a need for skilled professionals who can think critically, communicate effectively, and bring a human perspective to complex claims. When reflecting on who she is beyond her role, Tasha shared a few personal affirmations that guide her mindset.‌ I am caring and compassionate.‌ I am observant and thoughtful.‌ I am resilient and dependable.‌ I am grounded and balanced. OM MAGAZINE | 13

Deb Ransom Nurse Case Manager, Paradigm

In an exclusive interview with OM Magazine, we had the pleasure of speaking with Deb Ransom, a Nurse Case Manager with Paradigm in workers’ compensation with five years of experience in the field. Her career spans decades of nursing, including 22 years as a home care nurse and experience as a Medicaid case manager with a focus on pediatrics. This diverse background has shaped the way she approaches patient care today. In her current role, Deb supports injured workers and adjusters by guiding cases from injury through recovery and return to work. She uses her full range of nursing skills, from assessment and planning to education and follow up, to ensure each individual receives the support they need throughout the process. What Deb enjoys most about her work is being able to apply her clinical knowledge in a meaningful way. She values the opportunity to help injured workers understand their situation, navigate their care, and ultimately regain function and return to their roles. She believes one of the most important skills in her role is the ability to fully assess each case. Understanding not only the injury, but also the social, emotional, and physical factors that may impact recovery, is essential. She emphasizes compassion, empathy, and education, including the importance of self care even after recovery is complete. One of the accomplishments she is most proud of involves helping an injured worker with a mild head injury return to full duty as a firefighter. Through education, support, therapy, and timely referrals, the individual was able to recover successfully. He later shared how much having a nurse case manager on his file made a difference, noting that he felt supported and progressed more quickly.

Outside of her professional life, Deb’s personal journey often surprises people. She is a mother of five and homeschooled her children for 18 years while continuing to work as a nurse, balancing both roles with dedication and care. She is inspired by the opportunity to help injured workers reach their goals and improve their outcomes. One piece of advice that shaped her career came from an early experience where her clinical abilities were challenged. Instead of discouraging her, it motivated her to grow and strengthen her skills. Deb describes herself as compassionate, empathetic, and knowledgeable, qualities that guide her approach to both her work and her relationships. Finding balance between work and home life remains an ongoing process, one she continues to work on with intention. Looking ahead, Deb believes the industry will need to place greater focus on mental health support for injured workers, as it plays a critical role in recovery outcomes. She also sees a need for continued medical support when employer benefits end, as other health conditions can impact recovery. When reflecting on who she is beyond her role, Deb shared a few personal affirmations that guide her daily life.‌ I am most relaxed when my to do list is complete.‌ I am eager to learn new things and try new skills, even if I feel intimidated.‌ I am not a late night person and do best when my day ends early.‌ I am a visual person and feel best in organized spaces.‌ I have had many life experiences and use them to help others.‌ I am passionate about natural health. OM MAGAZINE | 14

RECOVERY BEGINS AND ENDS WITH THE ORTHOPEDIC CLINIC. WWW.ORTHOTOC.COM

Our physicians are trained in a wide range of specialties, which allows us to provide expert care for a variety of workers’ injuries.

GENERAL ORTHOPEDICS TRAUMA & FRACTURE CARE SPINE HAND & UPPER EXTREMITY FOOT & ANKLE SPORTS MEDICINE

SERVING VOLUSIA AND FLAGLER COUNTIES

ARTHROSCOPIC SURGERY TOTAL JOINT CARE INTERVENTIONAL PAIN MANAGEMENT

Workers’ Compensation Department Direct Phone: 386-944-1068 | Fax: 386-310-1285 Work Comp Email: workcomp@orthotoc.com

Lisa Morales Senior Claims Adjuster, FSBIT

In an exclusive interview with OM Magazine, we had the pleasure of speaking with Lisa Morales, Senior Claims Adjuster at FSBIT. With more than 30 years of experience in workers’ compensation, Lisa brings both depth and perspective to her role, supporting school boards across multiple districts in Florida. In her position, Lisa manages lost time claims and helps employees navigate recovery from a wide range of workplace incidents. She coordinates care, collaborates with providers and district representatives, and handles key responsibilities such as subrogation and Excess reporting. Her focus is always on delivering high-quality service while supporting both the employee’s recovery and the district’s overall program.‌ What Lisa enjoys most about her work is helping employees move through the workers’ compensation process with clarity and confidence. She understands that the process can feel overwhelming, and she takes pride in creating a more supportive and transparent experience. She also values the collaboration with school districts, providers, and vendors to achieve strong medical and return-to-work outcomes. She believes success in her role requires a balance of technical knowledge and emotional intelligence. Being receptive, unbiased, and able to evaluate each claim individually is essential. A strong understanding of statutes and case law, along with effective time management and clear communication, allows her to manage complex claims while helping individuals feel informed and supported.‌ One of Lisa’s proudest accomplishments is expanding her career by becoming an all-lines insurance agent and cofounding The Insurance Workshop with her husband. Their mission is to educate clients so they can make informed decisions about their coverage, creating confidence and peace of mind long before a claim ever occurs.

Outside of her professional role, Lisa has a creative side that often surprises people. She is also an actor, a passion that began in childhood through her love of storytelling. Acting allows her to explore creativity while strengthening skills like empathy and observation, which naturally complement her work in claims. Lisa finds inspiration in both nature and family. She values time spent with her husband, her mother, and especially her grandchildren, while also continuing to pursue new opportunities both professionally and creatively. One of the most valuable lessons she carries with her is that there is always a path to resolving a claim. Even in challenging situations, focusing on priorities, taking things step by step, and leaning on trusted colleagues can make all the difference. She describes herself as reliable, professional, and creative. Maintaining balance is an ongoing process, and she approaches it with intention by setting realistic goals, unplugging when needed, and prioritizing her well-being through exercise, nutrition, and mindfulness. Looking ahead, Lisa sees the industry continuing to evolve alongside advancements in technology. While artificial intelligence will enhance efficiency and support decision making, she believes the role of the adjuster will remain essential, bringing the human judgment, empathy, and experience that claims handling requires. When reflecting on who she is beyond her role, Lisa shared a few personal affirmations that guide her outlook.‌ I am confident in my ability to manage claims.‌ I am proud to work alongside dedicated teammates.‌ I am grateful for the life my husband and I have built together.‌ I am enjoying being a grandmother.‌ I am always evolving, both personally and creatively.‌ I find joy in cooking, wellness, and self-care.

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Jean LeBlanc EDI Compliance Specialist, CCMSI

In an exclusive interview with OM Magazine, we had the pleasure of speaking with Jean LeBlanc, EDI Compliance Specialist at CCMSI. In her current role, Jean oversees the accuracy, integrity, and timely processing of electronic data interchange (EDI) transactions for Florida claims. Although she has been in this position for under a year, she has quickly grown into a key support resource within her team. Jean’s role focuses on ensuring that data is reported correctly and efficiently, helping maintain compliance while supporting adjusters in understanding the importance of EDI. What she enjoys most is being able to guide others, helping adjusters better understand EDI processes while continuing to learn and grow in her own knowledge. She believes that strong listening skills and the ability to stay focused are essential in her role. Attention to detail is critical, as even small errors can impact the accuracy of claims reporting. By staying attentive and proactive, she helps ensure that processes run smoothly and efficiently. One of Jean’s proudest professional accomplishments is earning her adjuster’s license and advancing into her current role. She also takes pride in being part of the CCMSI team and continuing to grow within the organization. Outside of work, Jean has a fun fact that often surprises people. She has an identical twin sister, something that always sparks conversation and curiosity. Jean finds inspiration in her faith and in the simple gratitude of daily life. She values waking up each day with a sense of purpose and appreciation for the opportunities she has been given.

While she may not point to one specific piece of career advice, she believes strongly in taking life one day at a time. She emphasizes the importance of not losing yourself in the stress of work, taking breaks when needed, and making space to breathe and truly live. Jean describes herself as outgoing, approachable, and courteous, qualities that help her build strong relationships with those around her. When it comes to balance, she believes it starts with intention. Taking time to step away, go outside, move around, and reset helps her maintain both mental clarity and overall wellbeing. Looking ahead, Jean sees artificial intelligence playing a major role in the future of the workers’ compensation industry. She believes AI will help automate certain tasks, improve communication, and create more efficient processes. At the same time, she recognizes that the possibilities are still evolving, and the impact of technology will continue to expand. When reflecting on who she is beyond her role, Jean shared a few personal affirmations that guide her mindset.‌ I am a hard worker.‌ I am dedicated.‌ I am coachable.‌ I am willing to learn new things.‌ I am grateful.‌ I am blessed.

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DID YOU KNOW? Direct to specialist care can save roughly 60% on workers' compensation claims. Dr. Tosca Kinchelow is a specialist at The Orthopaedic Hand and Arm Center, focused on treating work-related injuries. She is experienced in the Florida Workers’ Compensation system and is committed to helping injured workers recover and return to work efficiently.

WORKERS’ COMPENSATION DEPARTMENT: Phone: 888-908-9036 Fax: 888-259-8701 Email: info@myohac.com

LOCATIONS Miami Lakes: 15600 NW 67th Ave. Ste 306 . Miami Lakes, FL 33014 Plantation: 201 N. University Dr. Ste 110 . Plantation, FL 33324

SERVING BROWARD AND MIAMI-DADE COUNTIES www.orthohandandarm.com

Cindy Ritter Senior Claims Adjuster, Broadspire

In an exclusive interview with OM Magazine, we had the pleasure of speaking with Cindy Ritter, Senior Claims Adjuster at Broadspire. With 10 years of experience in workers’‌ compensation, Cindy brings a strong sense of organization, adaptability, and‌focus to her role. In her position, Cindy manages workers’ compensation claims, navigating cases that are constantly evolving. She values that no two claims are the same, as each injury and situation presents its own set of challenges. This variety keeps her engaged and requires her to think critically and approach each case with a fresh perspective. What Cindy enjoys most about her work is exactly that, the dynamic nature of the role. The ever-changing landscape of claims handling pushes her to stay sharp, continuously learn, and adapt to new situations. She believes that strong organization is the most important skill in her role. Staying organized allows her to manage multiple responsibilities efficiently, keep track of details, and ensure that nothing is overlooked throughout the claims process. One of the accomplishments Cindy is most proud of is building her own home. It is a milestone that required dedication, persistence, and the ability to see a long-term project through from beginning to end, qualities that also reflect in her professional life.‌

Outside of work, Cindy has a passion that often surprises people. She owns and rides horses, an activity that brings both balance and enjoyment to her life. She finds inspiration in her fiancé, who motivates her to continue growing and becoming the best version of herself each day. One of the most valuable pieces of advice she has received is to remember that not everyone approaches work in the same way. Being kind, patient, and understanding allows for better collaboration and stronger working relationships. Cindy describes herself as motivated, strong, and organized, traits that shape how she approaches both her work and her personal life.‌ To maintain balance, she makes a conscious effort to step away from work and prioritize time outside of it, allowing herself to recharge and stay grounded. Looking ahead, Cindy believes the workers’ compensation industry will become increasingly complex. She anticipates greater challenges in distinguishing pre-exist‌ing conditions from workrelated injuries, along with shifts in claimant engagement and return-to-work dynamics.

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Liz Cruz de Jesus Lead Bilingual Field Case Manager, Presque Isle Rehabilitation Service LLC

In an exclusive interview with OM Magazine, we had the pleasure of speaking with Liz Cruz de Jesus, Lead Bilingual Field Case Manager at Presque Isle Rehabilitation Service LLC. With more than 27 years in the workers’ compensation industry and an impressive 44-year care‌er in healthcare, Liz brings exceptional experience, compassion, and clinical expertise to every injured worker she serves. As a bilingual Fi‌eld Case Manager and Telephonic Case Manager, Liz coordinates care for injured workers across Florida, helping navigate complex healthcare systems while managing medical information and ensuring timely, high-quality care. Her goal is to move each case forward efficiently while always keeping the individual at the center of the process. What Liz enjoys most about her work is the opportunity to bring calm to people during some of the most stressful moments of their lives. Whether supporting an injured worker, healthcare provider, employer, or claims representative, she finds fulfillment in balancing everyone's needs while helping individuals successfully recover and return to work. Seeing those positive outcomes, she says, is one of the most rewarding parts of her career. Liz believes her greatest strengths are her deep healthcare knowledge, information management skills, patience, and advocacy. She credits decades of experience with giving her the ability to solve problems, educate others, and guide injured workers through the rehabilitation process with dignity and respect. Being able to provide that support in both English and Spanish allows her to connect with even more individuals. Professionally, Liz is most proud of the breadth of her healthcare journey. Over the course of 44 years, she has served not only as a registered nurse, but also as a retired physician and foreign medical graduate whose experience includes global and tribal medicine. This diverse background has given her a well-rounded perspective that she now uses to educate others and improve patient care.

Liz hopes people recognize that learning never stops. She believes knowledge is power, continued education is a lifelong responsibility, and treating every individual with dignity and respect should always remain at the heart of healthcare. Her greatest inspiration comes from her faith. She is driven by the opportunity to serve others with compassion, positivity, and purpose, believing that helping those in need is an important part of her life's calling. One piece of advice has guided her throughout her career: always bring your genuine self to the table and never compromise your principles or values. Liz describes herself as genuine, self-confident, and an instructor, qualities that reflect both her leadership style and her passion for educating others. Outside of work, she enjoys photography, videography, painting, dancing, content creation, traveling, and meeting new people. Staying creative and active helps her maintain balance while continuing to embrace life with enthusiasm. Looking ahead, Liz believes the workers’ compensation industry would benefit from greater integration of social work services.‌ She has seen firsthand how financial hardship and emotional stress can affect recovery and hopes the future brings more resources to support injured workers beyond their medical needs. When reflecting on who she is beyond her professional role, Liz shared a few personal affirmations that guide her life.‌ I am a fair individual.‌ I am a loving individual who cares.‌ I am about diversity.‌ I am about equality.‌ I am about inclusivity. OM MAGAZINE | 20

WHERE WORK COMP MEETS WORLD CLASS ORTHOPAEDIC CARE

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DEDICATED WORKERS’ COMP COORDINATOR DIRECT NUMBER:

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Sports Medicine Arthroscopic Surgery Total Joint Replacement

Osteoporosis Pain Management Foot & Ankle Injuries

Edward Chung, MD

Salvador A. Forte, DO

Rommel R. Francisco, DO

Fellowship-Trained, Board-Certified Orthopaedic Spine Surgon Spine

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Fellowship-Trained,Board-Certified Orthopaedic Surgeon Foot & Ankle

Gary P. Laux, DO

Diego J. Lima, MD

Brian K. Reiter, MD

Triple BoardCertified,FellowshipTrained Physiatrist/ Pain Management Specialist Spine

Fellowship-Trained,Board-Certified Orthopaedic Surgeon Shoulder, Elbow, Hip, Wrist (Hands & Fingers with Prior Approval)

Fellowship-Trained,Board-Certified Orthopaedic Surgeon Knee, Shoulder, Elbow, Wrist

MON - FRI 8 AM TO 5 PM One Time Changes, Second Opinion & IME Available

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Hours:Mon - Fri,8am - 5pm PALM BEACH GARDENS OFFICE 900 Village SquareCrossing,Suite170, Palm Beach Gardens, FL 33410 Phone: (561) 627-8500 | Fax: (844) 959-0418

Howard Routman, DO Fellowship-Trained, Board-Certified Orthopaedic Surgeon Shoulder, Elbow

LAKE WORTH OFFICE 4560Lantana Rd,Suite 100,Lake Worth Beach, FL 33463 Phone: (561) 967-4400 | Fax: (844) 959-0419

DELRAY OFFICE

AtlantisOrtho.com

4600Linton Blvd.,Suite 340, Delray Beach, FL 33445 Phone: (561) 967-4400

Vincent McKilligan Registered Nurse & Certified Occupational Health Nurse Specialist, Veterans Health Administration

n an exclusive interview with OM Magazine, we had the pleasure of speaking with Vincent McKilligan, RN, BSN, COHN-S, of‌ the Veterans Health‌ Administration. A Certified Occupational Health Nurse Specialist at the West Palm Beach VA Healthcare System, Vincent brings more than three decades of healthcare experience to his role, having served as an Army Combat Medic, Army Clinical Specialist, Safety Registered Nurse, Critical Care Nurse, Nurse Practice Leader, and Occupational Health Nurse. In his current position, Vincent works within Occupational Health, focusing on identifying, planning, implementing, and evaluating opportunities for improvement across multiple levels of the healthcare system. His work extends beyond the Employee Health Clinic and involves collaboration with organizations such as OSHA, The Joint Commission, VISN 8, the Palm Beach Health Department, and other government agencies. He plays a key role in promoting employee health and safety, supporting onboarding and employee transfers, preventing workplace injuries, and improving outcomes across the organization. What Vincent enjoys most about his work is helping people so they can help support fellow Veterans. He values meeting new employees and volunteers and hearing the unique stories that have shaped their lives. About 1 out of 4 VA employees are Veterans who Vincent feels fortunate to be able to share experiences and emotional connections. Over the years, he has met individuals from remarkable backgrounds, each bringing experiences that add perspective and meaning to his work and life.‌ He believes the most important skills in his role are communication, leadership, collaboration, and integrity. Working across multiple departments and agencies requires strong relationships, clear communication, and a commitment to doing what is right. One of Vincent’s proudest professional accomplishments was leading a project that resulted in more than $11 million in cost avoidance savings for the Veterans Health Administration. The initiative brought together professionals from various disciplines, demonstrating the impact that collaboration and innovation can have on a large organization. His contributions earned him recognition and nomination in the professional category for the Federal Employee of the Year program.

Outside of healthcare, Vincent has a story that often surprises people. Through his military medical background, he assisted with applying realistic wound dressings for film productions and even appeared as an enemy soldier in movies. He jokingly recalls sharing cigarette breaks on set with actor Matt Damon, an experience few would expect from an occupational health nurse. Today, Vincent finds inspiration in his family and in helping employees navigate complex onboarding and transfer processes. He takes pride in making those transitions easier and supporting individuals as they begin new chapters in their careers. One piece of advice that has stayed with him throughout his life is simple but powerful: “Pick your life before it picks you.” It is a philosophy that has guided both his career and personal decisions. Vincent describes himself as dedicated, trustworthy, and industrious, qualities that have served him well throughout his diverse healthcare career. Maintaining balance comes from making the most of his time away from work. He values spending time with family, prioritizing his health, and using vacation time strategically to create opportunities for rest and connection. Looking ahead, Vincent believes healthcare will continue to be shaped by technology, though he hopes the industry remains focused on preserving meaningful human interaction. While advancements may improve efficiency, he feels compassion, connection, and personal engagement will always be essential components of quality care. When reflecting on who he is beyond his professional role, Vincent offered a simple statement that captures his perspective and resilience:‌ I continually strive to be that person who my dog thinks I am! OM MAGAZINE | 22

YOUR INJURED WORKERS’ RECOVERY, OUR PRIORITY At Miami Institute for Joint Reconstruction, our priority is helping injured employees return to work quickly and safely. Our physicians specialize in diagnosing and treating work-related injuries, and our dedicated Workers’ Compensation team is well-versed in Florida’s Workers’ Comp rules and regulations. While our doctors focus on patient care, our Workers’ Comp team ensures employers, insurers, and case managers stay informed with timely updates on the treatment plan, progress, and status throughout the recovery process.

Worker’s Compensation Department Phone: (305) 595-8940, ext. 142 or 152 Fax: (786) 263-0179 Email: claudia@miamiorthodoc.com & yuneidi@miamiorthodoc.com

SERVING MIAMIDADE COUNTY WWW.MIAMIORTHODOC.COM

DORAL | KENDALL | CORAL GABLES | MIAMI

Toccara Phillips Senior Workers’ Compensation Examiner, Sedgwick

In an exclusive interview with OM Magazine, we had the pleasure of speaking with Toccara Phillips, Senior Workers’ Compensation Examin‌er at Sedgwick. With four years of experience in the field, Toccara began her career as a trai‌nee and quickly built a strong foundation in claims. Her background as a social worker continues to influence her approach, strengthening her communication, empathy, and problem-solving skills.

Outside of work, Toccara has a unique background that often surprises people. In high school, she competed in an American Legion Oratorical Contest, an experience that helped build her confidence in public speaking and communication, skills she c‌ontinues to use today. She draws inspiration from her children, who motivate her to continue growing and striving for her best. She is also inspired by her former high school vice principal, whose influence continues to shape her outlook and drive.

In her role, Toccara manages workers’ compensation claims while supporting individuals through what can often feel like a complex and overwhelming process. She finds the most fulfillment in working with people, helping them navigate each step with clarity, building trust, and providing guidance during difficult times.

The best career advice she has received is to never give up and to avoid becoming complacent. This mindset has guided her to stay motivated, continue learning, and consistently push herself toward growth. Toccara describes herself as humble, motivated, and focused, qualities that shape both her work ethic and her approach to helping others.

She believes the most important skills in her role are empathy, communication, and patience. Working closely with individuals facing challenging situations requires understanding and compassion, while strong time management and analytical skills ensure cases are handled efficiently and accurately.

Maintaining balance comes through strong organization and intentional time management. She plans her week ahead, sets clear priorities, and makes a conscious effort to separate work from personal time. Outside of work, she prioritizes being present with her family and allowing herself time to rest and reset. Looking ahead, Toccara sees artificial intelligence as a major force shaping the future of the industry. While it will improve efficiency and streamline processes, she believes it will also raise expectations and require professionals to adapt to more complex responsibilities.

One of Toccara’s proudest accomplishments are her growth within the industry and her acceptance into the Florida State University College of Law. This recognition has allowed her to mentor others, answer complex questions, and support both new hires and colleagues. Coming from a background filled with challenges, being in a position where others rely on her guidance is something she takes great pride in.

When reflecting on who she is beyond her role, Toccara shared a personal affirmation that captures her outlook on life.‌ I am happiest when I travel the world and experience new cultures and perspectives. OM MAGAZINE | 24

Arleen Clarke

Branch Manager, AmTrust Financial Services

In an exclusive interview with OM Magazine, we had the pleasure of speaking with Arleen Clarke, Branch Manager at AmTrust Financi‌al Services. With 11 years of experience in workers’ compensation, including eight years in a leadership role, Arlee‌n oversees a team of telephonic medical case managers in a high-volume clinical environment. In her role, Arleen is responsible for daily operations, staff productivity, quality assurance, and the effective management of workers’ compensation claims. She leads a team of six case managers, ensuring both strong performance and consistent support for injured employees throughout the claims process. What Arleen enjoys most about her work is the balance between developing her team and improving outcomes for injured workers. She values mentoring staff, helping them navigate challenges, and watching their confidence grow. At the same time, she enjoys solving operational issues, refining workflows, and helping move complex cases forward. For her, it is rewarding to know her leadership positively impacts both her team and the cases they manage. She believes the most important skills in her role are leadership, communication, problem solving, and organization. Strong time management is also essential, as she balances team oversight, escalations, and daily responsibilities. One of Arleen’s proudest accomplishments is building strong working relationships with the Maitland and Boca Raton claims teams.‌ Through consistent communication and collaboration, she has fostered trust and strengthened partnerships, improving both teamwork and claim progression. Something that often surprises people is how calm she remains under pressure.

When situations become chaotic, she becomes more focused, often already working toward a solution while others are still processing the issue.‌ Arleen is inspired by growth, both within her team and in her own professional journey. She is motivated by helping others succeed while continuing to challenge herself and take on new opportunities. The best career advice she has received is to focus on solutions rather than problems. This mindset has shaped her leadership style, encouraging her to stay calm, think critically, and approach challenges with a clear plan. She describes herself as calm, dependable, and solution oriented, qualities that define how she leads and supports those around her. To maintain balance, Arleen is intentional with her time and sets clear boundaries. She stays focused during the workday and prioritizes disconnecting at home to recharge and spend time with family. Looking ahead, Arleen sees the industry becoming more technology driven and medically complex. She expects advancements in AI and data analytics to help identify high-risk claims earlier, along with a greater focus on telemedicine, mental health, and faster return-to-work solutions. When reflecting on who she is beyond her role, Arleen shared a few personal affirmations that guide her approach to life and leadership.‌ I am calm under pressure.‌ I am dependable and consistent.‌ I am caring.‌ I am supportive of others.‌ I am driven to continuously improve.‌ I am someone who leads by example. OM MAGAZINE | 25

Janice Carll

Employee Occupational Health Nurse, James A. Haley Veterans’ Hospital

In an exclusive interview with OM Magazine, we had the pleasure of speaking with Janice Carll, Employee Occupational Health Nurse at James A. H‌aley Veterans’ Hospital. With more than eight years of experience in occupational health nursing, Janice‌ works at the intersection of employee wellness, workplace safety, compliance, and clinical care, supporting healthcare employees through both routine and urgent health needs. In her role, Janice manages a wide range of responsibilities including employee onboarding clearances, immunizations, exposure follow-ups, injury triage, OSHA and workers’ compensation documentation, and health education. She collaborates closely with HR, healthcare providers, leadership teams, and interdisciplinary departments to help ensure employee safety and well-being across the organization. What Janice enjoys most about her work is connecting with employees, especially during onboarding and orientation. She values the opportunity to learn about each individual’s background and aspirations while helping them feel welcomed and supported from the very beginning of their journey. Leading New Employee Orientation has become one of the most rewarding aspects of her role. She believes adaptability, communication, and critical thinking are among the most important skills in occupational health nursing. The role constantly evolves, requiring her to shift between being a clinician, educator, investigator, compliance coordinator, and advocate. While the work is highly operational, it is also deeply human, centered around supporting employees during vulnerable or transitional moments. One of Janice’s proudest accomplishments was earning her Certified Occupational Health Nurse–Specialist (COHN-S) certification. Her journey toward certification was interrupted by the COVID-19 pandemic, and after an unsuccessful first attempt at the exam, she continued studying and successfully passed six months later. That experience reinforced the importance of persistence, growth, and resilience, lessons she now shares with others entering the profession.

Something that often surprises people is that Janice’s master’s degree is in Nursing Informatics. Earlier in her career, she helped healthcare facilities transition from paper charting to electronic medical records and participated in designing components of the Cerner EMR system. Today, she combines her passions for nursing, technology, and employee health in meaningful ways. Janice finds inspiration in both people and possibility. She is motivated by the resilience and dedication of those she works with, as well as by opportunities to create innovative solutions that improve communication and employee support. Nature also plays an important role in her life, providing both inspiration and grounding outside of work. One of the best pieces of advice she has received is to remain curious, continue learning, and pursue work that genuinely inspires you. Throughout her nursing career, she has embraced new opportunities and allowed curiosity to guide her professional growth. Janice describes herself as resourceful, imaginative, and compassionate. She maintains balance by spending time in nature, exercising, reading, and creating meaningful memories with family and loved ones. Looking ahead, Janice believes occupational health will continue evolving through greater integration, innovation, and technology. While artificial intelligence and data management will improve efficiency and support decision-making, she believes the human side of occupational health will always remain essential. When reflecting on who she is beyond her role, Janice shared a personal affirmation that reflects both her values and passions.‌ I am passionate about education, lifelong learning, and supporting the next generation of healthcare professionals.‌‌ I find balance and inspiration in nature, meaningful connections, and enjoying life’s simple pleasures along the way. OM MAGAZINE | 27

Alexcia Wong Medical Only Adjuster, CorVel

In an exclusive interview with OM Magazine, we had the pleasure of speaking with Alexcia Wong, a Medical Only Adjuster at Cor‌Vel. With more than five years in the‌ workers’ compensation industry, including nearly two years in her current role, Alexcia specializes in claims that involve medical treatment with little to no lost time. As a Medical Only Adjuster, Alexcia investigates claims, ensures documentation complies with both client and state requirements, and guides each case through the workers’ compensation process. Her attention to detail and commitment to accuracy help ensure claims are handled efficiently while providing injured workers with the care and support they need. What Alexcia enjoys most about her work is helping injured workers during a difficult time in their lives. She values taking the time to listen, understand their concerns, and guide them through what can often be an unfamiliar process. Her goal is to make each person feel heard while helping them get back to where they were before their injury. She believes the most important skills in her role are multitasking, strong interpersonal communication, and excellent customer service. These abilities allow her to manage multiple claims while building trust and maintaining positive relationships with injured workers and everyone involved in the claims process. One of Alexcia’s proudest accomplishments is the work ethic she has developed throughout her career. She takes pride in consistently earning high audit scores and in making her mother, who is also a Claims Supervisor at CorVel, proud of the dedication and quality she brings to her work each day.

Something that often surprises people is her multicultural background. Alexcia is Caucasian, Jamaican, and Chinese, a heritage that reflects the diversity she values both personally and professionally. Her greatest inspiration is her mother, whose resilience and career drive have encouraged Alexcia to push beyond her comfort zone and prove herself through hard work and determination.‌ One of the most valuable lessons she has learned in workers’ compensation is simple but essential: "If you didn't document it, you didn't do it." It is advice that continues to guide her approach to every claim she handles. Alexcia describes herself as passionate, authentic, and empathetic, qualities that shape both her work and her interactions with others. Maintaining balance means setting healthy boundaries. She knows when to ask for help, values time with family and friends, and makes a conscious effort to disconnect from work when the day is done. Looking ahead, Alexcia believes the workers’ compensation industry will continue to grow, become more technology driven, and embrace greater diversity. She is excited to be part of an industry that continues to evolve while creating new opportunities for professionals and those they serve.‌ When reflecting on who she is beyond her role, Alexcia shared a few personal affirmations that guide her outlook on life.‌‌ I am in complete charge of the way my story unfolds.‌ I am in control of my own happiness.‌ I am exactly who I was made to be.‌ I am at peace with my past.‌ I am never giving up on myself.‌ I am not a failure, even when I have failed. OM MAGAZINE | 28

Tracey Gatzke Director of Workers’ Compensation Program, Southeast Orthopedic Specialists

With more than three decades of experience in Florida’s healthcare industry, my ro‌le as Director of W‌orkers’ Compensation Program at Southeast Orthopedic Specialists reflects a career dedicated to improving outcomes for injured workers while supporting employers in navigating the complexities of occupational health and injury treatment. From hands-on clinical program development to strategic program leadership, my journey has been shaped by a commitment to quality care, operational efficiency, and strong partnerships across the workers’ compensation continuum. Early in my career, I specialized in industrial rehabilitation, leading programs focused on Work Hardening and Work Conditioning. These programs were designed to help injured employees regain strength, endurance, and functional capacity, enabling them to return to work safely and with confidence. A major component of this work included performing Functional Capacity Evaluations (FCEs), Ergonomics Assessments, and Job Task Analyses, which provided objective measurements of an individual’s ability to perform job-related tasks and helped identify workplace demands and potential risk factors. These assessments played a vital role in guiding treatment plans, determining work readiness, and ensuring safe and sustainable returnto-work outcomes. Later I expanded to partnering directly with employers to support their occupational health needs. This included overseeing services such as pre-employment examinations, OSHA-required medical surveillance, and specialized physicals for Department of Transportation (DOT) drivers and crane operators. By aligning clinical services with regulatory requirements and workplace demands, I helped organizations maintain compliance, reduce risk, and promote a culture of safety. For the past three years, in my role at Southeast Orthopedic Specialists, I have had the privilege of building and leading a highly effective Workers’ Compensation Program centered on coordination, communication, and clinical excellence. A cornerstone of our success is our dedicated team of care coordinators, who serve as the central hub for managing injured worker referrals. We prioritize rapid scheduling to ensure timely access to care, recognizing that early intervention is critical to both recovery and cost containment.

Our care coordination team ensures that all required documentation is transmitted promptly to carriers and nurse case managers, supporting transparency and continuity of care. From the initial intake through Return to Work (RTW), we provide seamless coordination, ensuring that each stakeholder—from the‌ injured worker to the employer and insurance partner—remains informed and engaged. ‌Equally important is the clinical strength of our fellowship-trained orthopedic providers. At Southeast Orthopedic Specialists, our physicians bring extensive knowledge of state-specific expertise in Florida and Georgia workers’ compensation systems, along with comprehensive knowledge of Federal and Longshore programs. Our providers also partner closely with nurse case managers to provide clear communication, coordinated treatment planning, and continuity of care throughout the injured worker’s recovery. This combined expertise allows us to navigate complex cases with confidence, ensuring compliance with jurisdictional requirements while focusing on optimal patient outcomes. Throughout my career, I have remained committed to bridging the gap between healthcare delivery and workplace productivity. At Southeast Orthopedic Specialists, that mission continues through a collaborative, patient-centered approach that emphasizes timely care, clear communication, and measurable results. By combining decades of experience with a forward-thinking model of care coordination, we are proud to support injured workers in their recovery journey while delivering value to employers and insurers alike. As our practice continues to grow and expand both our service offerings and geographic footprint, we remain focused on exploring new and innovative ways to deliver superior service and outcomes. By strengthening partnerships, enhancing access to specialized orthopedic care, and continuously refining our processes, we are well positioned to meet the evolving needs of injured workers, employers, carriers, and nurse case managers across the communities we serve.

For assistance or to schedule an appointment:‌‌ Email: workcomp@se-ortho.com Phone: 904-394-2494 OM MAGAZINE | 29

Brandi Milford Founder and CEO, Milford Medical Management

In an exclus‌ive ‌interview with OM Magazine, we had the pleasure of speaking with Brandi Milford, Founder and CEO of Milford Medical Management. With 25 years of experience in catastrophic rehabilitation and case management, including the past five years leading her own company, Brandi has dedicated her career to advocating for injured workers facing some of life's most complex medical challenges. As a Catastrophic Case Manager, Brandi provides both field and telephonic case management services, helping injured workers navigate complicated medical situations while coordinating care among multidisciplinary teams. Her focus is on ensuring each individual receives the support, resources, and advocacy needed to achieve the best possible outcome. What Brandi enjoys most about her work is helping people through some of the most difficult moments of their lives. She finds tremendous fulfillment in advocating for injured workers, solving complex challenges, and witnessing the progress that comes as individuals regain their independence after catastrophic injuries. She believes the foundation of successful case management is built on communication, critical thinking, empathy, organization, and collaboration. Every case is unique, requiring the ability to coordinate complex care, build trust with everyone involved, and adapt to the changing needs of each injured worker. One of Brandi's proudest accomplishments has been creating a career that aligns with her personal values. Building her own business has given her the flexibility to be fully present for her family while continuing to grow professionally. For her, achieving success without sacrificing the people and priorities that matter most is one of life's greatest accomplishments. Something that often surprises people is that she no longer drinks alcohol. What began as a one-month personal challenge has become nearly two years of living alcohol-free. Despite traveling internationally and attending conferences and networking events throughout the year, she has discovered that meaningful relationships and memorable experiences do not require alcohol, making it one of the best personal decisions she has ever made.

Brandi is inspired by the opportunity to leave a lasting impact on the case management profession. Whether helping injured workers achieve better outcomes, mentoring fellow case managers, or developing educational resources for the next generation, she is motivated by the chance to make a meaningful difference in the lives ‌of others. ‌The best career advice she has received is to always put people first. While technical knowledge and expertise are important, she believes compassion, integrity, and respect are what build trust and create lasting relationships. That philosophy continues to guide both her leadership and the care she provides every day. Brandi describes herself as empathetic, determined, and authentic, qualities that are reflected in both her professional approach and personal life. Maintaining balance is a non-negotiable priority. Owning her own business allows her to create a schedule that supports both her career and her family. She enjoys exercising regularly, traveling whenever possible, and spending quality time with her husband and their two sons. She believes caring for herself outside of work enables her to be a stronger leader, advocate, and case manager. Looking ahead, Brandi believes one of the profession's greatest challenges will be the growing experience gap as seasoned case managers retire. At the same time, she sees tremendous opportunity to mentor and educate the next generation of professionals. By investing in future leaders, she believes the case management profession will continue to thrive while maintaining the high standards of care injured workers deserve. When reflecting on who she is beyond her professional role, Brandi shared the affirmations that continue to guide her life and career.‌ I am passionate about helping others navigate life's most challenging moments.‌ I am committed to leading with compassion, integrity, and purpose.‌ I am a lifelong learner who believes growth never stops.‌ I am dedicated to advancing the case management profession through mentorship and education.‌ I am grateful for the opportunity to make a meaningful difference every day.‌ I am building a life and career that reflect my values, faith, family, and passion for service.

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EXPERTS IN MEDICAL CASE MANAGEMENT. BETTER CLAIM OUTCOMES.

Yanez Management provides expert medical case management and catastrophic case services throughout Miami-Dade, Broward, Palm Beach, St. Lucie, Polk (Lakeland), Collier (Naples), and Lee (Fort Myers) counties, specializing in workers’ compensation and complex injury claims. Our experienced nurse case managers leverage strong clinical expertise, established provider relationships, and bilingual communication skills to coordinate timely, cost-effective medical care while improving claim outcomes. We work closely with injured workers, healthcare providers, employers, adjusters, and attorneys to address barriers to recovery, facilitate appropriate treatment, and support cases through Maximum Medical Improvement (MMI). With a commitment to responsive service, including same-day updates following doctor’s visits, we help reduce delays, manage complex medical issues, and achieve positive results while controlling claim costs.

PROUDLY SERVING SOUTH FLORIDA & CENTRAL FLORIDA Miami-Dade

Polk (Lakeland)

Broward

Collier (Naples)

Palm Beach

Lee (Fort Myers)

St. Lucie

www.yanezmgmt.com (305) 898-3090 Rai@yanezmgmt.com

Our Services TELEPHONIC NURSE CASE MANAGEMENT FIELD NURSE CASE MANAGEMENT MEDICAL CARE COORDINATION

CATASTROPHIC CASE MANAGEMENT

REHABILITATION SERVICES

WORKING TOGETHER FOR BETTER OUTCOMES

Our goal is simple: To remove barriers, facilitate appropriate treatment, achieve MIMI, and deliver better outcomes while controlling claim costs.

YANEZ MANAGEMENT P.O Box 940102 Miami, FL 33194

MY WORKERS' COMPENSATION PHILOSOPHY We asked the industry leaders and physicians what their Workers' Compensation philosophy is, and here's what they had to say.

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Roxanne King HR Analyst, Broward Sheriff’s Office My workers’ compensation philosophy is to maintain a structured, consistent process that supports both the employee and the organization. I focus on timely action, clear communication, and strong oversight to keep claims moving and reduce risk. When the process is managed correctly, it leads to better outcomes, controlled costs, and a safe return to work.

Lissa Benoit Senior Claims Specialist, CorVel My worker's compensation philosophy is centered on empathy and balance. I believe in treating people with understanding during difficult moments while also setting realistic expectations and managing claims in a fair and efficient way.

Arling Bermudez Worker's Compensation Manager, First Service Residential My workers’ compensation philosophy is to treat injured employees with respect and empathy while ensuring strict compliance and accountability. I believe in early intervention, clear communication, and coordinated medical care to support recovery and a timely return to work. My goal is to protect employees while responsibly managing claim costs and organizational risk.

William Allen Jr. Workers’ Compensation Claim Associate I, CCMSI My workers’ compensation philosophy is to always practice with an open mind, compassion and integrity.

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Lynn Glascott Branch Manager, Liberty Staffing USA My workers’ compensation philosophy is centered around taking care of the employee, maintaining open communication with the client, and ensuring the adjuster has all the necessary information to make the best recommendations for the claim. It takes everyone working together to help the employee feel supported, so they do not feel the need to turn to anyone else.

Jennifer Velez Principal Consultant, Executive Claims Consulting My workers’ compensation philosophy is through compassionate claims management and strategic risk leadership. I help organizations develop programs that support employees, mitigate risk improve outcomes, reduce overall cost, and create safer, healthier, and more resilient workplace.

Jackie Wiemer Dillon Sr. Claims Consultant, CCMSI My workers’ compensation philosophy is simply built on integrity, accountability and respect. I act with integrity I hold myself accountable and I treat all parties professionally and with respect.

If you would like to be featured in our "People to Know" and/or "My Workers' Compensation Philosophy is?" series on OM Magazine

Visit www.omdocs.com/interviewforms to participate. OM MAGAZINE | 34

DOCTOR SPOTLIGHT In this section, we highlight some of the top Workers’ Compensation doctors in the industry, offering a closer look at their expertise, approach to care, and impact on patient recovery.

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Comprehensive Spine Institute: Advanced Spine Care Focused on Helping Injured Workers Recover, Restore Function, and Return to Work When an injured worker suffers a spine injury, receiving the right care at the right time can make a significant difference in both recovery and a safe return to work. Spine injuries require more than treating symptoms. They require an accurate diagnosis, thoughtful treatment planning, and experienced physicians who understand how to restore function while keeping the patient's long term health at the center of every decision. At Comprehensive Spine Institute, spine care is built around that philosophy. The practice's spine surgery team includes founder and orthopedic spine surgeon Dr. Ashraf Ragab, board certified neurosurgeon specializing in spine surgery Dr. Jed Weber, and board certified orthopedic and spine surgeon Dr. Jon Kimball. Together, they provide advanced spine care for patients with everything from acute workplace injuries to complex spinal disorders, utilizing both conservative treatment options and advanced surgical techniques when appropriate. One of the greatest strengths of Comprehensive Spine Institute is its patient first approach. Every injured worker is evaluated individually, recognizing that no two injuries, job demands, or recovery goals are the same. Treatment begins with a comprehensive evaluation to determine the source of the problem before developing a personalized plan designed to restore function and improve quality of life. Whenever possible, conservative treatment is recommended before considering surgery. However, when surgical intervention is necessary, the physicians utilize advanced minimally invasive spine surgery techniques designed to reduce tissue disruption, minimize postoperative pain, and support a faster recovery. Their expertise also includes reconstructive spine surgery, fracture care, and the treatment of complex spinal disorders, allowing patients to receive the appropriate level of care based on their individual condition rather than a one size fits all approach. Dr. Ashraf Ragab founded Comprehensive Spine Institute with a commitment to advancing spine care through clinical excellence, research, education, and innovation. His experience treating complex spinal conditions, traumatic injuries, and reconstructive spine procedures has helped establish the practice as a regional resource for comprehensive spine care. Throughout his career, he has remained dedicated to improving patient outcomes while continuing to educate other physicians through research and teaching.

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Dr. Jon Kimball brings advanced training in minimally invasive spine surgery, complex spine surgery, rehabilitation, and total joint arthroplasty. His commitment to individualized care allows him to develop treatment plans that focus on relieving pain, restoring movement, and helping patients safely return to their daily activities. His background also includes teaching residents and fellows and serving as a consultant physician for professional sports organizations. Dr. Weber, a board certified neurosurgeon specializing in spine surgery, complements the team's multidisciplinary expertise by treating a wide range of spinal conditions using both conservative and surgical approaches. His addition to the spine surgery team further strengthens Comprehensive Spine Institute's ability to provide specialized care for patients with both routine and complex spine conditions. For employers, adjusters, nurse case managers, and everyone involved in the care of injured workers, quality spine care extends beyond surgery. It requires communication, timely documentation, coordinated treatment, and a team committed to helping injured workers progress through recovery as efficiently and safely as possible.

Ashraf Ragab, MD Board Certified Orthopedic & Spine Surgeon

As WorkCompReady Certified physicians, Dr. Ragab, Dr. Weber, and Dr. Kimball understand the unique responsibilities involved in treating injured workers. Their commitment to clear communication, timely work status updates, and coordinated care helps support informed decision making throughout treatment while keeping the focus where it belongs, on delivering quality patient care and helping injured workers safely return to work. Supporting the physicians is a dedicated workers' compensation team that assists with scheduling, work status reports, documentation, IMEs, follow up appointments, and ongoing communication throughout the course of treatment. This coordinated approach helps minimize unnecessary delays while providing employers and everyone involved in the care of injured workers with timely access to the information they need. With locations in Clearwater, Tampa, Sun City Center, St. Petersburg, and Bradenton, Comprehensive Spine Institute provides injured workers throughout the Tampa Bay region with convenient access to experienced spine specialists dedicated to restoring function and helping patients return to work safely.

Jon Kimball, MD Board Certified Orthopedic & Spine Surgeon

FEATURED PHYSICIANS Dr. Ashraf Ragab Board Certified Orthopedic & Spine Surgeon, Founding Member of Comprehensive Spine Institute Dr. Jed Weber Board Certified Neurosurgeon Specializing in Spine Surgery Dr. Jon Kimball Board Certified Orthopedic & Spine Surgeon WORKERS' COMPENSATION LIAISON TEAM Phone: 727-300-2537 Email: AKelleher@csiortho.com OM WORKERS' COMPENSATION LIAISON TEAM Email: Help@ommktg.com | Ozzy Diaz: ozzydiaz@ommktg.com OM MAGAZINE | 38

40 Jed Weber, MD Board Certified Neurosurgeon

COMPREHENSIVE CARE FOR FASTER, SAFER RETURN TO WORK OUR TEAM Ashraf Ragab, MD Orthopedic Spine Surgeon Jed Weber, MD Board-Certified Neurosurgeon Specializing in Spine Surgery

WORKERS COMPENSATION DEPARTMENT Phone: 727-475-5554 WC Coordinator & Email: April Kelleher - akelleher@csiortho.com

Jon Kimball, MD Board-Certified & FellowshipTrained Orthopedic Spine Surgeon Mohit Bansal, MD Board-Certified & FellowshipTrained Orthopedic Surgeon Willem Nel, MD Board-Certified Interventional Pain Physician Carissa Stone, MD Interventional Pain Physician Andrew Bloomfield, MD Board-Eligible Interventional Pain Physician

Bradenton | Clearwater | St. Petersburg | Sun City Center | Tampa W W W. C S I O R T H O . C O M

Bringing the Expertise of Neurology and Pain Medicine Together for Injured Workers Antonio Mesa, DO

Board-Certified Neuroloist & Pain Medicine Specialist When an employee is injured on the job, choosing the right physician can have a significant impact on the recovery process. An accurate diagnosis, timely treatment, and a clear plan focused on restoring function all play an important role in helping injured workers safely return to work. OM Magazine recently sat down with Dr. Antonio Mesa to discuss what makes his approach to patient care unique and how his background in both neurology and pain medicine benefits injured workers. Dr. Mesa is board-certified in Neurology and subspecialty boardcertified in Pain Medicine. While many physicians specialize in one area or the other, his training allows him to evaluate patients from both perspectives. For injured workers, that means symptoms involving the brain, spine, nerves, muscles, and chronic pain can be evaluated together to help determine the source of the problem and develop the most appropriate treatment plan. According to Dr. Mesa, every injured worker deserves an individualized evaluation. While two employees may have similar complaints, the underlying cause of their pain can be very different. Taking the time to understand the diagnosis before beginning treatment helps ensure patients receive care that is appropriate for their specific condition. The goal, Dr. Mesa explained, is not simply to manage pain. It is to improve function, restore mobility, and help injured workers safely return to work when medically appropriate. His practice provides comprehensive evaluations, neurodiagnostic testing (EMG, nerve conduction studies, EEG's, etc.) and offers the full range of interventional pain management procedures, along with other treatment options based on each patient's diagnosis and individual needs. By combining neurological expertise with interventional pain management, Dr. Mesa is able to evaluate the condition causing the pain and implement the appropriate treatment plan, all within the same office. Communication is another important part of the recovery process.

Dr. Mesa understands that employers, adjusters, nurse case managers, claims handlers, therapists, and treating physicians all rely on timely medical information throughout the life of a claim. Clear documentation, practical treatment recommendations, and appropriate work restrictions help everyone involved understand the patient's progress and support informed return-to-work decisions. For employers, having access to a physician with expertise in both neurology and pain medicine provides another level of clinical insight when caring for injured workers. Whether an employee has a straightforward injury or symptoms involving both pain and neurological conditions, Dr. Mesa's approach is centered on identifying the source of the problem, restoring function, and helping patients move forward with recovery. Dr. Antonio Mesa is board-certified in Neurology and subspecialty board-certified in Pain Medicine. He completed his neurology residency and interventional pain medicine fellowship at Jackson Memorial Hospital and has served as an Assistant Professor of Clinical Neurology and Anesthesiology at the University of Miami Miller School of Medicine.‌ He also served as Medical Director of the Jackson Memorial Hospital Pain Clinic. Today, he continues to provide comprehensive neurological and pain management care with a focus on helping patients improve function and quality of life. WORKERS’ COMPENSATION LIAISON TEAM Workers' Comp Coordinator: ‌Dayanee Ayala Phone: ‌305-670-7650‌| Fax: ‌855-999-9207 Email:‌dayala@fcneurology.net O‌M WORKERS’ COMPENSATION LIAISON TEAM Email: Help@ommktg.com Ozzy Diaz: ozzydiaz@ommktg.com OM MAGAZINE | 40

Need Expert Field Case Management? Trust Quinlan Medical Management – 20 Years of Proven Excellence in Patient-Centered Care! With over 20 years in business, Quinlan Medical Management (QMM) is a woman owed company that brings unmatched experience to Field Case Management Services, helping injured individuals recover faster while supporting employers and insurers with cost-effective solutions. Your partner in return to work recovery Seamless care coordination and proactive case management for better outcomes Rapid response for worker’s comp, disability, and catastrophic cases

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Southeast Orthopedic Specialists: Experienced Physicians. Dedicated Workers' Compensation Care. One Goal: Helping Injured Workers Recover and Return to Work. When an injured worker is referred for orthopedic or spine care, successful outcomes depend on more than the physician providing treatment. They require timely access to care, accurate communication, coordinated treatment, and a team that understands the workers' compensation process from the initial referral through recovery. At Southeast Orthopedic Specialists, physicians and the dedicated workers' compensation department work together with one shared goal: providing quality patient care while helping injured workers safely return to work. Southeast Orthopedic Specialists has built a comprehensive orthopedic and spine program that provides injured workers with access to experienced physicians across multiple specialties. Whether an injury requires conservative treatment, interventional spine care, orthopedic evaluation, or surgical intervention, patients receive individualized care based on their specific injury, functional goals, and job demands. This collaborative approach allows physicians to recommend the treatment that is most appropriate for each patient while ensuring continuity of care throughout the recovery process. Featured in this issue of OM Magazine are Dr. David Doward, Dr. Jennifer Madden, and Dr. Colin Murphy, three physicians who are part of Southeast Orthopedic Specialists' experienced orthopedic and spine team. While they represent different specialties within the practice, they share the same commitment to restoring function, reducing pain, and helping injured workers recover safely and efficiently.

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Dr. David Doward is a board-certified physician in Physical Medicine and Rehabilitation with fellowship training in Interventional Spine and Sports Medicine. As a Spine Care and Pain Management Specialist, he focuses on comprehensive non-surgical spine care using advanced image-guided procedures, including epidural steroid injections, radiofrequency ablation, peripheral nerve blocks, kyphoplasty, neuromodulation, and regenerative medicine techniques. His approach emphasizes relieving pain, restoring function, and helping patients improve their quality of life while avoiding surgery whenever appropriate. Dr. Jennifer Madden is a board-certified, fellowship-trained orthopedic surgeon who specializes in the diagnosis and treatment of conditions affecting the hand, wrist, and elbow. Her expertise includes advanced microsurgical techniques, upper extremity reconstruction, and both minimally invasive and complex surgical procedures when appropriate for the patient. Working as part of a collaborative, multidisciplinary orthopedic team, Dr. Madden is committed to providing individualized care focused on restoring function, relieving pain, and helping patients return to their daily activities. Dr. Colin Murphy is a fellowship-trained, board-eligible orthopedic surgeon specializing in knee, shoulder, and sports medicine. His expertise in treating musculoskeletal injuries complements the comprehensive orthopedic services offered throughout the practice. Dr. Murphy has dedicated himself to orthopedic research, authoring more than 50 publications throughout his career. His work earned the prestigious 2020 Jack Hughston Award, presented to the most outstanding research article published in The American Journal of Sports Medicine. Through careful evaluation and individualized treatment plans, he helps patients restore mobility, regain strength, and return to the activities that matter most to them.

David Doward MD Board Certified Physical Medicine and Rehabilitation Physician, Fellowship Trained in Interventional Spine and Sports Medicine

While these physicians are highlighted in this issue, they are part of a larger team of orthopedic and spine specialists at Southeast Orthopedic Specialists. This multidisciplinary approach provides injured workers with access to a broad range of expertise within one practice, allowing patients to receive coordinated care based on their individual condition rather than a one-size-fits-all treatment plan. Equally important to the physicians is Southeast Orthopedic Specialists' dedicated workers' compensation department. Serving as a central point of communication throughout treatment, the team works closely with employers, adjusters, nurse case managers, and everyone involved in the care of injured workers to coordinate approved appointments and services, obtain authorizations, provide work status reports and DWC25 forms, and maintain timely communication throughout the course of treatment. This coordinated approach helps keep care moving forward while ensuring all parties receive the information they need. Southeast Orthopedic Specialists accepts Florida, Georgia, and Federal workers' compensation claims and is committed to making the referral process as efficient as possible. By combining experienced physicians with a dedicated workers' compensation team, the practice provides a coordinated approach that supports quality patient care while helping injured workers recover and safely return to work. FEATURED PHYSICIANS Dr. David Doward Board Certified Physical Medicine and Rehabilitation Physician, Fellowship Trained in Interventional Spine and Sports Medicine

Jennifer Madden, MD Board Certified, Fellowship Trained Orthopedic Surgeon Hand, Wrist, and Elbow Specialist

WORKERS' COMPENSATION LIAISON TEAM Phone: 904-394-2494 | Fax: 904-674-6149 Email: WorkComp@se-ortho.com

OM WORKERS' COMPENSATION Dr. Jennifer Madden LIAISON TEAM Board Certified, Fellowship Trained Orthopedic Surgeon Email: Help@ommktg.com Hand, Wrist, and Elbow Specialist Ozzy Diaz: ozzydiaz@ommktg.com Dr. Colin Murphy Fellowship Trained, Board Eligible Orthopedic Surgeon, Knee and Shoulder & Sports Medicine Specialist OM MAGAZINE | 43

Colin Murphy, MD 45

Fellowship Trained, Board Eligible Orthopedic Surgeon, Sports Medicine Specialist

Why the Right Pain Management Physician Can Make a Difference for Injured Workers Brent Stewart, MD

Board-Certified Anesthesiologist & Board-Certified Pain Management Specialist LOOKING FOR A PHYSICIAN WHO'S EASY TO CONTACT? DR. BRENT STEWART IS JUST A CALL AWAY. LEARN MORE BELOW! When an employee is injured on the job, employers want quality medical care that helps move recovery forward. The right physician can make a significant difference by identifying the source of the injury, providing appropriate treatment, and helping the injured worker safely return to work. OM Magazine recently sat down with Dr. Brent Stewart, a boardcertified anesthesiologist and board-certified pain management specialist at Advanced Pain Medical Center, to discuss the role pain management plays in helping injured workers recover and why early, individualized care is so important. Dr. Stewart's approach is centered on finding the cause of a patient's pain rather than simply treating the symptoms. By developing a treatment plan based on each patient's specific injury and functional goals, his focus is on improving movement, restoring function, and helping patients return to their everyday activities. It Starts with the Right Diagnosis Dr. Stewart explained that pain is a symptom, not the diagnosis. Before recommending treatment, he performs a thorough evaluation to determine what is causing the pain. Understanding the underlying condition allows treatment to be directed at the source of the problem instead of simply masking symptoms. For employers, an accurate diagnosis helps ensure injured workers receive the right care from the beginning, reducing unnecessary delays and keeping recovery moving in the right direction. Restoring Function Is the Goal One of the biggest obstacles after a workplace injury is when pain limits an employee's ability to participate in therapy or daily activities. Dr. Stewart believes pain management should focus on restoring function, not simply reducing pain. When patients are able to move more comfortably, they are often better able to participate in rehabilitation, rebuild strength, and continue progressing toward recovery. Treatment is individualized and may include interventional procedures, medication management when appropriate, regenerative therapies, and other nonsurgical options based on each patient's condition.

Every Patient Deserves an Individualized Treatment Plan No two injuries are exactly alike, and neither are the patients experiencing them. Dr. Stewart believes every treatment plan should reflect the patient's diagnosis, medical history, job demands, and recovery goals. Taking the time to understand each patient's needs allows his team to provide care that supports both healing and long-term function. Communication Supports Better Outcomes Workers' compensation is most successful when everyone involved has the information they need. Dr. Stewart understands the importance of timely communication with employers, adjusters, nurse case managers, therapists, and referring physicians. Clear documentation and ongoing communication help keep treatment moving forward and allow informed decisions to be made throughout the recovery process. Helping Employers Get Employees Back to Work For employers, successful treatment means more than relieving pain. It means helping injured workers regain function and safely return to work when they are medically ready. Dr. Stewart understands that every treatment decision plays a role in that process. His goal is to provide practical, individualized care that supports recovery while helping injured workers return to productive, active lives. Serving North Central Florida Advanced Pain Medical Center serves injured workers throughout North Central Florida from its Newberry and Lake City offices. The practice evaluates and treats a wide range of spine, neck, back, joint, and musculoskeletal conditions using evidence-based, individualized treatment plans designed to reduce pain, improve function, and support recovery.

Dr. Brent Stewart is a board-certified anesthesiologist and board-certified pain management specialist. He also holds a Master of Business Administration and is committed to providing compassionate, patient-centered care. At Advanced Pain Medical Center, his focus is on identifying the source of pain, restoring function, and helping patients achieve the best possible outcome. Newberry Office 194 NW 137th Drive, Newberry, FL 32669 Lake City Office 4498 West US Highway 90, La‌ke City, FL 32055 Phone: ‌(‌352) 888‌PAIN (7246)‌ Website:‌www.comfortcompassion.com OM MAGAZINE | 46

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Why Early Pain Management Can Make a Difference for Injured Workers Jonathan Newton, MD

Board-Certified Pain Management Physician

When an employee is injured on the job, everyone shares the same goal. Help the injured worker recover safely, restore function, and return to work as soon as medically appropriate. Pain management plays an important role in that process, especially when pain begins to interfere with rehabilitation, daily activities, or progress with conservative treatment.‌ OM Magazine recently sat down with Dr. Jonathan Newton, a board-certified anesthesiologist and pain management physician at Newton & Associates Spine & Pain, to discuss the role pain management plays in workers' compensation and why timely intervention can help improve outcomes for injured workers. Dr. Newton has been treating patients in the Atlanta area since 2008. After completing his training at Vanderbilt University and the University of Alabama, he practiced at Northside Hospital before opening his independent practice. Today, he focuses on treating injury-related conditions through a combination of conservative care, interventional procedures, physical therapy, medications when appropriate, and lifestyle recommendations that support recovery. Looking Beyond the Pain One of the first things Dr. Newton emphasizes is the importance of finding the source of a patient's pain instead of simply treating the symptoms. He explained that an accurate diagnosis is often the foundation of a successful treatment plan.‌ Every injury is different, and understanding what is causing the pain allows treatment to be tailored to the individual rather than using the same approach for every patient. His goal is to identify the underlying problem, reduce pain, improve function, and help patients move forward in their recovery. Starting with Conservative Care For many injured workers, surgery is not the first step. Dr. Newton believes that many work-related injuries can improve with a thoughtful treatment plan that begins conservatively. Depending on the injury, that may include physical therapy, chiropractic care, medications, activity modification, and image-guided injections designed to reduce inflammation and improve function. By addressing pain early, patients are often better able to participate in therapy and continue making progress toward recovery. Keeping Recovery Moving Forward One of the biggest challenges in workers' compensation is when pain begins to slow recovery. When pain prevents an injured worker from participating in therapy or returning to normal daily activities, it can delay progress and extend time away from work.

Dr. Newton explained that effective pain management is not simply about making someone more comfortable. It is about helping patients regain function so they can actively participate in their rehabilitation. When pain is better controlled, patients are often able to move more, strengthen injured areas, and continue progressing through treatment. Communication Matters Successful workers' compensation care depends on communication. Dr. Newton believes employers, adjusters, nurse case managers, therapists, and treating physicians all play an important role throughout the recovery process. Keeping everyone informed helps treatment stay on track and allows important decisions to be made without unnecessary delays. His practice understands the importance of timely documentation and ongoing communication throughout the life of a claim, helping referral partners stay informed as treatment progresses. Treating the Whole Person Pain rarely affects only one part of a person's life. Dr. Newton explained that recovery often involves more than treating a specific injury. Physical health, movement, daily habits, and overall wellness can all influence healing. That is why he takes a comprehensive approach that looks beyond the immediate source of pain and focuses on helping patients regain their quality of life and independence. A Resource for Georgia Employers For employers, having access to experienced physicians who understand occupational injuries can make a significant difference throughout the recovery process. Newton & Associates Spine & Pain provides evaluation and treatment for a wide range of work-related spine, neck, back, and musculoskeletal injuries. The practice works to provide timely access to care while focusing on improving function and helping injured workers safely return to work when medically appropriate. WORKERS’ COMPENSATION LIAISON TEAM Workers' Comp Coordinator: ‌Rebecca Duquette Phone: ‌770-771-6300 Email:‌workcomp@naspinepain.com OM WORKERS’ COMPENSATION LIAISON TEAM Email: Help@ommktg.com Ozzy Diaz: ozzydiaz@ommktg.com Newton & Associates Spine & Pain 1611 Sands Place, Suite 110, Marietta GA 30067 777 Cleveland Ave, Ste 212, East Point GA, 30315 OM MAGAZINE | 48

WE CARE MORE! CALL 800.231.9311 AND TALK TO A LIVE PERSON. HealthCare Comp understands finding qualified service or equipment for injured workers can be time-consuming and that is where we shine. One contact gives you access to a wide range of ancillary services saving you time and money. We accommodate your injured worker's needs from the first report of injury to post-settlement care, this gives the injured worker the ability to build a relationship with a provider that will meet their needs.

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Helping Injured Workers Return to Work Across Southwest Florida Neil R. Schultz, MD

Board-Certified Physical Medicine & Rehabilitation (PM&R) Physician

When an employee is injured on the job, employers want more than pain relief. They want a physician who can identify the cause of the injury, develop a practical treatment plan, and help the injured worker safely return to work as soon as medically appropriate. OM Magazine recently sat down with Neil R. Schultz, MD of Rehab and Pain Management Services to discuss why Physical Medicine and Rehabilitation plays such an important role in workers' compensation and how a rehabilitation-focused approach can help injured workers recover while avoiding unnecessary delays. As a board-certified Physical Medicine and Rehabilitation physician with extensive experience in pain management, Dr. Schultz focuses on restoring function rather than simply treating symptoms. He explained that the goal is to help injured workers regain the strength, mobility, endurance and confidence they need to return to their jobs safely. One of the things that makes Physical Medicine and Rehabilitation unique is its focus on the whole patient. Rather than concentrating on one specific body part or recommending surgery as the first option, Dr. Schultz evaluates how the injury is affecting a patient's overall function. This allows him to develop individualized treatment plans designed to improve movement, endurance, reduce pain, and help patients return to their daily activities whenever possible. According to Dr. Schultz, early evaluation by a physiatrist can often help keep recovery moving in the right direction. Conservative rehabilitation, patient education, workplace modification, and coordinated treatment can help many injured workers improve function while reducing the need for more invasive procedures. Throughout treatment, the focus remains on helping injured workers safely return to work. Dr. Schultz believes returning to work is an important part of the recovery process. By restoring functional ability and helping patients perform the physical demands of their jobs, injured workers are often able to regain confidence while continuing their recovery. Communication is another area Dr. Schultz believes is essential for successful workers' compensation outcomes. Dr. Schultz personally sees every patient and does not use physician assistants or nurse practitioners. He spends up to 90 minutes evaluating new patients and developing a personalized treatment plan, followed by 30-minute follow-up visits. With an undergraduate degree in psychology, Dr. Schultz also uses motivational techniques to help support injured workers throughout their recovery.

Employers, adjusters, nurse case managers, claims handlers, therapists, and treating physicians all rely on timely medical information to make informed decisions throughout the life of a claim. Dr. Schultz understands the importance of providing prompt work status updates, clear treatment recommendations, and documentation that helps everyone involved understand the patient's progress. Another aspect of his practice that referral partners appreciate is the direct physician involvement throughout treatment. Every patient is evaluated and treated by Dr. Schultz, allowing continuity of care and consistent medical decision-making from the initial evaluation through recovery.‌ He also makes himself available to discuss cases directly with adjusters and nurse case managers at no additional charge to the insurance carrier, helping improve communication and support efficient claim management. For employers throughout Southwest Florida, choosing the right rehabilitation physician can have a significant impact on recovery. Dr. Schultz's approach combines rehabilitation medicine, pain management, patient education, and functional restoration with one goal in mind: helping injured workers recover safely and return to productive, active lives. Neil R. Schultz, MD is a board-certified Physical Medicine and Rehabilitation physician specializing in rehabilitation medicine and pain management. His practice is dedicated to caring for injured workers through conservative, function-focused treatment plans designed to improve mobility, reduce pain, and support a safe return to work.‌ With more than 30 years of experience treating workers’ compensation patients, Dr. Schultz understands the complex medical and legal issues that can arise in these cases. His extensive experience helps guide patients toward MMI and supports efficient case resolution. Neil R. Schultz, MD proudly serves injured workers throughout Southwest Florida and accepts new, established, out-of-state, and complex workers' compensation cases.‌ LOCATION 4755 Summerlin Road, Suite 4 Fort Myers, FL 33919 WORKERS’ COMPENSATION DEPARTMENT Phone:‌239-278-5700 | ‌Fax:‌239-278-5786 Email: rehab2005@comcast.net Website:‌rehabandpainmanagement.com

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Guiding Injured Workers Through Recovery Tosca Kinchelow, MD

Board-Certified Orthopaedic Surgeon

Meet Doctor Tosca Kinchelow, a board-certified orthopedic surgeon who has been working in private practice within the South Florida area since 2007. She is a proud mother of 4 and is a New Jersey native. Dr. Kinchelow attended Duke University as an undergraduate. She then attended Michigan State College of Human Medicine as a medical student and was awarded a research fellowship.‌ After receiving her Doctor of Medicine degree, Dr. Kinchelow returned to her home state of New Jersey and completed a Residency in Orthopedic Surgery, a year of Orthopedic Research, and a Hand and Microvascular Surgery fellowship at the University of Medicine and Dentistry of New Jersey. Dr. Kinchelow is also bilingual, as she spent time living, studying, and volunteering in Bolivia, France, and Costa Rica before, during, and after college.‌

My goal is to not only properly diagnose & treat my patients' orthopedic conditions but, with an energetic & straight forward style, also empower them and guide them to participate in their regeneration, restoration, and recovery. Dr. Kinchelow says that it was during her medical school years that she discovered her passion for orthopedic surgery. “I felt compelled to further my education in this area,” she explains. ”I had a mentor in college who told me I should get into Ortho hand and sports but at that time I wanted to get into plastic surgery instead because I liked the reconstructive side of it, however, I ended up finding a passion for orthopaedics.”‌ Dr. Kinchelow is proud to have opened her own private practice, The Orthopaedic Hand and Arm Center. With her mission to provide excellent orthopaedic care for hand, wrist, elbow, and shoulder problems through education, empowerment, engagement, and execution. To do that, Dr. Kinchelow engages with her patients through transparent communication and education about the diagnosis, so she can recommend and provide patients with the most effective treatment options.

What is Dr. Kinchelow’s WHY? She says, “God has blessed me with the ability to have this career, to do this job, to take care of people. Every day, my patients look to me and trust me to treat their orthopedic issues and guide them to a place of healing. It is an honor to help them, and I want to fulfill my responsibility by pushing myself to be better and more excellent.” Early in her career, Dr. Kinchelow says she may have focused more on getting an injury to 'recover perfectly.' “Now, I still do want to strive for 'perfect' or 'complete' healing and recovery, but not for perfection's sake. I want my patients to heal perfectly for them, for their wants and requirements in life,” says the doctor. ‌“I try to empower all of my patients to be active participants in their care. Being injured at work does not remove the responsibility each patient has to engage in her/his care, including being proactive in their treatment. Mindset is key, and the more proactive and participatory the patient is, and the more realistic the expectations, the better the clinical outcome, even when the pre-injury range of motion, strength, etc. are not fully achieved.” If you are searching for a dedicated, compassionate, and highly-skilled medical professional to treat your injured workers, look no further than Dr. Kinchelow and her team at the Orthopaedic Hand and Arm Center. Dr. Kinchelow has established a reputation as a respected and accomplished physician in the workers' compensation community and has been recognized as one of the "BEST DOCTORS in WORKCOMP" for 2022, highlighting her commitment to the field and her patients. The Orthopaedic Hand and Arm Center, under the guidance of Dr. Kinchelow, is renowned for its excellence and dedication to providing prompt appointments to ensure that injured employees receive the care they need as quickly as possible. The center's ultimate goal is to empower patients with the knowledge and resources necessary to return to work safely and efficiently.

WORKERS COMPENSATION DEPARTMENT:

Phone: 888.908.9036 Email: info@myohac.com OM MAGAZINE | 52

Helping Injured Workers Restore Shoulder Function and Return to Work William E. Carlson, MD Board-Certified Orthopaedic Surgeon

When an employee suffers a shoulder injury, receiving the right diagnosis and treatment early can make a significant difference in recovery. Whether the injury is the result of a fall, repetitive overhead work, heavy lifting, or another workplace accident, restoring strength, mobility, and function is essential to helping injured workers safely return to their jobs. That philosophy has guided William E. Carlson, MD throughout more than three decades of orthopedic practice. A board-certified orthopaedic surgeon and co-founder of South Florida Orthopaedics & Sports Medicine, Dr. Carlson specializes in the treatment of shoulder injuries and disorders using both conservative and surgical techniques. He evaluates each patient individually, developing treatment plans based on the nature of the injury, the patient's functional goals, and the physical demands of their occupation. After earning his medical degree from Saint Louis University School of Medicine, Dr. Carlson completed his orthopedic surgery residency at Wayne State University/Detroit Medical Center. Since entering practice in 1986, he has dedicated much of his career to advancing shoulder surgery and remains actively involved in orthopedic education and research. He serves as an Assistant Professor at Florida State University College of Medicine, has presented research at national orthopedic meetings, and has published in peerreviewed medical journals. He is also a Fellow of the American Academy of Orthopaedic Surgeons. Dr. Carlson also serves at the Chairman of the Board of Directors of Florida Coast Medical Center, a newly opened state-of-theart healthcare facility in Port St. Lucie, Florida.

Dr. Carlson's practice focuses on treating many of the shoulder conditions commonly seen in workers' compensation, including rotator cuff tears, shoulder instability, labral injuries, fractures, arthritis, and other traumatic or repetitive-use injuries. His expertise includes arthroscopic shoulder surgery, shoulder stabilization procedures, total shoulder replacement, and reverse total shoulder replacement. While surgery may be appropriate for some patients, Dr. Carlson believes conservative treatment should always be considered first when it offers the best opportunity for recovery. Treating injured workers requires more than addressing the injury itself. Successful outcomes depend on communication between the physician, employer, adjuster, nurse case manager, and rehabilitation team. Dr. Carlson understands the importance of timely evaluations, clear treatment recommendations, accurate work status documentation, and ongoing communication to help everyone involved make informed decisions throughout the recovery process. ABOUT WILLIAM E. CARLSON, MD Dr. William E. Carlson is a board-certified orthopaedic surgeon and co-founder of South Florida Orthopaedics & Sports Medicine. He specializes in the diagnosis and treatment of shoulder injuries and disorders, including rotator cuff tears, shoulder instability, arthritis, fractures, and complex shoulder reconstruction. With more than 35 years of orthopedic experience, Dr. Carlson provides both surgical and non-surgical treatment options and sees patients in Stuart and Port St. Lucie, Florida. WORKERS' COMPENSATION LIAISON TEAM Direct Phone:‌(772) 403-2298 Email: WorkComp@SouthFlaOrtho.com Website: ‌SouthFlaOrtho.com/workers-compensation OM MAGAZINE | 54

Treating the Cause, Not Just the Pain: Helping Injured Workers Return to Work Vinaya K. Puppala, MD

Double-Board Certified Anesthesiologist & Pain Specialist

For Dr. V. K. Puppala, effective pain management begins with identifying, treating, and eliminating the root cause of an injured worker's pain whenever possible. His goal is not simply to reduce symptoms, but to restore function, facilitate an early return to work, and help patients regain their quality of life. Rather than relying on addictive or habit-forming medications that may temporarily mask pain while contributing to prolonged disability, Dr. Puppala emphasizes targeted, evidence-based interventional treatments that address the underlying source of the injury and support long-term recovery. When an employee is injured on the job, timely access to the right specialist can make a significant difference in the recovery process. Early intervention, an accurate diagnosis, and the appropriate treatment plan can help injured workers regain function while supporting a safe and timely return to work. OM Magazine recently sat down with Dr. V. K. Puppala, Founder and Medical Director of Comprehensive Spine & Pain, to discuss the role interventional pain management plays in workers' compensation and how employers can benefit from having access to advanced, minimally invasive treatment options. According to Dr. Puppala, pain management is about much more than treating pain. The goal is to identify the underlying source of the problem, improve function, and help patients move forward with their recovery.

OFFICE LOCATIONS: Sandy Springs: ‌5505 Roswell Road‌ Suite 350 Atlanta, GA 30342 Duluth: ‌1533 ‌Pleasant Hill Road‌ Duluth, GA 30096 Decatur:‌4296 Memorial Drive, Suite C, Decatur, GA 30032 Riverdale:‌34 Upper Riverdale Road‌ Suite 203, Riverdale, GA 30274 Marietta: ‌2550 Windy Hill Road SE,‌ Suite 310, Marietta, GA 30067 Villa Rica: ‌403 Permian Way‌ Suite C & D, Villa Rica, GA 30180 WORKERS’ COMPENSATION DEPARTMENT Phone:‌770-627-7246 Fax: ‌404-393-1611

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WORKERS’ COMPENSATION This section covers all things workers’ compensation—from articles and interviews to resources and more.

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Managing Exacerbations of Chronic Lumbar Disc Herniation and Chronic Facet Joint Arthropathy in Injured Workers BY RONALD GUTMAN, MD Chronic lumbar disc herniation and chronic spondylosis & facet joint arthropathy are common causes of occupational low back pain and disability. When workers with these pre-existing conditions experience an exacerbation due to a work related injury, effective case management depends on understanding the typical course of the condition, appropriate treatment options, and realistic recovery timelines. Lumbar disc herniation is the most common cause of sciatica, which may present with radiating leg pain, numbness, or weakness. The overall prognosis is favorable. Most patients improve without surgery—approximately 87% report pain reduction within three months, and more than one-third notice improvement within two weeks. Facet joint arthropathy involves degenerative changes in the small joints of the spine and is a recognized source of axial low back pain. It accounts for an estimated 15–45% of chronic low back pain cases. Initial Conservative Management (First 4–6 Weeks) In the absence of significant neurologic deficits, a trial of conservative care for approximately six weeks is appropriate and supported by clinical guidelines.

Education is a critical first step. Patients should be encouraged to remain active, avoid prolonged bed rest, and understand that improvement is expected over time. Early reassurance and guidance toward maintaining activity have been shown to improve outcomes. Supervised exercise-based physical therapy is recommended. Effective approaches include McKenzie exercises, spinal stabilization programs, and general strengthening. The specific exercise model is less important than ensuring the program is individualized and progressive. Other treatment options that may provide benefit include: Heat therapy (about 20 minutes several times daily) Acupuncture Dry needling for myofascial pain Massage therapy Early physical therapy has also been associated with reduced use of advanced imaging, opioids, and invasive procedures.

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Pharmacologic Treatment (Second-Line) Occasionally patients can initiate pharmacologic treatments concomitantly with conservative management. Common Pharmacologic agents include: 1. Nonsteroidal anti-inflammatory drugs (NSAIDs) 2. Duloxetine 3. Other case specific medications include muscle relaxers, gabapentinoids, and topic analgesics. The following medications are generally not recommended for routine use due to limited long-term benefit or potential risk: 1. Long-term opioids 2. Oral corticosteroids 3. Benzodiazepines 4. Anticonvulsants for nonspecific low back pain 5. Tricyclic antidepressants Acetaminophen has limited evidence of effectiveness and is no longer considered first-line therapy. Imaging Considerations Advanced imaging such as MRI should generally be deferred during the first 4–6 weeks unless red flag symptoms are present. Disc herniations are frequently seen on imaging in asymptomatic individuals, so findings must correlate with the clinical picture. MRI is the preferred imaging modality when symptoms persist and the patient is being considered for interventional procedures or surgical evaluation. Minimally Invasive Interventional Options Herniated Disc with Radiculopathy: If significant radicular pain persists after 4–6 weeks of conservative care, epidural steroid injections may be considered. Transforaminal epidural steroid injections (TFESI) and Interlaminar epidural steroid injections (ILESI) have demonstrated short-term pain relief, often lasting up to three months - occasionally longer. Facet Joint Arthropathy Diagnostic blocks are performed to determine if the patient is a good candidate for radiofrequency ablation. Radiofrequency ablation is the most established technique and can provide relief for 12–24 months in properly selected patients.

Work Restrictions and Return-to-Work Planning Maintaining activity, including work participation, is strongly encouraged. Prolonged absence from work is associated with poorer functional outcomes. Restrictions should be individualized based on job demands and symptom severity. Typical Initial Restrictions: 1. No lifting over 10 pounds 2. Avoid repetitive or prolonged bending 3. Ability to alternate sitting and standing 4. Avoid activities that cause more than mild, temporary symptom increase Restrictions should be reviewed weekly during the acute phase and advanced gradually as tolerated. Written work limitations are important, even if modified duty is not available, as they clarify expectations and functional status. Expected Return-to-Work Timelines With conservative management, most patients show substantial improvement within six weeks and continue improving over three months. Shorter pre-treatment disability duration is one of the strongest predictors of successful return to work. Prolonged absence (greater than six months) significantly reduces the likelihood of sustained return. Case Management Approach 1. Weeks 0–6: Authorize conservative care including physical therapy, NSAIDs, and patient education. Implement and regularly reassess work restrictions. Avoid early imaging unless red flags are present. 2. Weeks 4–6: If improvement is limited, consider MRI and referral for interventional pain management evaluation 3. Beyond 6 Weeks: Assuming urgent surgical referral criteria are not met, attempt minimally invasive interventional pain procedures. For persistent, functionlimiting pain with consistent clinical and imaging findings, discuss surgical consultation while continuing conservative and interventional care. Ongoing coordination with treating providers, employers, and vocational resources is essential to support timely and sustainable return to work.

Surgical Referral Criteria Urgent referral is indicated for: 1. Suspected cauda equina syndrome (bowel or bladder dysfunction, weakness of the legs, saddle anesthesia) 2. Severe or progressive motor weakness 3. Elective surgical consultation may be appropriate when: 4. Pain persists beyond six weeks despite appropriate conservative care 5. Clinical symptoms, exam findings, and MRI findings are consistent 6. Functional limitations remain significant Surgery for disc herniation often provides faster relief of leg pain, but long-term outcomes at one year are generally comparable to non-operative management. OM MAGAZINE | 59

Expected Outcomes Most acute exacerbations improve substantially within 6–12 weeks. Approximately 70% of patients follow a steady recovery trajectory, while 30% may experience persistent or fluctuating symptoms. Risk factors for prolonged disability include: 1. High initial pain intensity 2. Significant functional limitations 3. Widespread pain 4. Depression or anxiety 5. Poor coping strategies Early identification of patients at risk for delayed recovery allows for more comprehensive intervention, including cognitive behavioral therapy and multidisciplinary rehabilitation.

Ronald Gutman, MD Dual Board Certified Anesthesiologist & Interventional Pain Management Physician OrthoMiami

Resources 1. Deyo RA, Mirza SK. CLINICAL PRACTICE. Herniated Lumbar Intervertebral Disk. The New England Journal of Medicine. 2016;374(18):1763-72. doi:10.1056/NEJMcp1512658. 2. El Melhat AM, Youssef ASA, Zebdawi MR, et al. Non-Surgical Approaches to the Management of Lumbar Disc Herniation Associated With Radiculopathy: A Narrative Review. Journal of Clinical Medicine. 2024;13(4):974. doi:10.3390/jcm13040974. 3. Kočan L, Rapčan R, Mláka J, et al. Comparative Effectiveness of Radiofrequency Ablation, Cryoablation, and Endoscopic Denervation for Lumbar Facet Pain: A Multicenter Trial. Spine. 2025. doi:10.1097/BRS.0000000000005539. 4. Sayed D, Grider J, Strand N, et al. The American Society of Pain and Neuroscience (ASPN) Evidence-Based Clinical Guideline of Interventional Treatments for Low Back Pain. Journal of Pain Research. 2022;15:3729-3832. doi:10.2147/JPR.S386879. 5. Acosta Julbe JI, Mandell JC, Ermann J, et al. Predictors of Outcomes After Lumbar Intra-Articular Facet Joint Injections and Medial Branch Blocks: A Scoping Review. Spine. 2023;48(20):1455-1463. doi:10.1097/BRS.0000000000004776. 6. Knezevic NN, Candido KD, Vlaeyen JWS, Van Zundert J, Cohen SP. Low Back Pain. Lancet (London, England). 2021;398(10294):78-92. doi:10.1016/S0140-6736(21)00733-9. 7. Lakemeier S, Lind M, Schultz W, et al. A Comparison of Intraarticular Lumbar Facet Joint Steroid Injections and Lumbar Facet Joint Radiofrequency Denervation in the Treatment of Low Back Pain: A Randomized, Controlled, Double-Blind Trial. Anesthesia and Analgesia. 2013;117(1):228-35. doi:10.1213/ANE.0b013e3182910c4d. 8. Maharty DC, Hines SC, Brown RB. Chronic Low Back Pain in Adults: Evaluation and Management. American Family Physician. 2024;109(3):233-244. 9. Thoomes E, Falla D, Cleland JA, et al. Conservative Management for Lumbar Radiculopathy Based on the Stage of the Disorder: A Delphi Study. Disability and Rehabilitation. 2023;45(21):3539-3548. doi:10.1080/09638288.2022.2130448. 10. Lee JH, Choi KH, Kang S, et al. Nonsurgical Treatments for Patients With Radicular Pain From Lumbosacral Disc Herniation. The Spine Journal : Official Journal of the North American Spine Society. 2019;19(9):1478-1489. doi:10.1016/j.spinee.2019.06.004. 11. Hegmann KT, Travis R, Andersson GBJ, et al. Invasive Treatments for Low Back Disorders. Journal of Occupational and Environmental Medicine. 2021;63(4):e215e241. doi:10.1097/JOM.0000000000001983. 12. Hegmann KT, Travis R, Andersson GBJ, et al. Non-Invasive and Minimally Invasive Management of Low Back Disorders. Journal of Occupational and Environmental Medicine. 2020;62(3):e111-e138. doi:10.1097/JOM.0000000000001812. 13. Rooker S, Willems SJ, Franken N, et al. Timelines and Associated Factors for Return-to-Work of Patients With Painful Lumbar Radiculopathy Who Undergo Lumbar Microdiscectomy Followed by Physiotherapy: A Prospective Cohort Study. Spine. 2025. doi:10.1097/BRS.0000000000005443. 14. Hara S, Aasdahl L, Salvesen Ø, et al. Return to Work After Surgery for Lumbar Disk Herniation: A Nationwide Registry-Based Study. Spine. 2025;50(4):217-223. doi:10.1097/BRS.0000000000005082. 15. Qaseem A, Wilt TJ, McLean RM, et al. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Annals of Internal Medicine. 2017;166(7):514-530. doi:10.7326/M16-2367. 16. Gill SS, Ramkumar P, Kamath AG, et al. Intra-Articular Steroid Injections for Lumbar Disk Herniation: A Systematic Review and Meta-Analysis. Acta Neurochirurgica. 2025;167(1):293. doi:10.1007/s00701-025-06676-4. 17. Bailey CS, Rasoulinejad P, Taylor D, et al. Surgery Versus Conservative Care for Persistent Sciatica Lasting 4 to 12 Months. The New England Journal of Medicine. 2020;382(12):1093-1102. doi:10.1056/NEJMoa1912658.

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TRAUMATIC ROTATOR CUFF TEARS IN WORKERS’ COMPENSATION: When Is Early Orthopedic Evaluation Necessary? By Anand Panchal, MD Shoulder injuries are among the most common musculoskeletal conditions encountered in workers’ compensation. Many are relatively minor strains or contusions that improve with activity modification, medication, and physical therapy. Others, however, involve an acute traumatic rotator cuff tear that may require more timely diagnostic imaging and orthopedic evaluation.

This distinction is important in workers’ compensation. Many adults, particularly those over age 50, may have preexisting degenerative changes or even an asymptomatic tear. An MRI finding alone does not establish that a work event caused the entire condition. The mechanism of injury, prior symptoms, physical examination, functional change, and imaging findings must be considered together

The challenge for adjusters, nurse case managers, employers, and treating providers is determining which injured workers can safely proceed through routine conservative care and which workers may be harmed by an extended delay in diagnosis. The goal is not to obtain an MRI or recommend surgery for every painful shoulder. The goal is to recognize the clinical findings that suggest a more substantial injury and to establish the appropriate treatment pathway as early as possible.

Mechanisms That Raise Concern A routine shoulder strain may occur after repetitive activity or a relatively minor lifting episode. In contrast, several mechanisms should raise concern for a traumatic rotator cuff tear: Falling directly onto the shoulder or an outstretched arm Attempting to catch or control a falling object Forceful lifting with the arm extended away from the body Sudden traction on the arm Shoulder dislocation A forceful pushing or pulling event accompanied by a pop

What Is the Rotator Cuff? The rotator cuff is composed of four muscles and their tendons that surround the shoulder joint. These tendons help stabilize the shoulder and allow the arm to elevate, rotate, and perform lifting activities. A rotator cuff tear may be partial thickness, involving only a portion of the tendon, or full thickness, extending completely through the tendon. Tears may develop gradually because of age-related degeneration and repetitive use, or they may occur suddenly following a traumatic event.

The reported mechanism should be evaluated in relation to the worker’s immediate symptoms. Sudden weakness, inability to elevate the arm, or a major loss of function following a defined traumatic event is more concerning than soreness that gradually develops after repetitive activity. OM MAGAZINE | 62

Clinical Warning Signs Pain alone does not reliably identify the severity of a rotator cuff injury. Some patients with a significant tear report substantial pain, while others primarily describe weakness and loss of function. Warning signs that may justify early orthopedic evaluation include: 1.Immediate inability to raise the arm after an injury 2.Marked weakness with shoulder elevation or external rotation 3.A popping or tearing sensation at the time of injury 4.Significant bruising or swelling 5.Persistent night pain 6.Inability to perform basic job duties despite initial treatment 7.Failure to demonstrate measurable improvement 8.Apparent loss of active motion despite relatively preserved passive motion A worker who cannot actively elevate the arm but whose arm can be moved through a greater range by the examiner may have pseudoparalysis. This can occur with a large rotator cuff tear and warrants prompt evaluation. The physical examination should also consider other possible diagnoses, including fracture, shoulder instability, cervical radiculopathy, nerve injury, biceps tendon injury, and pre-existing arthritis.

When Is an MRI Appropriate? MRI is the most commonly used advanced imaging study for evaluation of the rotator cuff. It can show tear size, tendon retraction, muscle quality, inflammation, arthritis, and associated injuries. MRI should not automatically be ordered for every shoulder complaint. Many uncomplicated strains improve with an appropriate period of conservative treatment. Advanced imaging is most valuable when its results are likely to affect management.

Earlier MRI may be appropriate when there is: 1.A significant traumatic mechanism 2.Profound weakness 3.Inability to elevate the arm 4.Suspected full-thickness tearing 5.A shoulder dislocation in an older worker with new weakness 6.Persistent functional loss despite appropriate initial care 7.Concern for an injury requiring timely surgical consideration Plain X-rays also remain important. They may reveal fracture, arthritis, calcification, superior migration of the humeral head, or other findings that influence diagnosis and treatment. When Is Conservative Treatment Reasonable? Many rotator cuff injuries can initially be treated without surgery. Appropriate conservative care may include temporary activity modification, anti-inflammatory medication when medically suitable, physical therapy, home exercises, and selected injections. However, conservative care should be structured and monitored. Simply repeating “continue physical therapy” at every visit without documenting progress may extend disability without advancing recovery. Measurable treatment goals may include: Improved range of motion Increased strength Better tolerance of reaching and lifting Reduced night pain Decreased medication use Advancement of work restrictions Improved ability to perform daily activities

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If the worker is progressing, continued conservative care is reasonable. If progress has plateaued or weakness remains substantial, the diagnosis and treatment plan should be reconsidered.

When medically appropriate, modified duty can help maintain workplace engagement and reduce deconditioning. Restrictions should be reassessed periodically and advanced as function improves.

When Is Surgery Considered? Not every full-thickness tear requires surgery, and not every traumatic tear must be repaired immediately. Surgical decision-making depends on several factors, including: 1.Whether the tear is acute or chronic 2.Tear size and location 3.Degree of tendon retraction 4.Muscle atrophy or fatty degeneration seen on MRI 5.Worker age and medical condition 6.Dominant-arm involvement 7.Occupational demands 8.Degree of weakness and disability 9.Response to nonsurgical treatment 10.Ability to participate in postoperative rehabilitation

Why Timing Matters A delay of several days is rarely the issue. The concern arises when a worker with major weakness and functional loss remains in repetitive conservative treatment for several months without diagnostic clarification. Over time, some torn tendons may retract, and the associated muscles may develop atrophy or fatty changes. These changes can make repair more difficult and may affect prognosis. Delayed diagnosis can also contribute to prolonged work absence, repeated treatment, frustration, and higher claim costs. The objective is not more aggressive treatment. It is earlier recognition of the worker whose clinical presentation falls outside the expected pattern of a routine shoulder strain.

An acute, repairable full-thickness tear associated with substantial weakness in an active worker is more likely to prompt early surgical discussion than a small degenerative tear with preserved function. Treatment should be individualized. The orthopedic surgeon’s role is to correlate the MRI with the clinical presentation rather than treating the imaging study alone.

For adjusters and nurse case managers, the most useful questions are often straightforward: Was there a significant traumatic event? Did the worker lose strength or function immediately? Is the worker improving objectively? Has the diagnosis been clearly established?

Work Restrictions Should Be Specific Work status is a central part of managing a rotator cuff claim. Restrictions such as “light duty” or “no use of the arm” are often too vague to be useful.

Would an orthopedic consultation change the treatment plan? Timely orthopedic evaluation can help answer those questions, distinguish routine injuries from potentially significant tendon tears, and create a focused path toward recovery and safe return to work.

More effective restrictions may address: Maximum lifting weight Overhead activity Repetitive reaching Pushing and pulling Use of the affected arm away from the body Frequency of lifting Whether one-handed work is permitted

Anand Panchal, DO Board-Certified, Fellowship-Trained Orthopedic Surgeon The Center for Bone & Joint Surgery of the Palm Beaches

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Clear Answers for Spine Care in The Workers’ Compensation Setting: Addressing Common Misconceptions to Support Better Outcomes Spine-related injuries are among the most complex cases encountered in the workers’ compensation environment. For adjusters and Nurse Case Managers, managing these claims requires balancing multiple priorities, to understand treatment recommendations, timelines, and return-to-work expectations.

MYTH: A DISC BULGE OR HERNIATION AUTOMATICALLY MEANS SURGERY IS NEEDED A diagnosis of a disc bulge or herniation can create concern for injured workers; many of whom assume surgery is inevitable. However, a significant number of patients improve with nonsurgical treatment.

Many challenges in spine care stem from common misconceptions about imaging, treatment options, surgery, and recovery. A clearer understanding of the clinical realities behind these misconceptions can help all stakeholders make informed decisions and support more efficient pathways to recovery.

Evidence-based care typically begins with conservative measures such as physical therapy, activity modification, medications, and, when appropriate, interventional treatments like injections. These approaches aim to reduce pain, restore function, and facilitate a return to normal activities.

MYTH: MRI FINDINGS ALWAYS EXPLAIN A PATIENT’S PAIN Advanced imaging, including MRI, is an important tool in diagnosing spine conditions, but imaging findings do not always tell the complete story. Degenerative changes, disc bulges, and other abnormalities are common and may or may not correlate with a patient’s symptoms. A comprehensive spine evaluation considers the full clinical picture, including patient history, physical examination findings, functional limitations, and response to conservative treatment. In the workers’ compensation setting, this individualized approach is critical, as treatment decisions should reflect how an injury impacts a person’s function and ability to perform job-related tasks, not imaging results alone. Understanding the role and limitations of imaging can help avoid unnecessary interventions and support more appropriate, timely care. OM MAGAZINE | 66

For workers’ compensation professionals, reinforcing a stepwise treatment approach helps set realistic expectations and encourages adherence to the recovery plan. MYTH: SPINE SURGERY LEADS TO A CYCLE OF ADDITIONAL PROCEDURES Concerns about “one surgery leading to another” are common, but outcomes are highly dependent on proper patient selection, accurate diagnosis, and clearly defined treatment goals. When surgery is appropriately indicated, many patients experience meaningful improvement in pain and function.

The goal of surgery is not simply to address imaging findings, but to improve quality of life and support a return to meaningful activity, including work when appropriate. Coordinated communication among providers, adjusters, NCMs, and employers is essential to aligning expectations and supporting recovery. MYTH: ALL SPINE SURGERIES ARE EXTENSIVE PROCEDURES WITH HARDWARE Spine surgery has advanced significantly, and not all procedures require extensive instrumentation. While some conditions necessitate hardware such as screws and rods, others can be treated with less invasive techniques depending on the diagnosis. These advancements may allow for reduced tissue disruption and more streamlined recovery pathways. Recognizing the range of available surgical options can help stakeholders better anticipate recovery timelines and plan accordingly. MYTH: AGE ALONE DETERMINES WHETHER SOMEONE IS A CANDIDATE FOR SPINE SURGERY Chronological age is only one factor in determining surgical candidacy. Overall health, functional goals, activity level, job demands, and the ability to participate in rehabilitation all play a role. Treatment decisions should remain individualized, with a focus on achieving safe and sustainable functional outcomes for each injured worker. WHEN TO INVOLVE PAIN MANAGEMENT VS. A SPINE SURGEON Understanding when to involve pain management versus a spine surgeon is key to ensuring appropriate and efficient care. In most cases, spine care begins with a comprehensive evaluation (often by a spine specialist) who assesses the patient’s condition, symptoms, and functional limitations.

If the condition is best managed non-surgically, patients are typically guided toward conservative treatment pathways, which may include physical therapy, chiropractic, and interventional pain management procedures. Pain management procedures assist spine surgeons by optimizing patient readiness, reducing postoperative pain, enabling faster recovery, guiding surgical decisions, and improving overall outcomes. When surgery is not indicated, pain management providers play a critical role in helping control symptoms, improve function, and support recovery without surgery. If a patient does not respond to conservative care, or if there are clear clinical indications such as significant neurologic deficits or structural instability, a spine surgeon may determine that surgical intervention is appropriate. The decision is based on the overall clinical picture, not a single test or finding. This collaborative, stepwise approach ensures that patients receive the right level of care at the right time, while avoiding unnecessary procedures and delays. BUILDING BETTER OUTCOMES THROUGH EDUCATION AND COLLABORATION Effective spine care in the workers’ compensation setting requires strong collaboration among medical providers, adjusters, Nurse Case Managers, employers, and injured workers. When all parties have a clear understanding of the diagnosis, treatment options, and expected recovery process, cases can progress more efficiently. By addressing common misconceptions and focusing on evidence-based care, workers’ compensation professionals can help support appropriate treatment decisions, improve communication, and ultimately contribute to better outcomes for injured workers. Source: Southeast Orthopedic Specialists

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INTERVIEW WITH MARI DIAZ Inside the New OM Community OM Magazine recently sat down with Mari Diaz, CoFounder of the OM Community, to talk about the official Beta launch, the journey from IN TOUCH and BLOOM, and what's next for the community. OM: Many people are hearing about the OM Community for the first time. What exactly is it? Mari Diaz: The easiest way to describe it is this. Think of LinkedIn, but built exclusively for the workers' compensation industry. The OM Community is a private online community for professionals involved in workers' compensation, healthcare, orthopedics, insurance, human resources, risk management, and workplace safety. Members can network with others in the industry, stay informed on workers' compensation news, access educational resources, participate in discussions, and keep up with conferences, webinars, CEU opportunities, and other industry events, all in one place. OM: Is the OM Community something new? Mari Diaz: The platform is new, but the community isn't. Our community has been around for more than 15 years. We originally launched it in 2010 as IN TOUCH, and in 2022 it became BLOOM. Throughout those years, we were using a third party platform while continuing to grow the community. This July marked an important milestone because we officially launched the OM Community on our own dedicated platform and mobile app. For the first time, we own and manage the entire platform ourselves, which gives us the flexibility to continue adding new features, educational resources, industry tools, and member benefits designed specifically for our industry. OM MAGAZINE | 68

OM: The platform is currently in Beta. What does that mean? Mari Diaz: It means we're live, members are joining every day, and we're continuing to introduce new features and enhancements. Beta gives us the opportunity to grow the platform alongside our members. We're listening to feedback, making improvements, and adding new features as the community continues to evolve. It's an exciting time because the community will continue getting better with every update.

OM: Any final thoughts? Mari Diaz: If you were part of IN TOUCH or BLOOM, we'd love to welcome you back. And if you're hearing about the OM Community for the first time, this is the perfect time to join. Beta is still open, membership is free, and we're continuing to welcome new members every day. I invite everyone to create a profile, explore the platform, start earning reward points, and become part of the OM Community as we continue building something special for our industry.

"The easiest way I describe the OM Community is this. Think LinkedIn, built exclusively for the workers' compensation industry." OM: One feature everyone seems to be talking about is the Rewards Program. Tell us about it. Mari Diaz: It's one of my favorite features because we wanted to reward people for being active in the community. Members earn points by completing their profile, inviting colleagues, participating in discussions, engaging with content, attending OM events, and taking part in activities throughout the community. Those points can be redeemed for gift cards, OM merchandise, wellness experiences, event perks, exclusive giveaways, and other member rewards. We're just getting started, and we'll continue adding new ways to earn points and even more rewards as Beta continues. OM: Who should join the OM Community? Mari Diaz: Anyone involved in workers' compensation. Whether you're an employer, adjuster, nurse case manager, physician, healthcare provider, attorney, human resources professional, risk manager, safety professional, insurance professional, or service provider, there's something for you. Our goal has always been to create one place where professionals across the industry can stay informed, learn from one another, and have access to resources that support them in their day-to-day work.

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OM Establishes the Nation's First Center of Excellence Designation for the Care of Injured Workers

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OM is proud to announce the launch of the Center of Excellence Designation, the nation's first formal designation established exclusively for medical practices and service providers committed to delivering the highest standard of quality and well coordinated care for injured workers. The Center of Excellence Designation establishes a new national benchmark for excellence in the care of injured workers. For the first time, medical practices and service providers can be formally recognized for meeting established standards that extend beyond clinical care to include the administrative, operational, and care coordination processes essential to delivering high quality care for injured workers. Developed in partnership with employers and experienced workers' compensation professionals, the Center of Excellence Designation recognizes organizations that have demonstrated a commitment to excellence in the care of injured workers. This includes timely access to care, effective communication, accurate and timely documentation, coordinated care, and the administrative and operational standards that support everyone involved in an injured worker's care. The designation does not evaluate, direct, or influence medical decision making. All clinical decisions remain solely with the treating physician. Instead, it recognizes organizations that have established the systems, processes, and accountability necessary to consistently support the delivery of high quality, well coordinated care for injured workers while maintaining complete clinical independence.

Earning the Center of Excellence Designation is a rigorous process. Medical practices and service providers must complete a comprehensive application, meet established eligibility requirements, and successfully complete an independent evaluation conducted by an Oversight Committee composed of employers, adjusters, nurse case managers, and other experienced workers' compensation professionals. Although OM developed and administers the program, designation decisions are made independently by the Oversight Committee. Organizations that achieve the Center of Excellence Designation are formally recognized for meeting established standards that support excellence in the care of injured workers, including communication, care coordination, administrative performance, and operational excellence. These organizations are the inaugural recipients of the Center of Excellence Designation, becoming the first medical practices in the nation to meet the established standards of the program. This recognition extends beyond clinical care. It honors organizations that have invested in the people, systems, communication, and operational processes necessary to consistently support the delivery of high quality, well coordinated care for injured workers. Congratulations to the physicians, leadership teams, workers' compensation coordinators, and staff whose commitment to excellence in the care of injured workers made this achievement possible. The Center of Excellence Designation establishes the nation's first formal, independent standard for recognizing medical practices and service providers committed to excellence in the care of injured workers through high quality, well coordinated care.

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Congratulations to the organizations that have successfully completed the required review process and earned the Center of Excellence designation. As additional organizations achieve Center of Excellence designation, the official list of current COE designees will continue to be updated.

To find current Center of Excellence designees, visit OMDocs.com and search for the COE designation.

For application information, eligibility requirements, or to learn more about the designation process, please contact info@ommktg.com. OM MAGAZINE | 72

THE EVOLUTION AND EFFICACY OF OFFICEBASED HAND SURGERY BY ERIC BALAGUER, MD Abstract and Clinical Scope Hand and upper extremity surgery is an inherently intricate, meticulous, and technically demanding discipline. The field encompasses not only acute trauma to the hand and wrist but also the management of chronic conditions such as carpal tunnel syndrome, trigger finger, and De Quervain’s tenosynovitis. Additionally, the clinical scope for many hand specialists routinely extends to pathology involving the wrist, forearm, and elbow. Paradigm Shifts in Surgical Settings Historically, these procedures were performed exclusively within hospital operating rooms. However, many high-volume surgeons found the hospital environment logistically inefficient and economically burdensome. The transition from hospital operating suites to in-office procedure rooms—shifting from general to local anesthesia and from Sedated to Wide-Awake Local Anesthesia No Tourniquet (WALANT)—has dramatically minimized healthcare expenditures, lowered complication rates, and optimized patient satisfaction.

While formal hospital operating theaters remain essential for highly complex interventions such as open-heart surgery or total joint arthroplasty, minor orthopedic procedures possess fundamentally different perioperative requirements. Clinical data indicates that a significant portion of surgical morbidity stems from general anesthesia rather than the operative procedure itself. Although infection rates remain comparably low across both settings, wide-awake surgery mitigates the risks associated with intravenous access and general sedation. These complications include peripheral nerve injury, deep vein thrombosis, postoperative nausea and vomiting, endotracheal intubationinduced pharyngitis, and postoperative cognitive dysfunction. Eliminating general anesthesia is particularly critical for patients with severe comorbidities, such as advanced cardiovascular disease or poorly controlled diabetes, who may otherwise be deemed high-risk candidates for traditional surgery. OM MAGAZINE | 74

Socioeconomic Drivers and Modern Challenges The subsequent emergence of Ambulatory Surgery Centers (ASCs) initially offered an excellent compromise for both providers and commercial insurance carriers. ASCs established a highly efficient workflow that maximized daily case volume while reducing expenditures for payers. This model functioned effectively until the 2020 COVID-19 pandemic, which precipitated severe, systemic shortages of nursing and anesthesia personnel. In response, hospital systems aggressively expanded their clinical footprints across major metropolitan areas, inflating labor costs and monopolizing available healthcare providers. Faced with these macroeconomic challenges, several surgical subspecialties began migrating low-acuity cases into the office setting under pure local anesthesia. Hand surgery has been at the forefront of this movement. Many specialists have integrated dedicated procedure rooms within their private practices to accommodate minor interventions. Currently, procedures such as trigger finger release, carpal tunnel release, De Quervain’s release, closed reduction with percutaneous pinning of simple fractures, and percutaneous tenotomies (e.g., the Tenex procedure for lateral epicondylitis) are routinely and safely performed in the office. Technological Integration and Future Outlook Medical device manufacturers have adapted to this paradigm shift by developing specialized, single-use instrumentation optimized for the office environment. For example, Trice Medical introduced a disposable endoscopic carpal tunnel release system designed specifically for in-office use. This system utilizes a digital camera that interfaces directly with a portable tablet. The same platform supports a diagnostic ultrasound probe, enabling clinicians to perform ultrasound-guided tenotomies for tennis elbow in an office setting. This clinical evolution eliminates the necessity for extensive preoperative medical clearances, prolonged fasting, and third-party patient transportation, as patients are legally permitted to drive themselves home immediately following the procedure. Furthermore, this model yields substantial cost savings for insurance carriers by eliminating facility fees, anesthesia billing, and redundant preoperative testing.

Moving forward, the refinement of office-based surgical workflows continues to elevate the quality of the patient experience. The vast majority of patients express a strong preference for in-office procedures due to the unparalleled convenience, reduced time investment, and equivalent clinical outcomes compared to traditional ambulatory or hospital-based surgery. Decentralized, localized care represents the definitive future of hand surgery and adjacent surgical subspecialties.

Eric Balaguer, MD Board-Certified Hand and Upper Extremity Surgeon Balaguer Orthopedics

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Interview with Robin Fielding: Providing the Highest Quality Care Every Patient Deserves

Providing outstanding medical care has always been the foundation of the Orthopaedic Center of South Florida. Whether caring for an injured worker or someone seeking treatment for an orthopedic condition, the goal is always the same, delivering the highest quality care to every patient. OM Magazine recently sat down with Robin Fielding, CEO of the Orthopaedic Center of South Florida, to discuss the practice's commitment to patient care and what it means to care for injured workers every day. "Our number one priority is patient care, regardless of the payor," Robin says. "Every patient deserves the highest quality care, and that's the standard our physicians and staff are committed to every day."

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Robin explains that workers' compensation patients are cared for with the same attention, expertise, and commitment as every other patient who comes through the practice. "We never lose sight of why we're here," she says. "Our responsibility is to make sure every patient receives the care they need from experienced physicians who are dedicated to achieving the best possible outcome." In addition to providing exceptional medical care, the practice recognizes the importance of being accessible to employers, adjusters, nurse case managers, and others coordinating an injured worker's care. "We understand that questions come up throughout treatment," Robin says. "Our team works hard to be responsive, provide timely documentation, and make ourselves available because communication is an important part of caring for injured workers."

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Throughout our conversation, one thing became clear. At the Orthopaedic Center of South Florida, patient care is more than a philosophy. It is reflected in every physician, every member of the team, and every decision made throughout the practice. For employers, that means knowing their injured employees are receiving care from experienced physicians supported by a team that values quality, accessibility, and communication throughout the recovery process. To learn more about the Orthopaedic Center of South Florida or to schedule a meeting with one of their physicians, contact OM at help@ommktg.com. To schedule a workers' compensation patient, contact the OCSF Workers' Compensation Team at workcomp@ocsfdocs.com.

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VERO ORTHOPAEDICS Caring for Injured Workers Across Vero Beach and Sebastian When an employee is injured on the job, receiving the right orthopedic care can have a significant impact on the recovery process. Throughout Vero Beach, Sebastian, and the surrounding communities, employers have come to rely on Vero Orthopaedics for its experienced physicians, comprehensive orthopedic expertise, and commitment to exceptional patient care.

The practice brings together specialists in spine care, sports medicine, hand and upper extremity surgery, foot and ankle care, fracture care, joint replacement, neurology, and general orthopedics. This depth of expertise allows patients to receive care from the physician best suited to their injury while providing employers with one trusted orthopedic resource for a wide range of workplace injuries.

OM Magazine recently took a closer look at what makes Vero Orthopaedics a trusted resource for the care of injured workers. While the practice offers a full spectrum of orthopedic specialties, what truly stands out is its patient first approach. Every injured worker is treated as an individual, with care tailored to the patient's diagnosis, functional goals, and recovery needs.

With locations in Vero Beach and Sebastian, along with Orthopaedic Urgent Care in Vero Beach, Vero Orthopaedics provides convenient access to specialized orthopedic care close to where employees live and work. Priority appointments are available for injured workers, often as quickly as the same day, helping patients begin treatment without unnecessary delays.

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Another strength of Vero Orthopaedics is its coordinated approach to caring for injured workers. The practice works closely with employers, adjusters, nurse case managers, and attorneys throughout the recovery process, providing timely communication, work status reports, DWC 25 forms, and the medical documentation needed to help keep claims moving forward. This level of coordination allows physicians to remain focused on what matters most, delivering exceptional patient care. For employers throughout Vero Beach, Sebastian, and the surrounding communities, Vero Orthopaedics has earned a reputation as a trusted resource for the care of injured workers. Its experienced physicians, specialized orthopedic expertise, and unwavering focus on patient care continue to make the practice a valuable partner for employers seeking high quality orthopedic care close to home. To learn more about Vero Orthopaedics or to schedule an appointment, visit www.veroortho.com.

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The WorkComp Ready™ Certification Setting the Standard in the Care of Injured Workers When an employee is injured at work, choosing the right physician is one of the most important decisions in the recovery process. Exceptional medical care is always the priority. Caring for injured workers also requires an understanding of the medical, administrative, and communication responsibilities that are unique to workplace injuries. That knowledge helps physicians and their staff provide a higher level of service while supporting the injured worker throughout their recovery. Recognizing this need, OM created the WorkCompReady™ Certification in 2010. The WorkCompReady™ Certification was developed to educate physicians and their staff on the best practices for treating injured workers. It provides specialized education that helps medical practices better understand the responsibilities, expectations, and standards involved in caring for injured workers. A WorkCompReady™ Certified Physician represents more than clinical expertise. The certification reflects a commitment to ongoing education, professional excellence, effective communication, and the highest standards of care for injured workers. It also recognizes that exceptional care is supported by the entire practice, making education for both physicians and staff an important part of the certification. For employers, adjusters, nurse case managers, rehabilitation professionals, and others involved in coordinating medical care, the WorkCompReady™ Certification provides confidence that a physician and their team have completed specialized education focused on the care of injured workers and the best practices that support that care. When selecting a physician for an injured worker, look for a WorkCompReady™ Certified Physician.

If you are a physician or medical practice interested in becoming WorkCompReady Certified, or if you know a physician who would benefit from the certification, email info@ommktg.com to learn more.

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Why Employers Choose The Orthopedic Clinic When a workplace injury occurs, every day matters. Timely orthopedic care, prompt communication, and an organized claims process help employers minimize downtime while ensuring injured workers receive the care they need. The Orthopedic Clinic has developed a workers' compensation program designed around those priorities. From the first phone call through recovery, the practice follows a streamlined process that emphasizes fast access to care, coordinated treatment, and timely communication. The process begins with dedicated workers' compensation coordinators who assist employers, adjusters, and nurse case managers with scheduling, documentation, and care coordination. Injured workers are often seen the same day or within 24 hours, allowing treatment to begin without unnecessary delays. Patients requiring immediate attention also have access to the practice's Walk In Clinic or may be scheduled directly with the appropriate orthopedic specialist. Every injured worker receives a comprehensive orthopedic evaluation by an experienced provider. During the initial visit, the physician evaluates the injury, develops an individualized treatment plan, and provides clear work status guidance before the patient leaves the office. From there, care is coordinated based on the patient's specific needs. The Orthopedic Clinic offers a comprehensive range of orthopedic services, including in house digital X ray, advanced imaging coordination for MRI and CT scans, physical therapy, occupational therapy, surgical care, and interventional pain management. Whether treatment is surgical or non surgical, patients receive coordinated care throughout every stage of recovery.

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Communication remains a central part of the program. DWC forms, work status reports, and visit documentation are sent within 24 hours, providing employers, adjusters, and nurse case managers with timely information to help keep the claim moving forward. The workers' compensation team remains available throughout the process to answer questions, coordinate services, and assist with ongoing communication. The practice's Fast Track program was created to provide injured workers with rapid access to orthopedic specialists. By reducing delays between injury and evaluation, treatment can begin sooner, helping patients recover efficiently and safely return to work when medically appropriate.

With dedicated workers' compensation coordinators, same day or next day appointments, comprehensive orthopedic services, timely documentation, and ongoing communication, The Orthopedic Clinic has built a program designed to support injured workers while helping employers and claims professionals navigate the workers' compensation process efficiently. To learn more about The Orthopedic Clinic's Workers' Compensation Program, contact the team at 386-944-1068, email workcomp@orthotoc.com, or visit www.orthotoc.com.

Supporting the program is an experienced leadership team that understands the unique demands of workers' compensation. CEO Shannon Stewartson, Revenue Cycle and Workers' Compensation Manager Allison Abrusci, and Operations Manager Sara Carlin oversee a program focused on efficient, patient centered orthopedic care while supporting employers, adjusters, and case managers throughout the claims process. The clinical team includes board certified and fellowship trained orthopedic specialists with expertise in orthopedic trauma, sports medicine, spine surgery, hand and upper extremity surgery, adult reconstruction and total joint surgery, and interventional pain management. This multidisciplinary approach allows The Orthopedic Clinic to care for a broad range of workplace injuries while providing continuity of care within one orthopedic practice.

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OUR SERVICES: Field Case Management Tailored return to work program Telephonic Case Management Catastrophic Case Management Vocational Case Management Triage/Early Intervention Program STD/ LTD Case Management Coordination of FCE/FME/IME Discharge planning Ancillary medical care coordination (PT, OT, DME, Transportation, Home Care) All above services are provided by bilingual professionals.

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DEAR DR. MEDINA A valuable resource for adjusters, nurses, and case managers navigating foot health—one question at a time

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How do repetitive motions or long hours on your feet contribute to longterm foot damage, and how can workers protect themselves?

Long hours on your feet and repetitive movements do not just cause temporary soreness. They can gradually change how the feet and ankles function over time. The damage usually develops over months or years because the tissues are subjected to repeated stress without enough time to recover. Repetitive motion and prolonged standing can lead to overuse of the muscles, tendons, and ligaments. They can also result in a loss of arch support and increased joint wear. Poorly fitting footwear can cause calluses, bunions, and toe deformities to develop and worsen. In some cases, prolonged standing reduces circulation by allowing blood to pool in the legs, which can contribute to swelling, leg fatigue, and increased discomfort by the end of the workday. Workers can protect their feet through several strategies that significantly reduce the risk of long-term injury. Wear supportive footwear. I am a big advocate of custom orthotics, but there are also some semi-custom orthotics that patients find very beneficial. Try to alternate tasks whenever possible, switching between standing, walking, and sitting to reduce repetitive stress. Take short breaks and stretch regularly. Maintain a healthy weight, and strengthen the feet and ankles to improve stability and resilience. Address pain early. Persistent foot pain lasting more than a few weeks should be evaluated by a foot and ankle specialist. We are very fortunate that there are many supportive footwear options available today. There are also ergonomic workplace practices that can help. Incorporating regular stretching and strengthening exercises, along with early treatment of symptoms, can substantially reduce the risk of long-term foot problems.

Are there specific industries or job roles that are more prone to foot injuries, and why?

Certain industries and job roles have a higher risk of foot injuries because of the physical demands of the work, exposure to workplace hazards, and the amount of time workers spend standing, walking, or carrying heavy loads. Construction workers face one of the highest risks of foot injuries. Common injuries include fractures, puncture wounds, crush injuries, ankle sprains, and tendon strains. In manufacturing and industrial work, workers commonly experience increased foot fatigue, stress fractures, crush injuries, and repetitive stress injuries. Healthcare workers often spend eight to twelve hours or more on their feet, walking long distances during their shifts and responding quickly to emergencies. This constant standing and walking can contribute to plantar fasciitis, heel pain, tendinitis, and leg fatigue. Retail and hospitality workers, including cashiers, restaurant servers, bartenders, and hotel staff, stand for long periods and walk extensively throughout the day, often on hard flooring. As a result, they frequently experience foot pain, swelling, calluses, and other overuse injuries. Warehouse and distribution employees, in addition to repetitive walking and heavy lifting while moving pallets and equipment, are at increased risk for crush injuries and stress fractures. Transportation and delivery drivers, postal workers, and couriers continuously enter and exit vehicles throughout the day while carrying packages and navigating uneven terrain, sidewalks, and stairs. These repetitive activities can lead to ankle injuries, ankle sprains, and muscle fatigue. Choosing appropriate protective footwear, maintaining safe work environments, and following ergonomic and safety practices can significantly reduce the risk of both acute injuries and long-term foot problems.

What role does proper shoe fit play in preventing foot injuries, and what should workers look for when choosing work shoes?

Proper shoe fit plays a critical role in preventing both immediate and long-term foot injuries. Well-fitting work shoes improve comfort, reduce fatigue, support proper alignment, and protect against common workplace hazards, depending on the type of work you do. By choosing shoes that fit correctly and provide the appropriate support and safety features for their work environment, workers can significantly reduce the risk of foot pain and injury while improving overall comfort and performance on the job. When choosing work shoes, look for the correct size and adequate width, good arch support based on your foot type, and sufficient cushioning. Some jobs require slip-resistant soles, while others require additional safety features, such as composite-toe or steel-toe shoes. Durability is also important. Work shoes should be sturdy enough to withstand the demands of the job and should be replaced when the tread, cushioning, or support begins to wear out. Another helpful tip is to try on work shoes later in the day, when your feet are naturally slightly swollen, to ensure a more accurate fit.

How can small, everyday foot discomfort turn into more serious conditions if left untreated?

Everyday foot discomfort, even if it seems minor, should not be dismissed as a normal part of work or daily life. Mild pain often serves as an early warning sign that the feet are under excessive stress or that an injury is developing. Seeking prompt medical attention, wearing proper footwear, and receiving early treatment can prevent minor problems from progressing into chronic pain, structural changes, or conditions that significantly affect mobility and quality of life. Simple preventive measures include wearing properly fitted, supportive footwear; replacing worn-out shoes regularly; resting, icing, and elevating your feet when needed; soaking your feet in warm water with Epsom salt; applying menthol rubs to sore feet after strenuous activity; stretching regularly; maintaining a healthy body weight to reduce stress on the feet; and addressing pain early rather than simply working through it. These steps are the best way to prevent small everyday foot discomfort from developing into a more serious condition.

If you have any questions for Dr. Medina to answer on foot health, please email teamolea@ommktg.com with the subject line ‘Dear Dr. Medina’. OM MAGAZINE | 87

HELPING INJURED WORKERS RETURN TO WORK SAFELY AND EFFICIENTLY.

LOCATIONS

Pembroke Pines 603 North Flamingo Rd. Suite 267 Pembroke Pines, FL 33028

Delray Beach 15127 Jog Rd. Suite 209 Delray Beach, FL 33446

Plantation 600 South Pine Island Rd. Suite 300 Plantation, FL 33324

Miami Lakes 7975 NW 154 St. Suite 210 Miami Lakes, FL 33016

Tamarac 7171 N. University Dr. Suite 100 Tamarac, FL 33321

WORKERS' COMPENSATION DEPARTMENT (800) 556-7846

(954) 473-2603

workcomp@ocsfdocs.com www.ocsfdocs.com

OUR PHYSICIANS Orthopaedic Surgeons David Blum, MD James Bullock, MD Brad Chayet, MD Carl Eierle, MD Evan Horowitz, MD Stephen Jacobs, MD Marc Schatz, MD Richard Simon, MD Douglas Stringham, MD Matthew Widner, MD

Hand & Upper Extremity Specialists Phillip Cummings, MD Sergio Glait, MD

Spine Surgeons

Peter D’Amore, MD Kenneth Jarolem, MD Neil Schechter, MD Craig Steiner, MD

Pain Management Specialists Benjamin Parish, MD Seth Wachsman, MD

Podiatry (Foot & Ankle) Marisel Medina, DPM

WELLNESS In this section, we focus on wellness because those who care for others deserve care too. We understand how demanding healthcare can be and how easy it is to put your own wellbeing last. This space is a reminder that your health matters just as much as the care you provide. You’ll find simple and effective ways to support wellness, both personally and within your workplace. From daily habits and mental health tips to creating a healthier work environment, the goal is to help you find balance, feel your best, and keep wellness at the center of a healthier, more productive, and balanced life.

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WHY I COLD PLUNGE By Dorian Ash Cold plunging has become one of the most impactful habits I've added to my wellness routine. At first, it was simply about trying something new. But over time, I realized the benefits went far beyond the few minutes I spent in cold water. While everyone's experience is different, research continues to support many of the benefits people report. For me, cold plunging has become less about pushing through discomfort and more about investing in both my physical and mental health.

Better Recovery One of the biggest reasons I continue cold plunging is how it helps me recover after workouts. Whether I've lifted weights, gone for a run, or had an especially active day, I notice that my muscles feel less sore afterward. Research supports this as well. Cold-water immersion has been shown to reduce delayed onset muscle soreness (DOMS) following exercise, making it a popular recovery tool among athletes and active individuals.

More Energy and Focus One thing I noticed almost immediately was the boost in energy. Even on mornings when I don't feel like getting in the water, I almost always step out feeling awake, alert, and ready to tackle the day. That initial shock of the cold activates the nervous system and increases alertness, which is one reason many people incorporate cold plunges into their morning routine.

Improved Mental Toughness Cold plunging isn't comfortable and that's exactly why I believe it's so valuable. Every time I step into cold water, I have a choice: get out immediately or stay calm and control my breathing. Learning to stay composed during a stressful moment has carried over into other areas of my life. It's become a daily reminder that growth often happens outside of my comfort zone. Researchers have also suggested that repeated exposure to controlled stressors, like cold water, may help improve resilience and emotional regulation over time. OM MAGAZINE | 92

It's Not About Being Tough One of the biggest misconceptions about cold plunging is that it's about proving how tough you are. For me, it's the opposite. It's about slowing down, controlling my breathing, being intentional, and doing something each day that challenges me physically and mentally. Those few minutes have become a reminder that discomfort is temporary, but the benefits often last much longer.

How Do I Get Started? One of the biggest misconceptions I hear is that you need to spend thousands of dollars on a high-end cold plunge to experience the benefits. The truth is, you don't. There are plenty of affordable options that make cold plunging accessible without the hefty price tag. The most important thing is consistency not how much your setup costs.

Reduced Stress Ironically, exposing myself to short periods of stress has helped me feel less stressed overall. Instead of reacting to discomfort, I've learned to slow my breathing, stay present, and let my body adjust. That same mindset has become useful outside the cold plunge when dealing with everyday challenges. Recent research found that participants experienced lower stress levels after cold-water immersion, suggesting it may help improve stress resilience.

Personally, I use the Polar Dive cold plunge. It's simple, effective, and gives me everything I need without the $5,000+ price tag that many premium systems come with. If you're just getting started, I think it's a great option because it's easy to set up, portable, and much more budget-friendly. My advice is simple: don't let the cost stop you from trying it. Start with a setup that fits your budget, build the habit, and see how your body responds. You can always upgrade later if you decide it's something you want to stick with.

Better Mood One benefit I didn't expect was how much better I feel afterward. There's something about completing a difficult task first thing in the morning that creates momentum for the rest of the day. I leave the plunge feeling accomplished, energized, and in a noticeably better mood. Studies have found that cold-water immersion may increase positive emotions while reducing feelings of tension and distress.

Scan to Shop

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THE POWER OF BLUE ZONES 9 Key Lessons for a Healthier Life BY MARI DIAZ

I first stumbled upon the incredible world of Blue Zones while watching an episode of 'Down to Earth with Zac Efron.' As someone deeply passionate about holistic wellness, this particular episode, where Zac explored a Blue Zone in Sardinia, Italy, was all I could talk about for months! If you know me, you know I'm obsessed with all things holistic wellness. As a master herbalist, I follow an Ayurvedic routine most of the time, though I'm not perfect, and I have my moments of falling off the wagon. As I began to learn more about the Blue Zones and their secrets to longevity and well-being, my enthusiasm grew. The more I learned, the more I wanted to share this knowledge with anyone who would listen. So, I knew that I had to write about and share what the study concluded about the commonalities shared by all the Blue Zones. In this article, we break it all down in hopes of inspiring you to prioritize your health and well-being and spread the message of the Blue Zones.

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1. Work Out Less and Move More In Blue Zones, you won't find residents spending hours in gyms. Instead, they embrace active lifestyles by walking, tending to gardens, or pursuing physically demanding careers. Their secret is simple – stay active throughout the day. While we may not replicate their daily routines, we can adopt small changes like parking farther from entrances, taking stairs, or incorporating standing desks at work.

4. Eat Consciously and Listen to Your Body Blue Zone residents follow the 80% rule – they stop eating when they feel 80% full. This mindful approach promotes regular check-ins with the body to avoid overindulgence. They also eat their smallest meal in the late afternoon or early evening, followed by fasting. To follow suit, consider making breakfast and lunch your main meals, with a lighter dinner.

2. Find Your Purpose Knowing your sense of purpose can add years to your life. It's about waking up with a reason, whether it's happiness, family, or a cause dear to your heart. If you're unsure, explore your human design, seek inspiration from your midheaven, or ask yourself, "What would make my life the happiest and most fulfilling?"

5. Incorporate More Plants into Your Diet While not strict vegans, Blue Zone residents focus on vegetables and whole foods, with beans as a dietary staple. They consume meat sparingly, about five times a month, usually in small portions. Transitioning can start with Meatless Mondays or by integrating nutrientdense vegetables and beans into your meals while listening to your body.

3. Relieve Stress Stress is universal, but managing it effectively is key. Blue Zone residents have mastered stress relief through various routines – from ancestral remembrance to prayer, napping, or happy hour. We can incorporate practices like meditation, nature walks, affirmations, or simply connecting with loved ones to cope with stress.

6. Drink a Glass of Wine Regularly – in Moderation Moderate wine consumption is common in Blue Zones, offering potential health benefits from polyphenols and antioxidants. Remember, moderation is key, and it may not suit everyone, so consult a healthcare professional. OM MAGAZINE | 95

7. Practice Spirituality Belonging to faith-based communities is a common thread in Blue Zones, providing a sense of purpose and connection. Attending faith-based services, reading spiritual texts, or joining like-minded groups can foster spirituality and enhance well-being. 8. Prioritize Family and Loved Ones Centenarians in Blue Zones prioritize their relationships. Living near aging relatives can lower disease rates among children. Committing to a life partner can extend your life expectancy. Embrace these practices by staying in touch with loved ones and cherishing moments together. 9. Cultivate a Positive Social Circle A strong, positive community is vital. Loneliness is detrimental to health, while supportive friendships contribute to well-being. Consider forming close-knit groups or spending time with people who share healthy habits and a positive outlook on life. I hope this article has inspired you as much as exploring the BlueZones has inspired me. May their wisdom guide you toward a life filled with vitality, purpose, and lasting well-being. I wish you the joy of incorporating these valuable lessons into your daily life. Here's to a future of vibrant health, meaningful connections, and a truly fulfilling existence. Wishing you a life as beautiful and remarkable as the Blue Zones themselves.

Cheers to a healthier, happier you! Mari Diaz CEO & Founder, OM & Oléa

www.omdocs.com www.olealivingwell.com

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Our focus is reliability & simplicity throughout the clearance process SCHEDULING SERVICES

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We provide our clients with a one step process where all pre-operative needs are handled from the exam, lab, and radiological studies including speciality clearance when necessary.

TOLL FREE PHONE: 855.358.3445 | TOLL FREE FAX: 855.358.3446 | EMAIL: REFERRAL@DOCCLEARUSA.COM

Give Back. JOIN THE OM GIVING CIRCLE. The OM Giving Circle is one of the most loved initiatives in the workers' compensation community.

Every month, we come together to support a charitable cause while giving our Community Partners meaningful visibility across the industry.

Since 2010, we've been bringing our community together to give back and create meaningful impact.

AS A COMMUNITY PARTNER, YOU'LL RECEIVE: Logo Visibility Your company logo in all promotional materials throughout the month Reach Thousands Seen by thousands of workers' compensation professionals who participate each month Featured Post Sponsors receive a featured post shared across all OM platforms Newsletter Inclusion Included in the OM newsletter and on our website where professionals register Charitable Impact At month's end, we donate to the selected charity and recognize sponsors

BECOME A COMMUNITY PARTNER TODAY!

INFO@OMMKTG.COM

PREVENTING WORKPLACE INJURIES BEFORE THEY HAPPEN

Every workplace has risks. Whether an employee is lifting supplies, moving equipment, stocking inventory, assisting a patient, or spending hours at a workstation, the physical demands of the job can take a toll on the body. While some injuries happen unexpectedly, many develop over time through repetitive movements, poor body mechanics, or tasks that place unnecessary strain on muscles and joints. The encouraging news is that many workplace injuries are preventable.

While back injuries are common, they are rarely caused by one dramatic event. More often, they develop during routine activities that employees perform every day. Lifting a box from the floor, moving equipment, carrying supplies, repositioning a patient, reaching overhead, or repeatedly bending and twisting can all place stress on the muscles, joints, and spine. Over time, those repeated movements can lead to injuries that may require weeks or even months of recovery.

According to the U.S. Bureau of Labor Statistics, private employers reported 2.49 million nonfatal workplace injuries and illnesses in 2024. Of the cases that resulted in days away from work, sprains, strains, and tears accounted for more than 568,000 injuries, making them the most common type of workplace injury. Nearly 248,000 of those cases involved the back, highlighting the importance of injury prevention strategies that focus on body mechanics, ergonomics, and safe work practices.

One of the biggest misconceptions about lifting injuries is that they only occur when an object is too heavy. In reality, the risk often has more to do with how the task is performed than how much is being lifted.

Proper lifting begins before the lift itself. OM MAGAZINE | 98

Before picking up an object, employees should take a moment to evaluate the task. Is the load too large or awkward to lift safely? Can a cart, dolly, pallet jack, or other lifting device be used instead? Is the path clear of obstacles? Taking a few extra seconds to plan the lift can significantly reduce the risk of injury. When lifting manually, the National Institute for Occupational Safety and Health (NIOSH) recommends keeping the load close to the body, bending at the knees and hips instead of the waist, maintaining the natural curve of the back, and avoiding twisting while carrying a load. Instead of turning the upper body, employees should pivot with their feet. These simple techniques help reduce stress on the spine while allowing the stronger muscles of the legs to do most of the work. However, injury prevention goes well beyond proper lifting techniques. Creating a safer workplace also means evaluating the work environment itself. Employers should look at repetitive tasks, workstation design, storage heights, lifting frequency, and whether employees have access to equipment that reduces physical strain. Even small improvements, such as storing frequently used materials within easy reach, rotating repetitive tasks, or providing mechanical lifting devices, can help reduce the risk of musculoskeletal injuries. Just as important is creating a workplace culture where employees feel comfortable asking for assistance, reporting hazards, and participating in safety initiatives. The most successful safety programs are proactive rather than reactive. Instead of responding after an injury occurs, they focus on education, awareness, and continuous improvement to help prevent injuries before they happen. Investing in injury prevention benefits everyone. Employees are better protected, organizations experience fewer lost workdays, productivity improves, and workers' compensation costs may be reduced. More importantly, it demonstrates a commitment to the health, safety, and wellbeing of the people who keep the organization running every day. OM MAGAZINE | 99

Bringing Injury Prevention to Your Workplace An effective injury prevention program starts with education. When employees understand proper body mechanics, safe lifting techniques, ergonomic principles, and practical ways to reduce physical strain, they are better equipped to perform their jobs safely and confidently. Oléa, the corporate wellness division of OM, provides customized Corporate Safety and Injury Prevention Workshops designed around the unique needs of each organization. Rather than offering a one-size-fits-all program, each workshop is tailored to the work your employees perform every day. Topics may include proper lifting techniques, ergonomics, body mechanics, musculoskeletal injury prevention, stretching and movement, workplace safety, stress management, and other practical wellness strategies that support a healthier workforce. To learn more about bringing a customized Injury Prevention Workshop to your organization, email teamolea@ommktg.com and discover how proactive education can help create a safer, healthier workplace.

OM MAGAZINE | 100

INTERVENTIONAL PAIN MANAGEMENT Board Certified Specialists — Two Convenient South Florida Locations Habla Español

EXPERT PAIN RELIEF. ADVANCED INTERVENTIONAL TREATMENTS.

Board certified pain specialists delivering comprehensive, minimally invasive care in Pembroke Pines & Hollywood, FL.

OUR PHYSICIANS

Lowell S. Davis, DO

Paul Roa, MD

Neil Kirschbaum, DO

Vania E. Fernandez, MD

Double Board Certified in Anesthesiology and Pain Medicine

Board Certified in Pain Medicine, Physical Medicine & Rehabilitation

Board Certified in Physical Medicine and Rehabilitation

Pembroke Pines: Tue – Fri

Pembroke Pines: Mon, Wed, Thu, Fri

Pembroke Pines: Tues

Hollywood: Thursday

Hollywood: Mon

Hollywood: Tues

Hollywood: Wed, Thu, Fri

TREATMENTS OFFERED Epidural Steroid Injections Transforaminal Epidural Injections Selective Nerve Root Blocks Facet Joint Injections Medial Branch Blocks Peripheral Nerve Stimulation (PNS) Sympathetic Nerve Blocks Diagnostic Discogram Procedure

Botox (Migraines & Dystonia) Hyaluronic Acid Joint Injections Interspinous Spacer (Minimally Invasive) Intrathecal Pain Pump IV Infusion Therapy Radiofrequency Nerve Ablation PRP (Spine, Joints, Tendons & Muscle) Spinal Cord Stimulation Trigger Point Injections Vertebral Balloon

Kyphoplasty Minimally Invasive Lumbar Decompression (MILD) Minimally Invasive Spine Fixation/Fusion Minimally Invasive SI Joint Fusion Intercostal Nerve Blocks Joint Injections Prolotherapy (Spine, Joints & Tendons) Disc Height Restoration (VIA Disc)

LOCATIONS

WORKERS’ COMPENSATION DEPARTMENT

PEMBROKE PINES 2010 NW 150th Ave #100 Pembroke Pines, FL 33028 HOLLYWOOD 2 Oakwood Blvd, Suite195, Hollywood, FL 33020

PHONE 954.447.5206 FAX 954.447.5259 WC COORDINATOR Alexandra.Velez@partnercare.com

FLORIDAPAINCENTER.COM

@floridapaincenter

TRAVEL The Travel section in OM Magazine is your ultimate guide to discovering the most exciting travel destinations and hidden gems. With insider tips on packing, budgeting, and inspiration, readers can plan their next vacation with ease. Featuring stunning photography and takeing readers on a visual journey to some of the most beautiful places on earth. Whether you're a seasoned traveler or planning your first trip, this section is a must-read to make the most out of your travels.

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With every trip, a new chapter of your story unfolds

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SAN JUAN: ONE CUP AT A TIME

BY SAMANTHA DIAZ I flew to San Juan for my godcousin's bachelorette weekend, but I'll be honest — I planned my mornings around coffee. Puerto Rico grows its own beans up in the island's cool mountain interior, and you can taste that heritage in every cup, so I turned four days in the capital into a slow, caffeinated crawl through Old San Juan. This is the short pour: where to get your fix, what to order, and the one drink I'm still trying to recreate at home. The full four-day, first-timer's guide lives on the blog. Why Puerto Rican coffee hits different The beans are grown in the mountains around towns like Ciales and Yauco, and the island has taken its coffee seriously for generations — here it's never an afterthought served next to breakfast, it's the reason you sat down. The drink that ruined me for everything back home is the iced Spanish latte, made with sweetened condensed milk instead of regular milk: silkier, richer, and dessert-adjacent in the best possible way. I flew home with three different bags of Puerto Rican coffee I bought “just to try,” and I regret none of it. A quick guide to ordering A little vocabulary goes a long way at the counter. A café con leche is the local staple — espresso with steamed milk, meant to be sipped slowly. A cortadito is smaller and stronger, espresso “cut” with just a splash of milk. And the iced Spanish latte is the sweet, condensedmilk one you'll catch me ordering on repeat. Pair any of them with a warm pastry and you've got a perfect slow San Juan morning. OM MAGAZINE | 104

The cafés worth building a morning around Café Botánico — a leafy, plant-filled room in Old San Juan that feels like sipping inside a greenhouse. Their iced Spanish latte is the one I'd fly back for — order it with a butter croissant and grab a seat among the plants. Café Finca Cialitos — a tiny family-run roastery on Calle San Francisco that grows and roasts its own beans back in the mountains. Get a hot latte and a tostada on Puerto Rican sweet bread. If you care where your coffee actually comes from, start here. Spiga — a European-style café with a bakery case worth arriving early for. The coffee's lovely, but the cinnamon– orange-zest brioche roll might've been my favorite pastry of the whole trip. Go early; the good stuff sells out. the coffee. — a sleek Japanese coffee bar that's a striking, minimalist contrast to all the colonial color around it. Yes, I ordered the Spanish latte here too — at this point it's less a preference and more a personality trait.

“Treat one morning as a slow café-hopping morning instead of rushing straight into sightseeing. You'll thank yourself.”

And when you finally put the cup down When you do surface from the cafés, the rest of Old San Juan is right there waiting — the pastel streets, sunset over the centuries-old fort at El Morro, and unforgettable meals at spots like Café Berlín and Princesa Cocina. One first-timer tip that'll save you real confusion: addresses here are often written streetname-first (“Calle Fortaleza 123,” not “123 Calle Fortaleza”), so trust the map pin, not the text. But the rest of that story lives in the full guide.

WANT THE FULL FOUR-DAY GUIDE?

Every coffee stop, where to eat, where to stay, how to get around, and the best time to visit — the complete first-timer's guide is on the blog.

www.travelandbrew.com Journal → “4 Days in San Juan, Puerto Rico: A FirstTimer's Guide”

Samantha Diaz Travel & Lifestyle Blogger , Independent Travel Advisor www.travelandbrew.com IG: @iamsamanthasdiaz

OM MAGAZINE | 105

THE 10 SUMMER DESTINATIONS I'D BOOK RIGHT NOW BY SAMANTHA DIAZ My list of places I want to see has never once gotten shorter — and I hope it never does. There's always another city, another coastline, another coffee counter worth flying for. This summer the mood has shifted: people are chasing “coolcations” in milder climates, favoring slow mornings over jam-packed itineraries, and building trips around weddings, reunions, and once-ina-lifetime events. Whether you've got two weeks or one long weekend, here are the ten places I'd book a flight to right now — a mix of easy beach escapes, big cities, and proper adventures.

SANTO DOMINGO, DOMINICAN REPUBLIC

REYKJAVÍK, ICELAND

One of the summer's fastest-growing destinations, and an easy warm-weather win that doesn't require a long-haul flight. The oldest colonial city in the Americas, with cobblestoned streets, merengue spilling out of doorways, and beaches a short drive away. Best for: first-timers who want maximum flavor with

The poster child of the “coolcation.” Use the city as a base for waterfalls, geothermal lagoons, and a coastline that looks CGI'd under the midnight sun. Iceland is also one of the better airfare values from the US right now. Best for: road-trippers who'd

minimum friction.

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rather pack a fleece than sunscreen.

VIENNA, AUSTRIA

MEXICO CITY, MEXICO

A grand, walkable city that trades sweaty crowds for free openair film and music screenings on Rathausplatz all summer — palaces, pastries, and green space, minus the heatstroke. Best

One of the best-value big cities anywhere right now, and a genuine food capital — searches for its restaurants just hit a ten-year high. Wander leafy Roma and Condesa, hit world-class museums, and eat street tacos that rearrange your priorities.

for: culture lovers who want elegance without the Mediterranean melt. Best for: eaters stretching a budget without sacrificing wow.

ORANJESTAD, ARUBA

PALMA, SPAIN

When you just want a beach that works: reliable sun, calm turquoise water, and a steady trade-wind breeze. Aruba sits below the hurricane belt, which makes it a safer summer Caribbean bet than most. Best for: a low-effort, high-reward

Your gateway to Mallorca, with dramatic coves, mountain villages, and beach clubs when you want them. Skip the peakcrowd hotspots and take the old train out to slower Sóller. Best

beach week.

for: a Mediterranean summer that balances glamour and quiet. OM MAGAZINE | 107

MARRAKECH, MOROCCO

SAN FRANCISCO, UNITED STATES

For the traveler who wants their senses fully overwhelmed: souks, spice, tilework, and a riad with a plunge pool to retreat to. It runs hot, so plan mornings and evenings and slow way down midday. Best for: bold travelers chasing a story to bring

A coolcation hiding in plain sight — while the rest of the country bakes, the fog keeps summer here in sweater weather. It's also a World Cup host city this year, with search interest up 23%. Walk the hills, ride the ferry, eat extremely well. Best for:

home.

a close-to-home trip that still feels like an event.

KUCHING, MALAYSIA

NAPLES, ITALY

Your base for Borneo, where summer is the dry season — rainforest treks, world-class diving, and river safaris past wild orangutans and pygmy elephants. Time it right and you'll catch rivers lit by synchronized fireflies. Best for: nature nerds and

Skip the packed classics and start here: the best pizza on earth, staggering museums, and ferries to the Amalfi Coast and the islands. Airfare to Italy is running cheaper than last summer, too. Best for: a slow, delicious, bucket-list finale to your

bucket-list adventurers.

summer.

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“The best summer trip isn't the one with the most stamps. It's the one you're still telling stories about in December.” Ten places, ten completely different summers. My honest advice: pick the one that made you sit up a little straighter as you read, then book the flight before the fare climbs — this is shaping up to be a busy, book-early kind of season. Wherever you land, I hope it's the trip you're still talking about long after the tan fades.

Samantha Diaz Travel & Lifestyle Blogger , Independet Travel Advisor www.travelandbrew.com IG: @iamsamanthasdiaz

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How to Read A City by Its Cafés BY SAMANTHA DIAZ Every city hands you the same welcome packet: the landmark, the viewpoint, the old quarter. Useful, but generic — you could be anywhere. The thing that actually tells you where you are is smaller and quieter, and it's usually happening in a café at eight in the morning. Coffee is the most honest daily ritual a place has. Learn to read it and you'll understand a city faster than any tour will get you there.

That's a city that treats coffee as an occasion, and its whole day will start later than you expect. You've just learned when to eat dinner, when things open, and how fast to walk. Then look at what people order without thinking. The default drink is the local drink, and it's rarely what's marketed to visitors. Order it, even if it isn't your thing. It's the cheapest cultural immersion available and it will teach you more than any “best of” list.

WHAT THE MORNING TELLS YOU Start with the clock. Is the café packed at 7 a.m. with people standing at the bar, downing a shot and leaving in ninety seconds? That's a city that treats coffee as fuel and runs on a rhythm. Is it half-empty until ten, then slowly filling with people who stay for two hours?

“A menu tells you what a café sells. The regulars tell you what the city is.” OM MAGAZINE | 110

THE ROOM IS THE NEIGHBORHOOD Who's actually in there? Retirees at ten on a weekday means an established, residential area. Laptops and headphones means a neighborhood that's changing, often quickly. Parents with strollers, students with textbooks, workers in uniform on a break — each one is a data point about rent, age, and what this street is turning into. Sit for thirty minutes and you'll know more about the neighborhood than a real estate report would tell you. Pay attention to how long people stay, too. Cities where you're gently expected to leave are cities with expensive real estate and a fast pulse. Cities where you can nurse one cup for three hours are telling you something about how they value time — and giving you permission to slow down and match them. HOW TO ACTUALLY DO IT 1.Pick one café and go back three times. Same place, different hours — early, midday, evening. You'll watch the neighborhood change shifts, which is more revealing than three different cafés ever would be. 2.Order the default, not the fancy thing. Whatever most people are drinking. If you don't know, ask what they'd have themselves. People love being asked. 3.Sit at the counter, not the corner. The counter is where conversation happens. The corner is where you hide with your phone. 4.Give it thirty minutes with no screen. You can't read a room while looking at a rectangle. Watch instead. It's astonishing what you notice. Do this in every city you visit and you'll build a strangely accurate instinct for places — you'll walk into a new neighborhood and just know its temperature. It's the closest thing travel has to a cheat code, and it costs about the price of a small cup.

Samantha Diaz Travel & Lifestyle Blogger , Independet Travel Advisor www.travelandbrew.com IG: @iamsamanthasdiaz OM MAGAZINE | 111

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Workers' Compensation Evaluations

FERNANDO L. MIRANDA, MD PAIN MANAGEMENT SPECIALIST

YOUR PATH TO PAIN RELIEF STARTS HERE. Helping patients regain function, mobility, and quality of life through advanced interventional pain management.

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180 Avenue A S.E. Winter Haven, FL 33880

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REFER A PATIENT TODAY We're here to help. WE SEE MOST COMMERCIAL INSURANCES, MEDICARE AND MEDICAID

AUTO ACCIDENT PATIENTS WELCOME

Learn More or Refer a Patient WE ARE WORK COMP CERTIFIED

FROM THE DESK OF THE OM TEAM If you’re responsible for coordinating care for injured workers — this section is for YOU. Here, you’ll find important updates from the OM team about the doctors and partners we work with. This includes new physicians, office openings, program updates, and new resources to help injured workers get the best care. It’s everything you need to stay informed on the updates that matter most. To access real-time updates, visit www.omdocs.com. OM MAGAZINE | 115

NOT ALL DOCTORS ARE THE SAME WHEN IT COMES TO WORK INJURIES Choosing from a list doesn’t guarantee experience, proper documentation, or communication when it matters most. The doctor you choose directly impacts care, recovery, and return-to-work timelines.

DON’T RISK IT. CALL OM. OM is free for employers, adjusters, and case managers. You will never receive a bill from us.

STAT Line: 305-323-1238

help@ommktg.com

Go to wwwomdocs.com to Find the Best Doctors

JOIN OUR COMMUNITY FOR WOMEN IN WORKERS’ COMPENSATION Originally founded in 2016 under the name Bloom, Oléa is a community for women focused on health, balance, and everyday practices that support both personal and professional life. Through more than two decades of experience in the workers’ compensation industry, Oléa has built a strong network of women across workers’ compensation, insurance, and healthcare. It remains a space for those in the industry, while also welcoming women from other fields who are looking for a more balanced way of living. Oléa hosts events throughout the year, including workshops, dinners, seminars, and retreats. These are designed to provide practical tools, relevant topics, and time to step away and reset.

If you want to be part of a growing community, you can join Oléa and be notified of all upcoming events.

GO TO OUR WEBSITE AND SIGN UP. IT’S FREE, AND YOU WILL BE ENTERED TO WIN AN OURA RING JUST FOR SIGNING UP.

oléa www.olealivingwell.com

The Oléa Edit

Simple. Clean. Intentional.

No Guessing. Just Good Products The Oléa Edit is a curated collection of products selected with intention. Each item is chosen by Oléa with a focus on non-toxic ingredients, quality, and everyday use. These are products we trust, use, and stand behind. From wellness to lifestyle essentials, everything in the shop is selected to support a more balanced and mindful way of living.

SHOP THE OLÉA EDIT

www.olealivingwell.com

CEU CREDITS MADE EASY For Adjusters, Nurses, & Case Managers Looking to earn CEUs for yourself or your licensed employees? OM About CEUs areUs designed with your schedule and licensing needs in mind,with courses led by experienced workers' compensation professionals.

We Offer: Accredited programs for Adjusters (All Lines), Nurses, Attorneys, and Case Managers Virtual or On-Site Courses (You choose the day and time) Lunch & Learns, Webinars, Panel Discussions, Expert Q&As, Seminars, and More Fully customized CEU workshops for your entire staff

CEU Formats Available: On-site & Virtual Lunch & Learns Ask the Expert Q&A Workshops Expert Panel CEU Discussions Seminars & Conferences Webinars Dinner & CEU Events

Let us help you stay compliant, up-to-date, and connected to what matters in the industry. For course scheduling, speaker requests, certifications, or vendor opportunities, contact: Ozzy Diaz | ozzydiaz@ommktg.com

DOCTORS WHO WANT TO GROW IN WORKERS’ COMP TURN TO OM For over 20 years, OM has been the go-to resource for physicians who want to build their workers’ compensation program the right way.

Our panel includes specialists in orthopedics, pain management, PM&R, neurology, spine, hand, foot and ankle, general surgery, occupational medicine, and other key areas involved in the care of injured workers.

WE WORK WITH DOCTORS WHO: Put patient care first, no matter the payor Understand the importance of clear documentation Communicate effectively with nurse case managers, adjusters, attorneys, and employers Are committed to helping injured employees return to work safely and promptly

OM is proud to represent the largest and fastest-growing panel of WorkCompReady™ physicians across the country. C O N TA C T U S

info@ommktg.com

www.ommktg.com

Empowering Recovery

Annual Workers' Compensation Symposium November 4, 2026 8:00 AM-3:00 PM The Grove 10670 Boardwalk Loop, Lakewood Ranch, FL 34202

5 hours of Continuing Education credits will be provided for Florida Adjusters, Florida Registered Nurses, and National CCMs This event is FREE for Adjusters, Case Managers, Safety Representatives, Workers’ Compensation Specialists, Nurses and Risk Managers

Breakfast and Lunch Provided PRESENTED BY

Join Oléa's Upcoming Events for Women in Workers' Compensation Oléa Day Retreat & Spring Reset Spring Reset CEU Seminar (Orlando Edition) (Tampa Edition) December 10, 2026 The Fern

March 5, 2027 Ette Hotel Orlando

March 12, 2027 Hotel Haya

Interested in Sponsoring?

SPONSORSHIP OPPORTUNITIES ARE AVAILABLE. For sponsorship information, please email teamolea@ommktg.com.

SHOWCASE YOUR SERVICES OR PRODUCTS TO THOUSANDS OF WORKERS' COMP PROFESSIONALS.

Scan QR code to head over to our website to get your free copy!

OM Magazine

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MINDFUL COLORING Slow Down. Breathe. Color.

Coloring is more than a creative activity—it's an opportunity to slow your mind, reduce stress, and bring your attention to the present moment. There is no right or wrong way to complete this page. Simply enjoy the process.

OM MAGAZINE | 124

OM Magazine

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Path to Calm Life is like a maze where we walk through uncertain paths looking for direction and purpose. Each turn brings challenges and opportunities, but by staying mindful and embracing the present moment, we can turn this maze into a journey of finding ourselves and growing.

FINISH

START

OM MAGAZINE | 125

OM Magazine

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POSITIVE AFFIRMATION BUILDER Complete each statement with words that uplift and empower you. I am...

I deserve...

Today I choose...

My future is...

OM MAGAZINE | 126

ROOTED. READY & RISING.

OM MAGA Z I NE

Edition #3 | OM Magazine