Why Most CRPS Claims in California Fail And How a Lawyer Can Help

Living with Complex Regional Pain Syndrome (CRPS) can be overwhelming. It’s a condition that causes long-lasting and often severe pain, usually after an injury or surgery. 

Many people in California file claims for CRPS, hoping to receive assistance with medical costs and daily living challenges. But sadly, most of these claims are denied.

In California, CRPS cases are especially tough. The condition is difficult to prove, and many insurance companies resist. 

That’s why it’s common to see claims get rejected. A CRPS lawyer in California can help make a difference by gathering strong medical evidence and standing up to insurance companies. 

In fact, studies show that injury claims with legal assistance are more likely to be successful. According to the Insurance Research Council, injured people who hire lawyers receive settlements that are 3.5 times higher, on average, than those who don’t.

Hi, in today’s blog, I am going to guide you to understand why CRPS claims can be challenging for you. 

I will also help you learn how you can seek for legal guidance from a CRPS lawyer and how much they can help you to win the CRPS lawsuit. Read on…

What Makes CRPS Claims So Challenging?

CRPS is a nerve condition that often develops after an injury, such as a broken bone or surgery. The pain persists, and the area may swell, feel hot or cold, or become sensitive to touch. 

But here’s the problem: CRPS doesn’t show up on most scans or blood tests. That makes it harder to prove in a legal case.

Doctors may take a considerable amount of time to diagnose CRPS. This delay makes it even easier for insurance companies to say the pain is not related to the injury. 

And because CRPS symptoms are often invisible, insurers may think the person is making it up or exaggerating.

The Most Common Symptoms Of CRPS

CRPS symptoms can vary based on their intensity and duration. However, commonly it includes: 

  • Intense and continuous burning pain which is often described as unbearable. 
  • The place can be severely sensitive to touch. Even the slightest touch or contact can cause utmost discomfort.
  • The areas can be easily noticeable due to the swelling. On top of that,the fluid retention make the pain and mobility worse! 
  • The skin appearance can be change more blotchy, red or bluish tone. There skin can be unusually smooth or dry. 
  • The area can be very stiff. Moreover, you can experience muscle weakness along with joint pain which can further affect the limb area.  

Why Most CRPS Lawsuit Claims in California Fail?

Many CRPS claims often fail in California due to their complex as well as subjective nature  of the condition. This makes everything difficult to prove the causation and damage. Want to learn more? Let’s take a look at it details: 

1. Not Enough Medical Proof

CRPS isn’t always easy to spot. Without precise test results, it’s challenging to demonstrate to a judge or insurer that the pain is genuine, thereby weakening the case.

2. Late Diagnosis

CRPS often gets diagnosed weeks or months after the injury. When that happens, insurers may claim the condition originated from something other than the accident.

It’s essential to show how the injury directly caused CRPS. If the connection isn’t clear, the claim can fall apart. 

The insurance company might claim that the symptoms started too late or were caused by an existing issue.

4. Missing Records And Details

Many people don’t know they need to keep track of their pain, doctor visits, and daily struggles. Without those details, the claim can seem less severe.

5. Insurance Bias

CRPS claims are complex, and insurers are aware of this. Some may believe the person is faking or overstating the pain. They may delay, deny, or offer a very small amount for the claim.

How A Lawyer Can Help Strengthen Your CRPS Lawsuit Claim?

A lawyer who understands CRPS can build a stronger case and help the injured person get fair treatment. Here’s how:

1. Collecting Medical Evidence

The lawyer collaborates with doctors who are knowledgeable in treating and diagnosing CRPS. They help gather the proper tests, reports, and expert opinions to support the claim.

Lawyers know how to clearly tell the story of the injury. They can demonstrate how the accident contributed to the pain and how it aligns with the pattern of CRPS.

3. Using Expert Witnesses

Medical experts can explain CRPS in court in a manner that is understandable. Their support can help prove the condition is real and serious.

4. Dealing With Insurance Companies

Lawyers are familiar with the tactics insurance companies employ. They won’t let them bully or lowball the injured person. They can fight for a fair settlement or take the case to court if needed.

5. Presenting The Case Clearly

When it’s time to go to court, a good lawyer knows how to present the facts, use expert opinions, and make the case strong. They focus on what matters and help others understand the pain and struggles CRPS brings.

Let’s take an example. A worker in Los Angeles developed CRPS after a hand injury on the job. 

Initially, the insurance company denied the claim, stating that there was insufficient evidence. But after getting a lawyer, the person got a new diagnosis, expert help, and firm support. 

The case was reopened, leading to a fair settlement that covered medical bills and ongoing care.

Cases like this show that legal help can really make a difference. Many CRPS claims fail simply because the person lacks the necessary tools or support to fight back.

CRPS is a painful condition, and dealing with a denied claim adds even more stress. In California, these claims are complex but not impossible. With the right legal help, it becomes easier to prove the case and get fair support.

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