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Tammy Hollifield
May 31, 2025
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Working with Rob Usry and his team was a great experience. They took the time to answer all our questions about my husband's worker's comp case and did everything they could to make the process as easy for us as possible. We would highly recommend them for your legal needs.
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Rebecca Smith
May 15, 2025
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Mr. Usry and his staff are wonderful to work with. I reached out for advice when a recent accident caused damage to my house and car. They answered all my questions and explained all my options. They have the knowledge and haven't forgotten how to treat people with kindness and respect. I wholeheartedly recommend them.
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Rebecca Smith
May 15, 2025
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I used this firm to help with a workman's comp dispute. We started the process on February 1, 2023 and had a settlement agreement by August 22, 2023. I found the office staff to be friendly and more than capable to answer my questions and guide me through this process. Pam Worley and Rose Fagan sent prompt emails letting me know what I needed to do and the status of the claim. Mr. Rob Usry was patient and called personally to let me know what was happening and what the next step would be. He negotiated well with the Workman's Comp legal team and reached a fair agreement. If you are looking for an attorney that communicates well, is friendly, and will work in you behalf, I strongly recommend Holland & Usry, P.A.
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Randall Garrett
May 13, 2025
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I got hurt on the job in Gaffney SC. I saw rather quickly that I was going to need help. Rob Usry was referred by a friend who had a great experience with their services. So I contacted them and it was the best move I could have ever made. Rob and his staff were amazing they treated me and my wife like family. They left no stone unturned while working on my case and I could not be happier with the results. I would highly recommend Rob Usry and his team to anyone who is in need of a lawyer in the upstate. They are the best in the business.
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Vickie Alumbaugh
May 3, 2025
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Rob Ursy PA and Rose Fagan did a wonderful job with my workmen compensation case. I slipped at my work in Spartanburg, SC. I was treated respectfully and that I was important. They helped me communicate with workmen compensation to get a case the right way. Communicate with opposing counsel. An settlement was offered. Ultimately, I settled with workmen compensation insurance thru my work. The settlement was for good bit more than was originally offered. I am glad I got what I needed to get my injury repaired. Thank you!!
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Jason Wines
March 25, 2025
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I had a great experience.The staff really goes the extra mile to serv you and your needs. When ever I need the help of a trusted law firm I will always turn to them.
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Wendie Lawson
March 7, 2025
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Seeking help from an attorney was not on my radar when I was injured at work. Unfortunately, workers compensation became a barrier between me and the treatment I needed. Months battling workers compensation, being questioned relentlessly and then rejected, I contacted Holland & Usry, P.A. Mr. Usry and his team went to bat for me and I received the necessary treatment I needed, in addition to medical bills being paid. Workers compensation is a bear to deal with. If not for Mr. Usry and Rose, I would still be in a needless and stressful battle with them - this I am sure! I am extremely grateful for the honesty, integrity and compassion given me from this group! My journey is still in motion and Mr. Usry and Rose are taking care of business! Wendie Lawson I
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Marilyn Anderson
February 20, 2025
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My husband and I were victims of a hit and run accident about a year ago, My husband suffered a cracked clavicle and deep bruises to both knees, my injuries required a session of physical therapy. We had never been in an accident, and we felt victimized - our car was totaled, and we both suffered panful injuries. Following advice of friends and family, we decided to consult an attorney. Rob Usry was highly recommended, and we decided to ask him to represent us. Rob and his staff - Rose and Pam - were professional, thorough and supportive . They walked us through every step of the way. Since my husband and i are senior citizens with little experience with lawsuits, and unreliable computer skills, we needed help. Rose patiently answered our question and coached us along through computer glitches. Pam would organize and evaluate the seemingly endless maze of medical bills. When it came time to dicker with with insurance companies, Rob was the persistent master of negotiations, and we are very happy with the outcomes of our case. We are thankful to Rob Usry , Attorney At Law. and his staff, and highly recommend them to help you find the answers to the question - I Just Got In a South Carolina Car Accident. Now What.?

Proving Permanent Injury in a South Carolina Accident or Workers’ Comp Case Step One: The Doctor’s Impairment Rating

If you’re hurt at work, injured in a traffic or trucking accident, or hurt in another type of accident, a key factor in the amount of your settlement is whether your injury is permanent and if so, the medical severity of the permanency.

The answers to these settlement-driving questions are between you and your doctor. It’s your job to thoroughly and honestly tell the doctor your symptoms and the impact they have on your life. It’s the doctor’s job to take your reports, plus the medical evidence, and produce a measure of your injury’s permanency. Let’s take a closer look how that works.

First Things First

Your doctor can’t reach the conclusion that your injury’s permanent until you’ve reached maximum medical improvement (MMI).

MMI means your condition is as good as it’ll get from a medical standpoint. In other words, further treatment won’t make it better. But that doesn’t mean doctors give up. You might still need future treatment to prevent worsening or to address inevitable worsening caused by the injury. For example, some shoulder rotator cuff injuries are so severe they eventually create the need for a shoulder replacement. Future treatment can be a part of both accident injury and workers’ comp settlements.

If the doctor finds you’ve reached MMI and your injury’s permanent, she gives you a permanent impairment rating.

Where does that come from? The book, of course.

The Book on Permanent Impairment and How It Works

The American Medical Association wrote “the book” about permanent injury severity. It’s called AMA Guides to the Evaluation of Permanent Impairment, also known as the AMA Guides. Doctors are supposed to follow it to give an accurate rating.

Here’s how it’s basically designed to work:

  • What does the rating mean? It reflects the severity of impairment and resulting disability. The disability is usually expressed as the loss to a whole person. But for some body parts like arms and legs, the disability is limited to that body part. I’ll show you what that means, but first…
  • What does a permanent impairment rating look like? It’s a percentage. So as a simple example, an injury to the lumbar (lower) spine could be stated as a “25% impairment to the whole person,” but an arm injury would be expressed as “13% to the right arm.”

Worried you have suffered permanent impairment or injury? You’ve got a lot to lose without professional legal help.  Get your questions answered in a free*, no pressure strategy session with a Spartanburg, SC personal injury attorney. Call toll free at (864) 582-0416 or fill out a Get Help Now form.

What Doctors Base Permanent Impairment On

According to the AMA Guides, it’s the doctor’s job to give an unbiased assessment of your condition, including its effect on your ability to function and do basic daily activities. The AMA Guide instructs doctors to base ratings on four basic considerations:

  1. Your diagnosis,
  2. Symptoms and disability reported by you,
  3. Exam findings, and
  4. Results of clinical studies.

Here’s a little about each:

  • Diagnosis – This is the most important factor. Without an accurate diagnosis, there can be no accurate rating.

NOTE: the next factors can be critical, as the AMA Guide gives a range of ratings for injuries. These factors can determine where the final rating falls within the range. To help the doctor assess these factors, she may order a functional capacity evaluation.

  • Functional History – This is based on your reports of your limitations. Sometimes doctors use questionnaires or a functional capacity evaluation to score this.
  • Physical Exam – These are results of the doctor’s exam of you that confirm or refute the diagnosis.
  • Clinical studies – These are tests like x-rays, CT scans, or MRIs that confirm the diagnosis and/or show the severity of your condition.

After the doctor considers all of this, she gives you a rating.

What To Do About Permanent Injuries?

The question becomes, what do you do with it? That’s where an experienced injury lawyer can really help you. It’s your attorney’s job to paint the full picture and show how your permanent injury impacts your life. That’s often the most important thing we do to maximize the value of our clients’ cases. While there’s a lot of things we do to help, here’s the best reasons to hire: an injury attorney or a car/motorcycle accident attorney.

If you’re confused or worrying about handling your permanent injury case, fill out our Get Help Now form to get all your questions answered by an experienced Spartanburg injury attorney.

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Rob is a Spartanburg personal injury lawyer. Rob also practices as a workers’ compensation attorney.
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John Holland is a Spartanburg Family law attorney, practicing since 2012.
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