Lackawanna County v. WCAB (Rosky) ( 2019 )


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  •            IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Lackawanna County,                            :
    Petitioner        :
    :
    v.                              :   No. 1084 C.D. 2018
    :   Submitted: November 21, 2018
    Workers’ Compensation                         :
    Appeal Board (Rosky),                         :
    Respondent        :
    BEFORE: HONORABLE ROBERT SIMPSON, Judge
    HONORABLE P. KEVIN BROBSON, Judge
    HONORABLE ELLEN CEISLER, Judge
    OPINION NOT REPORTED
    MEMORANDUM OPINION
    BY JUDGE BROBSON                              FILED: June 4, 2019
    Lackawanna County (Employer) petitions for review of an order of the
    Workers’ Compensation Appeal Board (Board), dated July 13, 2018. The Board
    affirmed the decision of Workers’ Compensation Judge Joseph Grady (WCJ Grady),
    granting the reinstatement petition filed by William R. Rosky (Claimant).1 For the
    reasons set forth below, we affirm the Board’s order.
    Claimant worked for Employer as a Deputy Sheriff.                           On
    January 31, 2013, Claimant sustained a work-related injury to his left shoulder, neck,
    and upper back. By decision and order dated May 26, 2016, Workers’ Compensation
    1
    WCJ Grady also denied Employer’s termination petition. Employer’s termination
    petition is not relevant to this appeal, and, therefore, we do not address it in this opinion.
    Judge Howard Spizer (WCJ Spizer) amended Claimant’s injury description to
    include cervical radiculopathy2 and terminated Claimant’s workers’ compensation
    benefits with respect to the injury to Claimant’s left shoulder and upper back as of
    October 24, 2014. Thereafter, on September 8, 2016, Claimant filed a reinstatement
    petition, alleging that the work-related injury to his left shoulder had recurred as of
    June 6, 2016.
    Before WCJ Grady, Claimant testified that, on January 31, 2013, he
    was transporting a highly intoxicated female prisoner from Employer’s processing
    center to an ambulance, when the female prisoner started to fall forward.
    (R.R. at 87a-88a.)       Claimant explained that he was concerned that the female
    prisoner would fall onto her face because her hands were handcuffed to a court belt
    located around her waist, so he “yanked” the court belt back with his left hand,
    causing him to experience a sharp, shock-like pain up his left arm and into his
    shoulder and neck. (Id. at 87a-89a.) Immediately following the work-related
    incident, Claimant experienced “excruciating” pain in his left shoulder joint and
    “running down [his] arm,” as well as tingling and numbness in his hand and fingers.
    (Id. at 93a-94a, 97a-98a.) Claimant has not returned to his regular duties as a Deputy
    Sheriff since January 31, 2013, but he did work light duty for one month in the
    summer of 2013. (Id. at 89a.)
    2
    There appears to be some discrepancy regarding the nature of Claimant’s amended injury
    description. In his May 26, 2016 decision, WCJ Spizer amended Claimant’s injury description to
    include cervical radiculopathy. (See Reproduced Record (R.R.) at 301a; WCJ Spizer’s Decision
    at 8, Conclusion of Law No. 4.) In WCJ Grady’s August 14, 2017 decision and Claimant’s brief,
    however, WCJ Grady and Claimant indicate that WCJ Spizer amended Claimant’s injury
    description to include a disc herniation at C5-6. (See WCJ Grady’s Decision at 3, Finding of Fact
    No. 3; Claimant’s Br. at 6.) While we have noted this discrepancy for the record, we will not
    address it in any further detail as Claimant’s neck/cervical injury is not the subject of this appeal.
    2
    Claimant testified further that he has treated with various doctors for
    the work-related injury to his left shoulder, including Hans Olsen, M.D., who
    performed surgery in February 2014. (Id. at 90a-91a, 100a.) Following the surgery,
    Claimant continued to experience pain in his left shoulder that radiated down his
    arm into his bicep and elbow. (Id. at 94a.) Claimant explained, however, that the
    radiating pain had decreased and his range of motion had improved.
    (Id. at 94a-95a, 104a.) He continued to treat with Dr. Olsen for his left shoulder
    until 2015. (Id. at 100a.) Michael Haak, M.D., the surgeon who performed surgery
    on Claimant’s neck, referred Claimant back to Dr. Olsen in 2016 based on
    Claimant’s complaints of continued left shoulder pain. (Id. at 115a.) Claimant
    indicated that he treated with Dr. Olsen on two separate occasions in 2016 and that,
    on those occasions, Dr. Olsen examined Claimant’s left shoulder, ordered an MRI,
    reviewed the results of the MRI with Claimant, and referred Claimant to Joseph J.
    Chun, D.O., for pain management. (Id. at 101a-03a, 116a.)
    Claimant testified that he began treating with Dr. Chun in spring/early
    summer 2016, and Dr. Chun referred him to John D. Kelly, M.D., who scheduled a
    full rotator cuff tear surgery on his left shoulder. (Id. at 92a-93a.) Claimant testified
    further that he continues to experience a stabbing pain in the front and towards the
    top of his left shoulder joint. (Id. at 97a.) While he has good days, his left shoulder
    joint has never been pain free since the January 31, 2013 work-related injury.
    (Id. at 104a-05a.) He did not believe that he was capable of returning to work as a
    Deputy Sheriff due to the weakness and pain in his left shoulder. (Id. at 98a.)
    Claimant further indicated that he has not sustained any additional injuries to his left
    shoulder since the January 31, 2013 work-related incident. (Id. at 113a.)
    3
    Claimant also presented the deposition testimony of Dr. Chun, who is
    board certified in pain medicine and physical medicine and rehabilitation.
    (Id. at 166a.) Dr. Chun first treated Claimant on June 6, 2016, for complaints of pain
    in his left shoulder and neck. (Id. at 167a-68a.) At that time, Claimant reported
    persistent pain in the anterolateral area of his left shoulder and the left upper
    trapezius/upper shoulder region since the January 31, 2013 work-related injury.
    (Id. at 168a-69a.) Claimant also reported that his left shoulder pain was constant,
    achy and stabbing in nature, and aggravated by activity.              (Id. at 169a-70a.)
    Dr. Chun’s physical examination of Claimant’s left shoulder revealed painful and
    restricted range of motion above 90 degrees, positive impingement signs, a positive
    biceps tendon provocative maneuver, and a positive labrum maneuver.
    (Id. at 171a-72a.)   Following his examination of Claimant, Dr. Chun’s initial
    impression was that Claimant’s January 31, 2013 work-related injury caused him to
    suffer persistent left shoulder pain. (Id. at 172a-73a.) Dr. Chun diagnosed Claimant
    with a “left shoulder injury requiring shoulder arthroscopic labral tear repair and
    decompression and . . . cervical fusion at the C5-6 level[,] . . . persistent rotator cuff
    tendonitis, bursitis and possible bicipital tendonitis and probably persistent pain
    related to the superior labral tear.” (Id. at 173a.) Based on his diagnosis, Dr. Chun
    recommended a diagnostic ultrasound of Claimant’s left shoulder, a steroid injection
    into Claimant’s left glenohumeral joint, and the use of a topical compound pain
    cream. (Id. at 173a-74a.)
    Dr. Chun testified that Claimant returned to him on July 11, 2016.
    (Id. at 174a.) Despite the steroid injection into Claimant’s left glenohumeral joint,
    Claimant’s condition remained the same. (Id. at 174a-75a.) As a result, Dr. Chun
    recommended that Claimant undergo a platelet-rich plasma injection in his left
    4
    glenohumeral joint. (Id. at 176a.) Dr. Chun also continued Claimant’s work
    restrictions of sedentary duty with no activities involving the left shoulder. (Id.)
    Thereafter, on July 25, 2016, Claimant underwent a diagnostic ultrasound of his left
    shoulder, which revealed moderate subacromial subdeltoid bursal thickening,
    supraspinatus tendinopathy, possible subtle interstitial tearing of the tendon, and a
    small partial-thickness tear of the infraspinatus tendon. (Id. at 177a-78a, 221a-22a.)
    Dr. Chun indicated that these results were consistent with both his physical
    examinations of Claimant and the May 2016 MRI of Claimant’s left shoulder.
    (Id. at 178a.)   Claimant again returned to Dr. Chun on September 28, 2016.
    (Id. at 180a.) At that time, Claimant reported only slight improvement with his pain
    following the platelet-rich plasma injection into his left shoulder and his overall
    condition remained unchanged.        (Id. at 180a-81a.)   Dr. Chun explained that
    platelet-rich plasma injections can take several weeks to a couple months to deliver
    results, and, therefore, he recommended that Claimant wait some additional time to
    see if he received any improvement with his symptoms. (Id. at 181a.)
    Dr. Chun testified that he next treated Claimant on November 28, 2016.
    (Id. at 182a.) At that time, Claimant reported minimal improvement in his pain and
    that his pain continued to be aggravated with activity; Claimant’s condition
    otherwise remained the same. (Id. at 182a-83a.) Because Claimant continued to
    experience significant pain and functional limitations despite injections,
    medications, physical therapy, and home exercises, Dr. Chun referred Claimant to
    Dr. Kelly for an orthopedic surgery consultation. (Id. at 183a-84a.) Claimant
    returned to Dr. Chun on January 30, 2017, and March 13, 2017. (Id. at 184a, 187a.)
    On those dates, Claimant’s pain complaints and Dr. Chun’s physical examination of
    Claimant remained unchanged. (Id. at 184a-87a.) Dr. Chun explained, however,
    5
    that, based on Dr. Kelly’s consultation of Claimant, his impression had changed to
    include a high-grade partial rotator cuff tear in Claimant’s left shoulder.
    (Id. at 187a-89a.)   Dr. Chun also explained that Claimant’s work restrictions
    remained the same as they had throughout his treatment—i.e., sedentary duty with
    no activities involving the left shoulder. (Id. at 181a, 183a, 186a, 189a-90a.)
    Dr. Chun further testified that the May 2016 MRI of Claimant’s left
    shoulder, when compared with a March 2013 MRI, evidenced a worsening of
    Claimant’s condition with respect to the supraspinatus tendon. (Id. at 192a-94a.)
    Overall, Dr. Chun opined that Claimant continues to suffer from his
    January 31, 2013 work-related injury, which he diagnosed as a high-grade partial
    rotator cuff tear, rotator cuff tendonitis, bursitis, possible bicipital tendinitis, and
    persistent pain relative to the superior labral tear. (Id. at 196a-97a.) Dr. Chun further
    opined that he would continue to restrict Claimant to sedentary duty with no
    activities involving the left shoulder and that Claimant was not capable of returning
    to work as a Deputy Sheriff. (Id. at 198a, 202a.) Dr. Chun also opined that the
    disability related to Claimant’s work-related left shoulder injury: (1) recurred at
    least as of his initial examination of Claimant on June 6, 2016; and (2) worsened
    since October 24, 2014, the date of WCJ Spizer’s decision terminating Claimant’s
    benefits relative to the left shoulder injury. (Id. at 199a-200a.) With respect to the
    worsening of Claimant’s left shoulder injury, Dr. Chun explained that the symptoms
    relative to Claimant’s left shoulder progressed throughout his treatment of Claimant
    and that such progression was the natural progression of the work-related injury to
    Claimant’s left shoulder. (Id. at 200a.)
    On cross-examination, Dr. Chun admitted that, in the course of his
    treatment of Claimant, he only reviewed Dr. Olsen’s medical records for Claimant
    6
    from May 2016, and he did not review Dr. Olsen’s operative report or Claimant’s
    medical records from Michael Tracy, M.D., Christian Fras, M.D., or Dr. Haak.
    (Id. at 204a-05a, 210a-11a.) Dr. Chun also admitted that Claimant had reported to
    him that his left shoulder pain had been persistent since the time of his
    January 31, 2013 work-related injury and that the problem with his left shoulder was
    chronic. (Id. at 205a, 227a-28a.) Dr. Chun also indicated that, since June 2016,
    Claimant’s left shoulder condition had not improved and was sometimes worse.3
    (Id. at 228a.)
    On August 14, 2017, WCJ Grady issued a decision and order, granting
    Claimant’s reinstatement petition. In so doing, WCJ Grady made the following
    relevant findings of fact and credibility determinations:
    18.     After having made a careful review of the evidence
    of record[,] the testimony of [Claimant] and the
    findings and opinions of Dr. Chun have been
    accepted as most credible and convincing and to this
    end it is found that [Claimant’s] original work
    injury to his left shoulder has recurred . . . and
    therefore [C]laimant’s [r]einstatement [p]etition
    shall be granted . . . .
    19.     In reaching the above finding this Judge is mindful
    of [Claimant’s] medical history since his work
    injury of January 31, 2013. And this Judge is also
    mindful of [WCJ] Spizer’s previous decision from
    May 2016 wherein he found [C]laimant fully
    recovered from his left shoulder injury and
    terminated [Employer’s] responsibility with respect
    to the same effective October 24, 2014.
    3
    Employer presented the deposition testimony of Neil Kahanovitz, M.D., who is board
    certified in orthopedic surgery and restricts his practice to disorders of the spine.
    (R.R. at 309a-10a.) Dr. Kahanovitz performed an independent medical examination of Claimant
    on August 12, 2016. (Id. at 312a.) Dr. Kahanovitz restricted his independent medical examination,
    however, to Claimant’s cervical issues; he did not address Claimant’s left shoulder complaints or
    subsequent treatment thereof. (Id. at 313a-14a.)
    7
    Against that backdrop[,] the testimony of
    [Claimant] and Dr. Chun having been reviewed
    most carefully and having accepted both as credible
    particularly [C]laimant’s complaints through 2014,
    and following his surgery in February 2014 on his
    left shoulder, which complaints continued
    through 2014, into 2015 and 2016 and necessitated
    surgery with Dr. Kelly in February 2017, the same
    has caused this Judge to grant [C]laimant’s
    [r]einstatement [p]etition.
    Claimant credibly explained and described shoulder
    pain particularly in his shoulder joint in the front
    and towards the top of his shoulder area noting that
    it felt like a screwdriver in his shoulder with a sharp
    stabbing pain. Claimant described this pain existed
    even after the February 2014 surgery with the pain
    at times radiating down his left arm and into his
    bicep and elbow.
    While Dr. Kahanovitz who testified on behalf of
    [Employer] herein performed an evaluation on
    [Claimant] on August 12, 2016, it is noteworthy that
    Dr. Kahanovitz quite clearly identified that [neither]
    [C]laimant’s shoulder complaints nor subsequent
    treatment of his shoulder was addressed at the time
    of his independent medical evaluation.              Dr.
    Kahanovitz’s evaluation was almost exclusively
    done with respect to [Claimant’s] neck. The terms
    almost exclusively have been used inasmuch as
    admittedly [C]laimant explained to Dr. Kahanovitz
    his work injury did involve a left shoulder injury
    and identified to Dr. Kahanovitz that he was
    continuing treatment and pain management for his
    left shoulder. Dr. Kahanovitz offered nothing more.
    (WCJ Grady’s Decision at 8-9 (emphasis added).) Based on these findings of fact
    and credibility determinations, WCJ Grady concluded that Claimant met his burden
    of proof under his reinstatement petition and established that he suffered a recurrence
    of his January 31, 2013 work-related left shoulder injury and that he is disabled as a
    direct result thereof. Employer appealed WCJ Grady’s decision to the Board, which
    8
    affirmed WCJ Grady’s decision. In so doing, the Board—applying the burden of
    proof applicable to a reinstatement of benefits following a suspension—concluded
    that Dr. Chun’s credible testimony constituted the substantial evidence necessary for
    Claimant to meet his burden of proof under his reinstatement petition. Employer
    then petitioned this Court for review.
    On appeal,4 Employer argues: (1) the Board committed an error of law
    by affirming WCJ Grady’s decision because the Board and/or WCJ Grady applied
    the incorrect burden of proof to Claimant’s reinstatement petition; (2) there is not
    substantial evidence of record to support WCJ Grady’s finding that Claimant’s left
    shoulder injury had recurred as of June 6, 2016; and (3) the substantial evidence of
    record establishes that Claimant did not sustain a recurrence of his January 31, 2013
    work-related left shoulder injury because the current condition of Claimant’s left
    shoulder is unrelated to Claimant’s original work-related injury and/or Claimant’s
    employment with Employer.
    First, we address Employer’s argument that the Board committed an
    error of law by affirming WCJ Grady’s decision because the Board and/or WCJ
    Grady applied the incorrect burden of proof to Claimant’s reinstatement petition.
    More specifically, Employer argues that WCJ Spizer previously determined that
    Claimant had fully recovered from his work-related left shoulder and upper back
    injuries and terminated Claimant’s workers’ compensation benefits in connection
    with such injuries effective October 24, 2014. Employer further argues that, rather
    than applying the burden of proof applicable to a reinstatement of benefits following
    4
    Our review is limited to determining whether an error of law was committed, whether
    necessary findings of fact are supported by substantial evidence, and whether constitutional rights
    were violated. Combine v. Workers’ Comp. Appeal Bd. (Nat’l Fuel Gas Distrib. Corp.),
    
    954 A.2d 776
    , 778 n.1 (Pa. Cmwlth. 2008), appeal denied, 
    967 A.2d 961
    (Pa. 2009).
    9
    a termination of benefits, the Board and/or WCJ Grady incorrectly applied the
    burden of proof applicable to a reinstatement following a suspension of benefits. In
    response, Claimant argues that, while the Board incorrectly cited the burden of proof
    applicable to reinstatement following a suspension of benefits in its decision, WCJ
    Grady correctly applied the burden of proof applicable to reinstatement following a
    termination of benefits, and, therefore, the Board’s citation to the incorrect burden
    of proof constitutes harmless error.
    When a claimant seeks a reinstatement of benefits, his burden of proof
    is dependent on whether his benefits had been previously suspended or terminated.
    Pieper v. Ametek-Thermox Instruments Div., 
    584 A.2d 301
    , 304-05 (Pa. 1990). “A
    claimant seeking reinstatement following a suspension of benefits must prove that:
    (1) through no fault of his . . . own, the claimant’s disability, i.e., earning power, is
    again adversely affected by the work-related injury, and (2) the disability which gave
    rise to the original claims continues.” Sweeny v. Workmen’s Comp. Appeal Bd.
    (Whitman’s Chocolates), 
    695 A.2d 877
    , 880 (Pa. Cmwlth. 1997). “A claimant
    seeking [a] reinstatement of benefits following a termination[, however,] carries a
    heavy burden because the claimant has been adjudicated to be fully recovered.”
    Nat’l Fiberstock Corp. (Greater New York Mut. Ins. Co.) v. Workers’ Comp. Appeal
    Bd. (Grahl), 
    955 A.2d 1057
    , 1062 (Pa. Cmwlth. 2008). “In order to prevail on a
    reinstatement petition after workers’ compensation benefits have been terminated, a
    claimant must establish that his disability ‘has increased or recurred since the prior
    decision and that h[is] physical condition has changed in some manner.’”
    Namani v. Workers’ Comp. Appeal Bd. (A. Duie Pyle), 
    32 A.3d 850
    , 854
    (Pa. Cmwlth. 2011) (alteration in original) (quoting Taylor v. Workers’ Comp.
    Appeal Bd. (Servistar Corp.), 
    883 A.2d 710
    , 713 (Pa. Cmwlth. 2005)), appeal
    10
    denied, 
    47 A.3d 849
    (Pa. 2012). A claimant must prove the change in his physical
    condition “by precise and credible evidence of a more definite and specific nature
    than that upon which initial compensation was based.” Nat’l Fiberstock 
    Corp., 955 A.2d at 1062
    (quoting Simeone v. Workmen’s Comp. Appeal Bd. (United Parcel
    Serv.), 
    580 A.2d 926
    , 928 n.5 (Pa. Cmwlth. 1990), appeal denied, 
    593 A.2d 428
    (Pa. 1991)).
    Here, the parties do not dispute that WCJ Spizer terminated Claimant’s
    benefits with respect to his left shoulder injury as of October 24, 2014, or that
    Claimant is seeking a reinstatement of his benefits following termination. While we
    agree with Employer that the Board applied the incorrect burden of proof to
    Claimant’s reinstatement petition—i.e., the Board applied the burden of proof
    following a suspension of benefits rather than the burden of proof following a
    termination of benefits—this Court is satisfied that WCJ Grady applied the burden
    of proof applicable to a reinstatement following a termination of benefits. In his
    decision, WCJ Grady specifically indicated that the injury to Claimant’s left
    shoulder had “recurred.” (WCJ Grady’s Decision at 8, Finding of Fact No. 18.)
    WCJ Grady explained that Claimant’s left shoulder complaints continued
    into 2015 and 2016 and necessitated surgery with Dr. Kelly in 2017—i.e., WCJ
    Grady discussed how Claimant’s disability increased and his physical condition had
    changed since October 24, 2014, the date on which WCJ Spizer terminated
    Claimant’s benefits related to his left shoulder injury. (WCJ Grady’s Decision at 8,
    Finding of Fact No. 19.) WCJ Grady further explained that he was “mindful of
    [WCJ] Spizer’s previous decision from May 2016 wherein he found [C]laimant fully
    recovered from his left shoulder injury and terminated [E]mployer’s responsibility
    with respect to the same effective October 24, 2014.” (WCJ Grady’s Decision at 8,
    11
    Finding of Fact No. 19.) Given this analysis, it is clear that WCJ Grady properly
    applied the burden of proof applicable to a reinstatement of benefits following
    termination as set forth in Namani. The Board’s error in applying the incorrect
    burden of proof is harmless.5
    Next, we address Employer’s argument that there is not substantial
    evidence of record to support WCJ Grady’s finding that Claimant’s left shoulder
    injury had recurred as of June 6, 2016. More specifically, Employer argues that
    Claimant failed to establish through his or Dr. Chun’s testimony that his left shoulder
    condition had recurred or worsened; in fact, “Dr. Chun agreed that the alleged issues
    with [Claimant’s] left shoulder were not acute conditions that recurred or worsened
    in June 2016, but rather are chronic and longstanding.” (Employer’s Br. at 17.) In
    response, Claimant argues that WCJ Grady’s finding that Claimant’s left shoulder
    injury had recurred and worsened after Claimant’s workers’ compensation benefits
    had been terminated is supported by the credible testimony of Dr. Chun. More
    5
    In Furnari v. Workers’ Compensation Appeal Board (Temple Inland), 
    90 A.3d 53
    (Pa.
    Cmwlth. 2014), the claimant sought to reinstate his temporary total disability benefits following
    his separation from employment by filing a reinstatement petition and/or a claim petition. 
    Furnari, 90 A.3d at 58
    . The workers’ compensation judge (WCJ) denied the claimant’s reinstatement
    petition, concluding that the medical-only notice of compensation payable (NCP) coupled with the
    employer’s payment of the claimant’s salary constituted a de facto NCP and the claimant failed to
    meet his burden of proving that his condition had worsened such that he could not perform the
    modified-duty position with the employer. 
    Id. On appeal
    to the Board, the Board disagreed with
    both the WCJ’s finding of a de facto NCP and the WCJ’s application of the burden of proof
    applicable to reinstatement petitions but affirmed the WCJ’s decision on the basis that the claimant
    failed to meet his burden of proof that he suffered a worsening of his condition. 
    Id. On appeal
    to
    this Court, we held that the Board erred in applying the burden of proof applicable to claim
    petitions but that such error was harmless, because the WCJ properly applied the burden of proof
    applicable to reinstatement petitions and both the Board and the WCJ concluded that the claimant
    failed to meet his burden of proving that his earning power was adversely affected by his
    work-related injury. 
    Id. at 62.
    Ultimately, this Court reversed the Board’s order to the extent that
    the Board applied the burden of proof applicable to claim petitions but affirmed the Board’s order
    in all other respects. 
    Id. at 74.
    12
    specifically, Claimant argues that Dr. Chun credibly testified that Claimant’s left
    shoulder condition worsened since October 24, 2014 (the date that WCJ Spizer
    terminated Claimant’s benefits with respect to the left shoulder injury), that the
    symptoms in Claimant’s left shoulder have progressed, and that such progression is
    the natural progression of Claimant’s January 31, 2013 work-related injury.
    In workers’ compensation proceedings, the WCJ is the ultimate finder
    of fact. Williams v. Workers’ Comp. Appeal Bd. (USX Corp.-Fairless Works),
    
    862 A.2d 137
    , 143 (Pa. Cmwlth. 2004). As fact-finder, matters of credibility,
    conflicting medical evidence, and evidentiary weight are within the WCJ’s exclusive
    province. 
    Id. If the
    WCJ’s findings are supported by substantial evidence, they are
    binding on appeal.       Agresta v. Workers’ Comp. Appeal Bd. (Borough of
    Mechanicsburg), 
    850 A.2d 890
    , 893 (Pa. Cmwlth. 2004). Substantial evidence is
    relevant evidence that a reasonable mind might accept as adequate to support a
    finding. Mrs. Smith’s Frozen Foods Co. v. Workmen’s Comp. Appeal Bd. (Clouser),
    
    539 A.2d 11
    , 14 (Pa. Cmwlth. 1988). “In performing a substantial evidence analysis,
    this [C]ourt must view the evidence in a light most favorable to the party who
    prevailed before the factfinder.” Hoffmaster v. Workers’ Comp. Appeal Bd. (Senco
    Prods., Inc.), 
    721 A.2d 1152
    , 1155 (Pa. Cmwlth. 1998). “Moreover, we are to draw
    all reasonable inferences which are deducible from the evidence in support of the
    factfinder’s decision in favor of that prevailing party.” 
    Id. Here, WCJ
    Grady’s finding that Claimant’s left shoulder injury had
    recurred as of June 6, 2016, is supported by substantial evidence. Dr. Chun credibly
    testified that Claimant continues to suffer from his January 31, 2013 work-related
    left shoulder injury and that the disability relative to such injury recurred at least as
    of his initial examination of Claimant on June 6, 2016, and worsened since
    13
    October 24, 2014, the date on which WCJ Spizer terminated Claimant’s benefits
    with respect to the injury to Claimant’s left shoulder. Dr. Chun explained that the
    symptoms relative to Claimant’s left shoulder progressed throughout his treatment
    of Claimant and that such progression was the natural progression of the
    January 31, 2013 work-related injury to Claimant’s left shoulder. While it is true
    that Claimant testified that his left shoulder joint has never been pain free since the
    January 31, 2013 work-related injury and that Claimant did not specifically report
    to Dr. Chun that his left shoulder condition had recurred or worsened since
    October 24, 2014, these facts are not dispositive.        Dr. Chun, as the medical
    professional, considered Claimant’s complaints, the results of Claimant’s diagnostic
    testing, and his physical examination of Claimant to determine whether Claimant’s
    left shoulder condition had recurred or worsened. Even though Claimant described
    his pain as persistent since the January 31, 2013 work-related injury, Dr. Chun
    concluded based on his review of Claimant’s condition, including diagnostic testing
    and his physical examination, that Claimant’s left shoulder condition had recurred
    or worsened.
    In addition, contrary to Employer’s contentions, Dr. Chun did not agree
    that Claimant’s left shoulder issues were chronic and longstanding rather than acute
    conditions that had recurred or worsened in June 2016. The testimony cited by
    Employer in support of this proposition is simply Dr. Chun’s admission that
    Claimant had reported to him that his left shoulder pain had been persistent since
    the time of his January 31, 2013 work-related injury and that the problem with his
    left shoulder was chronic. (R.R. at 205a, 227a-28a.) Employer has not directed us
    to anywhere in the record where Dr. Chun specifically opined that Claimant’s left
    shoulder injury had not recurred or worsened in June 2016. For these reasons, we
    14
    conclude that substantial evidence of record exists to support WCJ Grady’s finding
    that Claimant’s left shoulder injury had recurred as of June 6, 2016.
    Lastly, Employer argues that the current condition of Claimant’s left
    shoulder is not related to Claimant’s original work-related injury and/or Claimant’s
    employment with Employer because, “[a]s of June 6, 2016, [Claimant] had not
    worked for . . . Employer for almost [three] years [and] the left shoulder abnormality
    noted by Dr. Kelly was classified by him as a non-traumatic degenerative tear.”
    (Employer’s Br. at 19.) In response, Claimant argues that Employer’s attempt to
    establish that the current condition of his left shoulder is not a recurrence of his
    January 31, 2013 work-related injury but rather “is due to some unnamed non-work
    related cause . . . [is] utter speculation with no basis in the record.” (Claimant’s Br.
    at 12.) More specifically, Claimant argues that the only evidence of record to
    support the worsening of Claimant’s work-related left shoulder injury is the
    testimony of Dr. Chun, which establishes that “the worsening of [Claimant’s] left
    shoulder injury following the termination of benefits was the natural progression of
    the original work injury.” (Claimant’s Br. at 13.)
    Here, Employer has framed its issue in terms of whether there is
    substantial evidence to support a finding that was not made by WCJ Grady—i.e.,
    whether there is substantial evidence of record to establish that Claimant did not
    sustain a recurrence of his January 31, 2013 work-related left shoulder injury. The
    real issue before this Court, however, is whether there is substantial evidence of
    record to support WCJ Grady’s necessary findings, in this instance, that Claimant
    suffered a recurrence of his January 31, 2013 work-related left shoulder injury. This
    argument is essentially the same argument made by Employer above, and, as
    explained more fully above, WCJ Grady’s finding that Claimant suffered a
    15
    recurrence of his January 31, 2013 work-related left shoulder injury is supported by
    substantial evidence. Dr. Chun credibly testified that Claimant continues to suffer
    from his January 31, 2013 work-related left shoulder injury and that the disability
    relative to such injury recurred at least as of his initial examination of Claimant on
    June 6, 2016, and worsened since October 24, 2014.
    Employer seems to suggest that, just because Claimant had not worked
    for Employer for almost three years prior to June 6, 2016, and Dr. Kelly, in his
    April 10, 2017 operative report, classified Claimant’s left shoulder abnormality as a
    non-traumatic tear, Claimant could not possibly have suffered a recurrence of his
    January 31, 2013 work-related injury. We stress, however, that it does not matter if
    there is evidence in the record that could support a finding contrary to that made by
    WCJ Grady; the only inquiry is whether there is substantial evidence of record to
    support WCJ Grady’s findings.       
    Hoffmaster, 721 A.2d at 1155
    .        In addition,
    Employer has failed to cite any place in the record where the current condition of
    Claimant’s left shoulder is linked to anything other than the January 31, 2013
    work-related injury. Furthermore, while Dr. Kelly’s operative report may indicate
    that Claimant sustained “labral fraying incomplete non-traumatic tear and bursitis”
    in his left shoulder, such an indication is not conclusive evidence that the
    non-traumatic tear was not related to Claimant’s January 31, 2013 work-related
    injury, as no medical provider provided any testimony regarding the significance or
    insignificance of Dr. Kelly’s finding. For these reasons, we reiterate our conclusion
    that there is substantial evidence of record to support WCJ Grady’s finding that
    Claimant suffered a recurrence of his January 31, 2013 work-related left shoulder
    injury.
    16
    Accordingly, we affirm the Board’s order.
    P. KEVIN BROBSON, Judge
    17
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Lackawanna County,                     :
    Petitioner     :
    :
    v.                          :   No. 1084 C.D. 2018
    :
    Workers’ Compensation                  :
    Appeal Board (Rosky),                  :
    Respondent     :
    ORDER
    AND NOW, this 4th day of June, 2019, the order of the Workers’
    Compensation Appeal Board is hereby AFFIRMED.
    P. KEVIN BROBSON, Judge