Johnny Pyle v. Betty Mullins ( 2013 )


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  •                     IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    September 16, 2013 Session
    JOHNNY PYLE v. BETTY MULLINS
    Appeal from the Circuit Court for Knox County
    No. 1-197-11    Dale C. Workman, Judge
    No. E2012-02502-COA-R3-CV-FILED-NOVEMBER 25, 2013
    Johnny Pyle sued Betty Mullins for personal injuries sustained in a three-vehicle accident.1
    Mullins admitted liability. The issue of damages was tried to a jury. At the close of the
    proof, the jury returned a verdict awarding Pyle $15,000 in compensatory damages. The trial
    court, in its role as the thirteenth juror, affirmed the verdict. Pyle appeals. He claims the
    verdict should be set aside because of a lack of material evidence to support the verdict,
    erroneous evidentiary rulings, and the failure of the court to instruct the jury regarding a pre-
    existing condition. On our review, we conclude that there is no reversible error.
    Accordingly, the judgment of the trial court is affirmed.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court
    Affirmed; Case Remanded
    C HARLES D. S USANO, J R., P.J., delivered the opinion of the Court, in which T HOMAS R.
    F RIERSON, II, J., and N ORMA M CG EE O GLE, S P. J., joined.
    Donna Keene Holt, Knoxville, Tennessee, for the appellant, Johnny Pyle.
    Brian H. Trammell, Knoxville, Tennessee, for the appellee, Betty Mullins.
    1
    The driver of the third vehicle involved in the accident is not a party to this appeal.
    OPINION
    I.
    The basic facts in this case are essentially undisputed. This accident occurred on
    October 28, 2010, at the intersection of Kingston Pike and Campbell Station Road in
    Farragut. Pyle, operating a Toyota pickup truck pulling a trailer with lawn equipment in it,
    was stopped behind another vehicle at a traffic light. Mullins was driving a Lincoln sedan.
    She struck the rear of Pyle’s trailer, thereby forcing Pyle’s truck into the car ahead of him.
    Pyle was taken from the scene to the hospital by ambulance. After being x-rayed, he was
    diagnosed with a cervical strain and released. A week after the accident, Pyle, a landscaper,
    began chiropractic treatment for his complaints of continued neck and back pain.
    In September 2011, Pyle sued Mullins for negligence. Pyle sought $75,000 in
    compensatory damages for his pain and suffering, past and future medical expenses and other
    damages stemming from the “serious and painful bodily injuries” he allegedly sustained in
    the accident. As previously noted, Mullins admitted liability. The sole question going
    forward pertained to the issue of compensatory damages.
    At the time of the July 2012 trial, Pyle, then 51, continued to work in his landscaping
    and mowing business. He testified he had worked as a contract laborer since he was a
    teenager and had never had any health problems before the accident. Pyle conceded that,
    during discovery, he forgot to state that he was involved in another accident on September
    17, 2010, in which a car struck the side of a different trailer he was pulling. Pyle said he
    suffered no injuries and never sought any treatment in the earlier accident.
    Trooper Kevin Stroup of the Tennessee Highway Patrol investigated both accidents.
    Regarding the Mullins/Pyle accident, he observed damage to the trailer Pyle was pulling, to
    the back and front of his truck, and to the rear of the car that was stopped in front of Pyle.
    He saw scuffs and scratches on the front of Mullins’ car that correlated with the damage to
    Pyle’s trailer. He did not observe the same scratches and marks when shown a photograph
    of Mullins’ car purportedly taken after it was washed following the accident. In his report,
    Stroup estimated damages of over $400 to all three cars. Stroup testified that he was also
    called to the scene of the earlier wreck involving Pyle. There were no injuries, but the
    vehicle that struck Pyle sustained disabling damage.
    Mullins, 74, testified she did not know how the accident happened – she pushed the
    brake and then struck Pyle. Mullins said there was little visible damage to her car. She
    continued to drive it and decided not to have the estimated $904 in damages repaired.
    Mullins was uninjured. The impact did not cause her car’s front air bags to deploy. Contrary
    -2-
    to Pyle’s testimony, Mullins said she approached Pyle after the accident to ask if he was
    okay, to which he replied, “I think so.” Mullins agreed there were four vertical scratches to
    the front of her car that matched the bars on the back gate of Pyle’s trailer. She
    acknowledged her deposition testimony to the effect that she saw the gate of the trailer was
    bent in. She added that she knew her car had made contact with the bottom of the trailer, but
    said,
    that’s all I saw. I couldn’t see that much damage. There was
    nothing on the ground, nothing broken. . . .
    Mullins admitted that on the day of the accident with Pyle, she learned about his September
    17 accident as a result of a conversation between the driver of the third vehicle and Trooper
    Stroup. She admitted she did not mention her knowledge of Pyle’s accident in answer to an
    interrogatory which asked her to identify anyone she talked to about the accident at the scene
    or thereafter and to state “all you remember about such conversation.”
    Kendal Hicks, Pyle’s employee, testified that before the accident, Pyle worked in the
    lawn business “like a 25-year-old man.” After the accident, Pyle could “hardly get in and out
    of the truck.” John Tindell, a friend of Pyle, testified that he also owned a lawn business and
    had helped Pyle in the months after the accident. He had seen a decrease in Pyle’s ability to
    do the required physical work.
    Dr. Chad Jacobs, a chiropractor, first saw Pyle on November 4, 2010. Pyle
    complained of being in constant pain since the accident with Mullins. He suffered from
    neck, arm, shoulder and back pain, sleep difficulty, headaches, and stiffness. On examining
    him, Dr. Jacobs found that, in addition to daily headaches, Pyle had severe restrictions as to
    his range of motion in his neck and difficulty bringing his hand away from his body. X-rays
    showed the main problem was a decrease in the cervical curve. Jacobs diagnosed Pyle with
    cervical, thoracic, and lumbar shoulder sprain or strain. In 25 sessions over the course of ten
    weeks, Dr. Jacobs performed adjustments to Pyle’s spine in an effort to return his cervical
    curve to its pre-accident condition. He used traction, and applied muscle stimulation. Pyle’s
    intensity of pain decreased and, in many areas, the spasms went from severe to mild. His
    range of motion increased in all areas. By January 13, 2011, Dr. Jacobs felt that Pyle had
    benefitted as much as he could from chiropractic treatment and released him with no
    restrictions. Because Pyle still had pain and decreased range of motion in his shoulder joints,
    Dr. Jacob ordered MRIs of the left shoulder and cervical spine to make sure that Pyle had not
    “torn something.” Dr. Jacobs was certain that the injuries for which he treated Pyle were
    caused by the accident.
    -3-
    Dr. Jonathan Degnan testified as an expert orthopedic surgeon. Pyle first came to see
    him in May 2011 for neck and upper back pain. He found that Pyle had some spasm and
    trigger point that limited his range of motion. He diagnosed Pyle with a chronic cervical
    strain – a soft tissue injury – for which he prescribed trigger point injections and physical
    therapy. He explained muscle spasms of the spine can continue for a long time, but noted
    that six months after an accident was unusual, although not as unusual with someone who
    did manual labor. Dr. Degnan testified that six months out, he was treating Pyle for both scar
    tissue and inflamed tissue, which causes treatment to take longer. He explained that muscles
    normally heal after about six weeks with proper treatment, but can be easily reinjured before
    then, causing the healing process to start over. He testified that determining the severity of
    such an injury relied on the truthfulness of the patient and any objective findings. Pyle
    continued injections until August and completed the prescribed physical therapy on
    September 13, 2011. At that point, Dr. Degnan found that Pyle had reached maximum
    medical improvement. He did not believe Pyle would suffer any permanent injury as a result
    of the accident and felt he could return to his normal daily activities. He opined, to a
    reasonable degree of medical certainty – based on the truth of the history Pyle gave him, and
    the fact that he was asymptomatic prior to the October 28 accident – that Pyle’s symptoms
    were the result of the accident.
    Dr. Fred Killeffer testified as an expert neurosurgeon for the defense. Four weeks
    before trial, Dr. Killeffer reviewed all of Pyle’s medical records, took new x-rays and,
    examined Pyle. He concluded Pyle’s initial x-rays revealed a “mild straightening of the
    cervical spine but no [other] evidence of trauma” and “some degenerative changes. . . but
    nothing else.” Dr. Killeffer agreed that Pyle sustained a cervical strain in the accident. On
    his review of Pyle’s February 2011 MRIs, he found no evidence of trauma at all. On his own
    examination, he found Pyle to have normal curvature of the neck, no side to side
    displacement, and no muscle spasm. Pyle further had mild tenderness in the area of the
    muscles over his shoulders, good range of motion of his shoulders, arms, and joints and
    normal reflexes. Testing of his neck showed that Pyle was “reasonably within the range of
    normal” – he had a slight tilting of his head to the right side but “nothing of any
    significance.” Dr. Killeffer reported his physical examination of Pyle as “basically . . .
    normal.” Dr. Killeffer formed three conclusions as a result of his observations: (1) Pyle
    sustained a mild to moderate soft tissue cervical spine strain as a result of the accident, with
    expected results including mild to moderate pain lasting for up to 10 to 14 weeks, but not
    beyond; (2) reasonable treatment would include mild oral analgesics and noninvasive
    physical therapy for 8 to 10 weeks after the accident; and (3) Pyle sustained no permanent
    impairment as a result of the accident.
    Pyle introduced proof of his medical expenses totaling $19,120.62. Pyle explained
    he did not claim any lost income because the accident occurred near the end of the mowing
    -4-
    season. He testified he just wanted “to be done right.” At the close of the proof, the jury
    returned a verdict awarding Pyle $15,000 in damages. The trial court denied Pyle’s
    subsequent motion for an additur or new trial. The court awarded Pyle discretionary costs
    in the amount of $4,467.25. Pyle’s timely appeal followed.
    II.
    Pyle raises issues that we essentially restate and address as follows:
    1. Was there material evidence to support the jury’s verdict?
    2. Did the trial court err in its refusal to instruct the jury on the
    law regarding aggravation of a pre-existing condition?
    3. Did erroneous evidentiary rulings by the trial court deprive
    Pyle of a full and fair opportunity to present his case and, more
    probably than not, affect the outcome?
    III.
    Regarding this Court’s review of an approved jury verdict, the Supreme Court recently
    observed:
    Where the trial judge has approved the verdict in its role as
    thirteenth juror—as the trial court did in this case—the Court of
    Appeals’ review of the verdict . . . is to determine whether the
    verdict is supported by material evidence. Poole v. Kroger Co.,
    
    604 S.W.2d 52
    , 54 (Tenn. 1980); see also 
    Thrailkill, 879 S.W.2d at 841
    ; 
    Ellis, 603 S.W.2d at 129
    . Material evidence is
    “evidence material to the question in controversy, which must
    necessarily enter into the consideration of the controversy and
    by itself, or in connection with the other evidence, be
    determinative of the case.” Knoxville Traction Co. v. Brown,
    
    115 Tenn. 323
    , 331, 
    89 S.W. 319
    , 321 (1905). An appellate
    court is required to take “the strongest legitimate view of all the
    evidence in favor of the verdict, assume the truth of all evidence
    that supports the verdict, allowing all reasonable inferences to
    sustain the verdict, and to discard all countervailing evidence.”
    Akers v. Prime Succession of Tenn., Inc., 
    387 S.W.3d 495
    ,
    501-02 (Tenn. 2012) (quoting Barkes v. River Park Hosp., Inc.,
    -5-
    
    328 S.W.3d 829
    , 833 (Tenn. 2010)). The material evidence
    analysis is very deferential to the award by the jury and the
    judgment of the trial court when it affirms the verdict as the
    thirteenth juror. See 
    Ellis, 603 S.W.2d at 129
    (“[W]hen the trial
    judge has approved the verdict, the review in the Court of
    Appeals is subject to the rule that if there is any material
    evidence to support the award, it should not be disturbed.”
    (emphasis added)). “It matters not a whit where the weight or
    preponderance of the evidence lies under a material evidence
    review.” Hohenberg Bros. Co. v. Mo. Pac. R.R. Co., 
    586 S.W.2d 117
    , 119-20 (Tenn. Ct. App. 1979). “It is simply a
    search of the record to ascertain if material evidence is present
    to support the verdict.” 
    Id. Because the
    material evidence
    standard lies at the foundation of the right to trial by jury, if
    there is material evidence to support a jury verdict, the appellate
    courts must affirm it.
    Meals ex rel. Meals v. Ford Motor Co., No. W2010-01493-SC-R11-CV, 
    2013 WL 4673609
    at *5 (Tenn. Aug. 30, 2013)(additional internal citations omitted).
    Trial judges have broad discretion in controlling the course and conduct of a trial. See
    State v. Caughron, 
    855 S.W.2d 526
    , 541 (Tenn. 1993). Such discretion necessarily extends
    to making determinations regarding the admissibility of evidence, see Shipley v. Williams,
    
    350 S.W.3d 527
    , 551 (Tenn. 2011), and controlling the scope and manner of examination
    of witnesses. See Coffee v. State, 
    188 Tenn. 1
    , 3, 
    216 S.W.2d 702
    , 703 (1948). A trial
    court’s “decision to admit or exclude evidence will be overturned on appeal only where there
    is an abuse of discretion.” Mercer v. Vanderbilt University, Inc., 
    134 S.W.3d 121
    , 131
    (Tenn. 2004).
    Whether a jury has been properly instructed is a question of law. Troup v. Fischer
    Steel Corp., 
    236 S.W.3d 143
    , 149 (Tenn. 2007). This court reviews questions of law de novo
    with no presumption of correctness accorded to the trial court’s conclusions. 
    Id. (citing Whaley
    v. Perkins, 
    197 S.W.3d 665
    , 672 (Tenn. 2006)).
    IV.
    Pyle asserts that the award of $15,000 is both inadequate and unsupported by the
    evidence. He reasons that the award “does not even pay [his] medical expenses, much less
    allow him any award for pain and suffering. In response, Mullins succinctly sets out the
    relevant line of inquiry, as follows:
    -6-
    The most significant component of the primary issue at trial was
    which medical expenses claimed for treatment of injuries by
    [Pyle] were reasonable, necessary, and proximately related to the
    subject motor vehicle accident. The jury obviously concluded
    that the medical expenses reasonably related to this accident
    were considerably less than the amount claimed. The real
    question on this appeal is whether there is material evidence . . .
    to support the jury’s verdict, as approved by [the trial court].
    In personal injury cases the amount of compensation is primarily for the jury to
    determine. If there is any material evidence to support the award, it should not be disturbed.
    Foster v. Amcon Intern., Inc., 
    621 S.W.2d 142
    , 146-47 (Tenn. 1981); Ellis v. White
    Freightliner Corp., 
    603 S.W.2d 125
    , 127 (Tenn. 1980). When the trial judge approves the
    amount of damages fixed by the jury in personal injury cases, the determination is entitled
    to great weight and “well-nigh conclusive” on appeal. Ellis, at 128-29.
    In his complaint, Pyle sought $75,000 in compensatory damages for his injuries –
    headaches, sleeplessness, back and neck pain, pain and suffering, and medical bills, including
    ambulance and hospital charges, chiropractic treatment, physical therapy, MRIs, and other
    medical expenses. He did not claim any damages for lost wages or decreased earning
    capacity. At trial, Pyle testified to his injuries from the accident and their effect on his life.
    He began seeing Dr. Jacobs for his continuing pain and soreness some two to three weeks
    after the accident. Over the next two and a half months of treatment, Pyle initially saw some
    improvement – his lower back pain and daily headaches soon resolved; but he had continuing
    pain in his neck and upper back, between his shoulder blades. The discomfort left him
    unable to sleep comfortably. Pyle declined to take pain medications because they upset his
    stomach. Instead, Dr. Jacobs prescribed a “TENS Unit,” a device that administered a small
    shock to the area of the pain. Pyle said this helped, but that the pain always returned. Dr.
    Jacobs released Pyle in January 2011 with no physical or work restrictions. On releasing
    him, Dr. Jacobs ordered MRIs to further determine the cause of Pyle’s complaints of
    continuing neck and back pain.
    In May 2011 – some seven months after the accident and four months after being
    released by Dr. Jacobs – Pyle saw Dr. Degnan. A friend had referred him to the doctor. Dr.
    Degnan performed a series of trigger point injections at the site of the pain and prescribed
    physical therapy. In September 2011, Dr. Degnan opined that Pyle had reached maximum
    medical improvement and released him with no restrictions. Following his release, Pyle
    received no further medical treatment. He testified that he continued to suffer pain in his
    neck and between his shoulder blades. Pyle testified he “kept getting a little better” with the
    treatments he underwent, but added, “I never have to this day been able to function like I
    -7-
    [did] before the accident.” He explained that at home, he found it difficult to lift his young
    children or play sports with them. At work, he could not push a wheelbarrow anymore, pick
    up anything heavy, or sit on a mower for long periods of time. Pyle said he imposed his own
    limits on his activities because he knew what he was and was not capable of doing.
    Pyle introduced proof that he incurred a total of some $19,000 in medical expenses
    from the time of the accident to the trial. He introduced a breakdown of his medical
    expenses as follows:
    Last Date of
    Provider                            Treatment             Amount
    Rural Metro                                  10/28/10             $     674.38
    Mercy Medical Center                         10/28/10                 1,667.00
    Knoxville ER Physicians                      10/28/10                   342.00
    Knoxville Radiological Group                 10/28/10                    74.00
    Dr. Jacobs                                   01/13/11                 4,512.00
    Walgreens                                    05/28/11                    51.24
    MRIs                                         02/18/11                 3,790.00
    Dr. Jonathan Degnan                          09/13/11                 3,350.00
    East TN Spine & Sport-phy. therapy           09/20/11                 4,660.00
    Total                $19,120.62
    Undoubtedly referring to the testimony of Mullins’ medical expert, Dr. Killeffer, Pyle
    asserts in his brief that “[t]he only medical evidence disputing the length of time and expense
    required for treatment of Mr. Pyle’s admitted causally-related cervical strain is insufficient
    to deny him adequate compensation.” Generally summarized, Dr. Killeffer testified that
    Pyle’s cervical strain would have resolved within 10 to 14 weeks after the accident. Dr.
    Killeffer thus held the opinion that the MRIs and other treatment Pyle obtained after being
    released by his chiropractor in January 2011 were unrelated to the injury he sustained in the
    accident. As a result, Dr. Killeffer expressly opined that the cost of the MRIs, and all of the
    treatment by Dr. Degnan, including the physical therapy he ordered, were not reasonable and
    necessary expenses in the case at bar.
    Dr. Degnan testified he would not have ordered MRIs for one who had experienced
    only a soft tissue injury because MRIs six months after an accident would not show subtleties
    in the tiny nerves. As a consequence of this, he concluded that the MRIs Pyle underwent
    were not medically necessary.
    -8-
    In the present case, the jury was left to consider the differing opinions of the parties’
    expert medical witnesses – Dr. Degnan and Dr. Killeffer – regarding the nature, effects and
    treatment of the cervical spine strain Pyle sustained in the accident. First, we note that both
    experts agreed that the MRIs Pyle underwent, at a cost of $3,790, were not medically
    necessary. As Dr. Degnan explained, he would not have ordered an MRI because nothing
    indicated that Pyle suffered more than a soft tissue strain, an injury for which an MRI is not
    an appropriate evaluation tool. The jury further heard Dr. Killeffer’s expert opinion that the
    type of injury Pyle had would not have been symptomatic any longer than 10 to 14 weeks
    after the accident. Thus, any medical expenses he incurred after being discharged by his
    chiropractor were not reasonable or necessary expenses for which Mullins is liable.
    Assuming the jury credited Dr. Killeffer’s testimony, it was appropriate for them to deduct
    $11,851.24 – representing all the medical expenses Pyle incurred after Dr. Jacobs released
    him in January 2011, without restrictions – from the total claimed expenses. Consequently,
    the jury could have found that Pyle incurred $7,269.38 in reasonable and necessary medical
    expenses as a result of the accident. Given the total award of $15,000, it follows that the jury
    awarded Pyle an additional $7,730.62 for his other claimed elements of damages.
    Certainly, there was other, contradictory expert testimony by Dr. Degnan upon which
    the jury could have arrived at a different result. Had they accepted Dr. Degnan’s opinion,
    the jury could have concluded that, as a result of the accident, Pyle sustained a chronic
    cervical strain that required further, extended treatment. Any such possibility, however, is
    not the question. Again, our review of the jury’s award of damages “is subject to the rule
    that if there is any material evidence to support the award, it should not be disturbed.” Porter
    v. Green, 
    745 S.W.2d 874
    , 879 (Tenn. Ct. App. 1987). On our review of the record, we
    conclude that there is material evidence to support the jury’s award in the case at bar.
    V.
    Pyle asserts that the trial court erred in refusing to instruct the jury with respect to a
    defendant’s liability for the aggravation of a plaintiff’s pre-existing condition. In support of
    his conclusion that such an instruction was required, Pyle contends that the evidence at trial
    clearly shows (1) that he had a pre-existing “degenerative disk disease” in his neck at the
    time of the accident and (2) that, as a result of this condition, the effects of the injury he
    sustained became a chronic condition that necessitated extended treatment.
    To begin, the rule is that a trial court “should give a requested instruction if it satisfies
    three requirements: (1) it is supported by the evidence, (2) it embodies the party’s theory, (3)
    it is a correct statement of the law.” Otis v. Cambridge Mutual Fire Ins. Co., 
    850 S.W.2d 439
    , 445 (Tenn. 1992)(citing Hayes v. Gill, 
    216 Tenn. 39
    , 42-43, 
    390 S.W.2d 213
    , 214
    (1965); Strickland v. City of Lawrenceburg, 
    611 S.W.2d 832
    , 837 (Tenn.Ct.App.1980)).
    -9-
    The gist of Pyle’s position is that the cervical strain he sustained in the accident became
    chronic – leading to more pain and extended treatment – because he was already in a
    weakened state as a result of his pre-existing degenerative disk condition. In this regard, Pyle
    alludes to the “oft stated principle . . . that a tortfeasor ‘must accept the person as he finds
    him’ and the person injured by the tortfeasor is entitled to recover all damages proximately
    caused by the acts of the tortfeasor.” Haws v. Bullock, 
    592 S.W.2d 588
    , 591 (Tenn. Ct. App.
    979). In Town of Franklin v. Elrod, 
    140 Tenn. 228
    , 
    204 S.W. 298
    (1917), the Supreme
    Court addressed liability in the context of the negligent infliction of an injury on a plaintiff
    with pre-existing conditions. The Court stated, in relevant part:
    The liability of one who negligently or unlawfully injures the
    person of another is not to be measured by the physical strength
    of the party injured or his capacity to endure suffering. One of
    weak physical structure, or small vitality, or in ill health, has as
    much right to protection from violence as a robust athlete, and
    in either case the physical injury, the bodily harm, which is
    actually caused by the violence, whether one be strong or weak,
    healthy or sick, is the natural consequences of the 
    wrong. 204 S.W. at 301
    . Regarding a tortfeasor’s liability for damages stemming from the
    aggravation of a plaintiff’s pre-existing condition, Pyle correctly recites the law. The
    insurmountable problem with his position is that, in the present case, there is no expert
    medical proof of aggravation of a pre-existing condition. Pyle’s reliance on the testimony
    of Dr. Degnan is unpersuasive. Dr. Degnan testified that the MRI showed Pyle has
    “degenerative changes” at three levels of his cervical spine. He testified that these changes
    occurred over time and were present before the accident. Dr. Degnan was examined
    regarding the relationship between degenerative changes and neck pain and testified as
    follows:
    Ms Holt [counsel for Pyle]: And there was some discussion of
    the degenerative changes that are shown on the MRI.
    *    *     *
    And does the presence alone indicate that the patient should
    have pain?
    Dr. Degnan: No. It would just make them more susceptible.
    *    *     *
    -10-
    Ms. Holt: Does the presence of degenerative changes impact in
    any way the course of . . . or could it impact in any way the
    course of Mr. Pyle’s condition in having a longer time to heal?
    Dr. Degnan: You’re more susceptible with degenerative
    changes. The joint is not performing its normal function, so the
    soft tissue has to compensate for that. And it’s not made to do
    that structurally.
    *    *     *
    Ms. Holt: Are you of the opinion that a motor vehicle accident
    can cause some neck pain to manifest in a person who has
    degenerative changes as a result of the motor vehicle accident?
    Dr. Degnan: It’s very common.
    *    *     *
    Mr. Trammell [counsel for Mullins]: So you’ve testified that
    degenerative changes make a person more susceptible for
    developing neck pain after a motor vehicle accident?
    Dr. Degnan: Not just a motor vehicle accident. It could be any
    kind of trauma.
    In refusing the requested jury charge, the trial court, in an exchange with Pyle’s
    counsel, explained its ruling. We quote pertinent portions of the exchange:
    Ms. Holt: And the preexisting condition?
    The Court: There’s no testimony that there was an aggravation
    of a preexisting arthritis in this case. Dr. Degnan testified he
    treated and diagnosed a sprain/strain.
    *     *     *
    But there’s no pleading of . . . aggravation of preexisting
    condition by [Pyle] in this case. [. . . .]. Secondly, no doctor
    -11-
    testified they treated an aggravation, or there was an
    exacerbation of a preexisting condition. Dr. Degnan testified he
    treated a sprain/strain from this wreck. The chiropractor said he
    treated a sprain/strain from this wreck. And that’s the only
    diagnosis they made.
    *    *     *
    Ms. Holt: Dr. Degnan talked about the extent of – the length of
    his was from the preexisting –
    The Court: He had preexisting arthritis but he didn’t say
    anything happened to it in this wreck.
    Ms. Holt: That it could prolong his injury, it could prolong his
    pain.
    The Court: It may have. No, he testified that such a condition
    may make you more susceptible, but he did not testify in this
    case it made this man more susceptible.
    On our review of the record, we conclude that the trial court accurately summarized
    the evidence in support of its ruling. In summary, Dr. Degnan opined that a person with
    degenerative changes like those Pyle has is more susceptible to injury and pain and that it
    was common for a motor vehicle accident – or any kind of trauma – to cause some neck pain
    to manifest itself in a person with degenerative changes. As the trial court correctly noted,
    Dr. Degnan did not testify that the accident aggravated or exacerbated Pyle’s condition or
    had any specific effect on it at all. In short, we conclude that Dr. Degnan’s generalized
    observations about susceptibility and common correlations between neck pain and
    “[a]nything that causes an excessive range of motion to an abnormal joint” is not material
    evidence sufficient to support the requested instruction in the present case. To the contrary,
    we conclude that giving an instruction on aggravation of a pre-existing condition in the case
    at bar would have been error. “An instruction on an issue where there is no evidence in the
    record raising that issue is erroneous.” Carney v. Coca-Cola Bottling Works, 
    856 S.W.2d 147
    , 150 (Tenn. Ct. App. 1993)(citing Wilson v. Tranbarger, 
    218 Tenn. 208
    , 236, 
    402 S.W.2d 449
    , 461 (1965)). The trial court did not err in refusing to instruct the jury regarding
    aggravation of a pre-existing condition.
    -12-
    VI.
    Lastly, Pyle asserts that a “series of evidentiary rulings and comments by the trial
    court” deprived him of a “full and fair opportunity to present his case.” In particular, Pyle
    challenges the exclusion of evidence which, he says, was offered to show “the force of the
    impact and the capability of this accident to have caused a cervical strain serious enough to
    still exhibit objective signs of the injury six months later. . . .” (Emphasis in original.)
    First, Pyle contends that the trial court erred in refusing to allow certain testimony by
    Trooper Stroup, the investigating officer. When Pyle’s counsel asked Stroup whether
    Mullins told him she thought her brakes had gone out, defense counsel objected. The trial
    court questioned the relevance of the inquiry in light of Mullins’ admission of liability. The
    court further stated:
    She admits liability. If we go any further, we’ll stop. Okay.
    Next question. You can ask him about what he saw, the damage
    to the vehicles, all that stuff is relevant, but she admits she was
    negligent and caused this wreck.
    In further questioning, Pyle’s counsel asked the trooper, “and you didn’t find anything
    wrong with the brakes?” The following exchange took place:
    Mr. Trammell: Same objection, Your honor.
    The Court: Any other motions?
    Mr. Trammell: Yeah. Move to strike the response.
    The Court: Testimony will be stricken. Want to challenge me,
    counsel? I told you she admitted liability.
    Ms. Holt: I know, Your Honor, but the force –
    The Court: You want me to declare a mistrial?
    Ms. Holt – of the impact –
    The Court: You want me to declare a mistrial?
    Ms. Holt: No, Your Honor.
    -13-
    The Court: Then don’t ask it again. I told you twice now. All
    you’re trying to do is prejudice the jury against her when she
    admits liability.
    Ms. Holt: No, I’m not, Your Honor.
    The Court: and that’s the only purpose is to have offered it since
    she’s admitted liability.
    Ms. Holt: Your Honor, it’s for –
    The Court: Do you want a mistrial or not, counsel?
    Ms. Holt – purpose of what kind of impact there was.
    Ms. Holt next questioned Stroup whether the damages he observed at the scene were
    “consistent with someone bumping the trailer at less than 15 miles an hour?” When defense
    counsel objected, the trial court advised Ms. Holt to “lay some groundwork first.” After
    generally questioning the trooper as to his experience in investigating accidents, the
    examination continued as follows:
    Ms. Holt: And part of your job is assessing some degree of what
    kind of speed would be required to create the damage that you
    observed?
    Trooper Stroup: Yes.
    Mr. Trammell: Your Honor, I’m going to object to this
    testimony. This witness has not been offered –
    The Court: He says that – well –
    Mr. Trammell: – as an accident reconstructionist.
    The Court: Come up here. Come on. Anything else, counsel?
    Ms. Holt: No, Your Honor.
    The record reflects no further examination by Ms. Holt regarding the estimated speed
    at which Mullins was traveling. Moreover, Pyle made no offer of proof with respect to
    -14-
    counsel’s attempts to examine the witness on either subject. We hold that there is no error
    shown in this record with respect to this testimony and the trial court’s comments about it.
    Similarly, we find no error in the trial court’s refusal to allow Pyle to testify to his
    observations of Mullins’ car based on photographs that were taken some eighteen months
    after the accident. The trial court ruled that Pyle’s observations were irrelevant because he
    did not personally view her car at the time of the accident and therefore had no basis to make
    a comparison. The photographs in question were subsequently entered into evidence through
    Mullins’ testimony. Thus the jury was presented with “before and after” photographs of
    Mullins’ vehicle, heard testimony concerning the damage to Mullins’ vehicle, and could draw
    its own conclusions.
    The jury heard from Pyle how he was suddenly struck from behind. He testified to
    the force of the impact – how he was forced into the car ahead of him and thrown back into
    his seat. He described in great detail the damage to his trailer, truck and the mower he was
    hauling. For her part, Mullins acknowledged that she struck Pyle’s trailer and observed
    damage to its back gate. Numerous photographs depicted the damage to Pyle’s property and
    Mullins’ vehicle. Trooper Strout also testified to the damage he observed to all three
    vehicles, which he estimated at over $400 per vehicle. Both the trooper and Mullins testified
    that marks to the front of Mullins’ car correlated to the bars on the back of Pyle’s trailer.
    Pyle testified that he tried to exit the truck, but immediately realized he was hurt and stayed
    inside. He left the scene by ambulance. Through his medical expert, Dr. Degnan, Pyle was
    able to establish how his injury was caused. Dr. Degnan explained “it’s not how fast you go,
    it’s how quickly you stop,” noting that when you are hit from behind and then run into
    something in front of you, your body absorbs the energy as you decelerate and can cause
    cervical injuries.
    We conclude that Pyle’s repeated efforts to establish, through Trooper Stroup, that
    there was nothing wrong with Mullins’ brakes was irrelevant given her admission of liability
    for the accident, whatever the cause. Further, Pyle’s counsel seemingly abandoned her effort
    to establish that Mullins was traveling at more than 15 miles per hour, the estimated speed
    she stated in her deposition testimony. Notably, Trooper Stroup was not offered as an expert
    in accident reconstruction, and Pyle offered no expert witness on this matter. Moreover, no
    offer of proof was made with regard to Stroup’s testimony. In the absence of an offer of
    proof and the inclusion of the excluded testimony in the record, this Court cannot consider
    the alleged errors. See Davis v. Hall, 
    920 S.W.2d 213
    , 218 (Tenn. Ct. App. 1995).
    In view of the evidence presented, we cannot agree with Pyle’s contention that he was
    not permitted to present evidence in support of his contention that the “force of the impact”
    -15-
    resulted in a serious, prolonged injury. The record is replete with evidence about the accident
    itself. Again, the case for damages boiled down to a question of whether Pyle was injured
    and, if so, to what extent? The trial court emphasized this when it explained the basis for his
    evidentiary rulings regarding Trooper Stroup’s testimony, as follows:
    [Mullins] admits that she was negligent and that that negligence
    caused the accident. . . .
    So the issues for you to decide are . . . was [Pyle] injured as a
    result of that fault? If so, the extent of those injuries. And if so,
    what damages . . . is he entitled to under the law.
    The fact whether she could have been intoxicated and hurt in
    this wreck does not make him any more damaged, does not
    make him entitled to any more or less money than that she may
    have done it just a little bit negligent does not mean he’s entitled
    to any less compensation for any injuries acquired. She’s at
    fault. Period. And so the questions are was he hurt, and the
    extent thereof. And those issues are the reason why we went
    around and around the bush this morning.
    I’ve allowed some of this information in about what happened
    in this wreck because it may . . . help you to determine . . . those
    issues, whether someone was hurt or not. And that’s the only
    reason we went into some of these details about the wreck,
    because it may be material circumstantial evidence about the
    injury. But she’s at fault. The question is, was he hurt in this
    wreck?
    Pyle also contends that the trial court impermissibly restricted his ability to show that
    Mullins’ testimony at trial was inconsistent with her pre-trial admission of liability and
    payment of Pyle’s property damages. In particular, Pyle’s counsel sought to elicit testimony
    from Mullins that “the ‘responsibility’ she had taken included paying for the repairs of the
    very damage she was now questioning had been sustained in this accident.” Pyle refers to
    testimony by Mullins that she “just couldn’t believe the way his trailer looked,” and that “the
    trailer was so tall and there’s no way my car could have hit enough to make a dent, I don’t
    think. . . .” When counsel sought to question Mullins whether she “took responsibility for
    all of the damage to these vehicles,” the trial court asked how the inquiry was relevant and
    concluded, “No, that’s been stipulated to start with in the answer.” Ultimately, in addition
    to her admitted liability, which was repeatedly communicated to the jury, Pyle elicited
    -16-
    Mullins’ admission that marks on the front of her vehicle correlated with the bars on the back
    of the trailer. Mullins further acknowledged her deposition testimony that she also observed
    the back of the trailer was dented. In light of such evidence, we do not agree that the trial
    court erred by limiting further questioning of Mullins regarding her responsibility, actual or
    perceived, for the accident.
    Pyle further asserts that the trial court erred in excluding character testimony from Jeff
    Boggan, one of Pyle’s customers. Boggan, a resident of Village Green Subdivision, testified
    Pyle mowed his lawn and he had known Pyle for 5 years. He testified Pyle was under
    contract by the homeowner’s association to mow all of the lawns in the subdivision. Pyle
    asked Boggan whether he was “familiar with [Pyle’s] reputation in that area for honesty?”
    In response, defense counsel objected as to relevance. The trial court sustained the objection.
    At the close of trial, Pyle made an offer of proof that “Boggan would have said he knew
    [Pyle’s] reputation in that community for honesty.” The following ensued:
    The Court: At that point all [Boggan] had said is he knew he
    mowed in their subdivision. The point how he would know is
    all he would know about is him mowing in the subdivision. I
    had no other basis at that point to know how he would know –
    Ms. Holt: I asked in that community.
    The Court: – in reputation.
    Ms. Holt: And you said, no, that subdivision isn’t enough.
    The Court: No. That’s right. I said the subdivision is not
    enough, because you have to show the community in which he
    works or lives is exactly what the case law says. And the
    community in which he works is not just that subdivision
    Ms. Holt: Right.
    The Court: He works in a lot of subdivisions.
    Ms. Holt: But that subdivision is a place where he works, so that
    was –
    The Court: Okay. All right. Anything else, counsel?
    -17-
    The Supreme Court has addressed the admissibility of character evidence pursuant to
    Tenn. R. Evid. 608(a) as follows:
    Rule 608(a) generally permits reputation and opinion evidence
    of a witness’s character for truthfulness or untruthfulness, and
    provides that
    the credibility of a witness may be attacked or
    supported by evidence in the form of opinion or
    reputation, but subject to these limitations: (1) the
    evidence may only refer to character for
    truthfulness or untruthfulness, and (2) the
    evidence of truthful character is admissible only
    after the character of the witness for truthfulness
    has been attacked.
    State v. Dutton, 
    896 S.W.2d 114
    , 117-18 (Tenn. 1995).
    In the present case, Pyle’s character for truthfulness was certainly attacked when he
    was cross-examined extensively regarding his failure to include the fact of his earlier
    accident in prior sworn testimony. As a result, Pyle was entitled to introduce evidence of his
    reputation for truthfulness. At the same time, before a witness may be permitted to testify
    to another person’s character for truthfulness, a proper foundation must be laid. That is,
    to warrant admitting evidence about a witness’s reputation for
    truthfulness, it is necessary to qualify the reputation witness
    “through a showing of ‘such acquaintance with the [person
    under attack], the community in which he has lived and the
    circles in which he has moved, as to speak with authority of the
    terms in which generally he is regarded.’ ”
    
    Id. (quoting United
    States v. Watson, 
    669 F.2d 1374
    , 1381 (11th Cir. 1982))(additional
    citations omitted). Here, we conclude that no proper foundation was laid to establish that
    Boggan was sufficiently acquainted with Pyle so as to enable him to “speak with authority”
    about Pyle’s reputation for honesty in the community. Moreover, we conclude that even if
    shown, any error in excluding Boggan’s reputation testimony was harmless. Evidence of
    Pyle’s “honesty” and reputation for telling the truth was admitted through the testimony of
    his long-time friend and fellow lawn business owner, John Tindell.
    -18-
    Lastly, Pyle contends that the trial court erred in denying his motion in limine that
    sought to exclude evidence of the earlier motor vehicle accident. In his motion, Pyle argued
    that evidence regarding the September 17 accident should be excluded as it could “introduce
    confusion” to inform the jury of an unrelated accident that did not involve personal injury or
    the same trailer. The trial court’s ruling on the motion in limine is not before us. However,
    both parties appear to agree that the trial court denied the motion based on its conclusion that
    the subject testimony was relevant to the issue of Pyle’s credibility. As a result, Mullins was
    permitted to question Pyle with respect to his failure to mention the accident in prior sworn
    testimony on two separate occasions.
    “Our cases have consistently held that a prior inconsistent statement is admissible
    under the Rules of Evidence when the prior statement is used to impeach the credibility of
    a witness.” State v. Smith, 
    24 S.W.3d 274
    , 279 (Tenn. 2000)(citing, e.g., Jones v. Lenoir
    City Car Works, 
    216 Tenn. 351
    , 356, 
    392 S.W.2d 671
    , 673 (1965) (stating that “prior
    inconsistent statements of a witness are admissible for the purposes of impeachment and
    testing the credibility of the witness”)). In the present case, Pyle was examined about his
    omission of the earlier accident and offered his explanation that he simply forgot about it.
    The trial court properly instructed the jury that it would decide whether any method of
    impeachment was established and, if so, the weight to give the impeached witness’s
    testimony. The jury was further instructed that a “witness who has been impeached as to a
    particular fact may be truthful about other facts.” We think the jury was entitled to hear the
    challenged testimony and consider its effect, if any, on Pyle’s credibility. The trial court did
    not abuse its discretion in denying Pyle’s motion in limine.
    We have reviewed each of Pyle’s allegations of error and conclude there was no
    reversible error in the trial court’s evidentiary rulings. “ If no errors occurred during the trial,
    or if any errors occurred but were harmless, the judgment based on the verdict should stand.”
    Doochin v. United States Fidelity & Guar. Co., 
    854 S.W.2d 109
    , 112 (Tenn. Ct. App. 1993);
    Tenn. R. App. P. 36(b). Pyle is entitled to no relief on this issue.
    VII.
    The judgment of the trial court is affirmed in toto. This case is remanded, pursuant to
    applicable law, for enforcement of the trial court’s judgment and the collection of costs
    assessed below. Costs of appeal are taxed to the appellant, Johnny Pyle.
    ___________________________________________
    CHARLES D. SUSANO, JR., PRESIDING JUDGE
    -19-