Neck and back injuuries are some of the most common injuries seen in the Texas Wokers’ Compensation system. For a Claimant to received a DRE Category IV for their neck or back impairment, there must be a loss of motion segment integrity or multilevel neurologic compromise. The patient has loss of motion segment or structural integrity or bilateral or multilevel radiculopathy. Loss of structural integrityis defined as more than 3.5 mm of translation of one vertebra on another, or angular motion at one motion segment that is more than 11 degrees greater than the angular motion at an adjacent motion segment. Radiculopathy as defined in category III, if present, should be bilateral or involve several levels. A documented history of muscle guarding and pain should be present. If you have questions about your impairment rating or your workers compensation claim, call the Dallas office at (214)357-1782 or via email at firstname.lastname@example.org.