Dr. Bajakian has a
Masters Certification in the performance of A.M.A. Permanent Medical
Impairment Rating Examinations.
Is this important to know?
Yes, if you have been injured in a car accident or other traumatic
incident that you are entitled to financial compensation. Special
testing and evaluation procedures that Dr. Bajakian has been
trained to perform will enable him to assess your physical condition
calculate an exact percentage of impairment based on the American
Medical Association’s Guides to Physical Impairment.
What exactly is an impairment rating?
Impairment rating is an estimate of the severity of human impairment
based on acceptable medical standards. Various reference books,
including the AMA Guides, provide a standard method of analysis
to evaluate, report on, and communicate information about impairments
to any human organ system.
According to the AMA Guides, impairment is an alteration of
an individual's health status that has been assessed by medical
is used to describe a static or stable condition that has had sufficient
time to allow optimal tissue repair and that is unlikely to change,
in spite of further medical or surgical therapy. In other words,
any impairment such as anatomic or functional abnormality or loss
after maximal medical improvement (MMI) has been achieved.
The purpose of impairment rating is to provide a representation
of impairment using a generally accepted system to estimate the degree
to which an individual's capacity to carry out daily activities has
been diminished by illness or injury. Activities of daily living
(ADL) include the following tasks: self-care, personal hygiene, preparing
and eating food, communication (both spoken and written), maintaining
posture, standing, sitting, caring for home and personal finances,
walking, traveling, recreational and social activities, and work-related
activities. An individual with impairment may or may not have sufficient
capacity to meet the demands of a particular professional position
How is an impairment rating performed?
First, Dr. Bajakian would gather information to document the nature
of the impairment and its consequences. He would review the patient's
medical history, other specialist’s reports, as well as office
and hospital records. Dr. Bajakian utilizes multiple sources of
information to promote objectivity and eliminate bias. For purposes
of evaluation, the medical condition should be stable and unlikely
to change in the future, in spite of further treatment. Treatment
warranted at this point is palliative (for the alleviation of symptoms),
rather than restorative.
Dr. Bajakian would not only obtain clinical information from medical
records but also through performance of a comprehensive physical
examination of his own. This examination would include:
- Physical examination
- Orthopedic examination
- Neurological assessment
- Electronic Range of Motion testing
- Electronic Muscle Testing
- Surface EMG Scanning to objectively
document paraspinal muscular disparities and abnormalities
Scanning to detect and measure autonomic nervous system disturbances
relating to spinal nerve root impingement
- Spinal x-rays to document areas of residual
impaired spinal mechanics
- Determination of patient’s current
physical abilities through a thorough Activities of Daily Living
The impairment rating process provides the data necessary for calculating
an actual numerical percentage of impairment derived from the above
mentioned evaluations, in addition to inclusion of other relative
testing such as MRI’s, CT scans, Neurological evaluations,
Orthopedic evaluation, etc.
Dr Bajakian realizes that the strength of medical support for an
impairment estimate depends on the completeness and reliability of
medical documentation and it his attention to detail that enables
him to provide some of the most thorough and comprehensive reports
Is Impairment and Disability the same?
No. In fact, many people confuse the terms impairment and disability.
Disability refers to an individual's inability to complete a task
or a duty. Disability is an alteration of the individual's capacity
to meet personal, social, or occupational demands or statutory
or regulatory requirements because of a documented impairment.
Disability arises out of the discrepancy between the limitations
placed on an individual with an actual impairment and external
tasks that must be performed (such as the physical demands of his
or her job).
My treating Doctor doesn’t perform
such examinations, is it possible to still obtain an impairment
Yes. For many years Dr. Bajakian has provided this service to not
only his peers but also to attorneys who felt that their clients
needed additional documentation to support their claims for settlement.
It should be fully understood that Dr. Bajakian’s role in such
matters is to provide an honest, objective, and concise determination
of a patient’s physical status and at no time does he render
treatment to another doctor’s patient.
Should you have any questions or concerns about this subject please
feel free to contact Dr. Bajakian’s office directly.