Plaintiff Stuart Lesser complained of neck, back and finger pain following his involvement in a two-car collision while he was a passenger in a taxicab. An MRI of the cervical spine revealed two protruding discs. Plaintiffs' physician, Dr. Berkowitz, advised that these herniated discs were a permanent injury, and that pain might be relieved by anti-inflammatory injections, risky surgery or, to a lesser extent, a regimen of physical therapy. An independent orthopedic surgeon, Dr. Weiss, also examined Stuart and concluded that the patient had a full range of motion, with no evidence of herniated discs, and had no disability that would impede his work as the president of a women's apparel company. Dr. Weiss, who did not review the MRI, dismissed as "subjective" Stuart's complaints of pain, numbness and tingling in his finger.
Defendants' summary judgment motion was based upon Dr. Weiss' conclusions. The court granted the motion, finding that Stuart had not sustained a "serious injury."
On a motion for summary judgment to dismiss a personal injury complaint, the defendant carries the burden of establishing that the injury is not causally related to the accident. Without making such a prima facie case, the defendant is not entitled to summary judgment as a matter of law (Chaplin v. Taylor, 273 A.D.2d 188). Whether a herniated disc satisfies the "serious injury" threshold (Insurance Law § 5102[d]) is a question for the trier of facts (Noble v. Ackerman, 252 A.D.2d 392, 395; Flanagan v. Hoeg, 212 A.D.2d 756, 757). An MRI constitutes objective evidence providing an ample medical foundation in support of a patient's subjective complaints of extreme pain (Hawkey v. Jefferson Motors, 245 A.D.2d 785, 786), and thus raises a triable issue on the question of "serious injury" (Waziri v. Small, 276 A.D.2d 480).
Dr. Berkowitz' affidavit was drawn not only from Stuart's subjective expressions of pain, but more importantly, from an evaluation of his medical records, including the MRI. Under these circumstances, the motion court could not conclude, as a matter of law, that Stuart had not suffered serious injury as a result of the accident (see, Boehm v. Estate of Mack, 255 A.D.2d 749).
THIS CONSTITUTES THE DECISION AND ORDER OF THE SUPREME COURT, APPELLATE DIVISION, FIRST DEPARTMENT.