Independent Medical Expertise for SIRVA Cases
Providing evidence-based medical opinions, ensuring scientific rigor in every SIRVA causation analysis.
SIRVA cases often require more than establishing that shoulder symptoms followed a vaccination. A meaningful medical analysis may require evaluation of symptom onset, prior shoulder history, injection technique and anatomy, imaging findings, alternative diagnoses, treatment response, and the strength of the medical literature supporting causation.
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Each case is reviewed on its individual medical evidence, with opinions developed independently of the referring party.
Medical Record Review
We perform a meticulous audit of clinical documentation, vaccination logs, and pre-existing health history, including:
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Pre-vaccination medical history
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Vaccination records
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Primary care and urgent care records
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Orthopedic and sports medicine evaluations
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Physical therapy records
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Operative reports
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MRI, ultrasound, and radiographic reports
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Treatment history and response
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Relevant prior and subsequent injuries
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Our objective is to identify the precise chronology of events, ensuring every detail is captured to support an evidence-based expert opinion on shoulder injury pathology.
Causation Analysis
Scientific evaluation of the relationship between vaccine administration and shoulder pathology, grounded in evidence-based medical literature.Â
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Evaluation may include:
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Temporal relationship
When did symptoms begin relative to vaccination, and is that timing consistent with the proposed mechanism?
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Preexisting shoulder pathology
Was the shoulder previously asymptomatic? Were degenerative or traumatic abnormalities present before vaccination?Â
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Imaging correlation
Are MRI or ultrasound abnormalities consistent with the clinical presentation, and can they reasonably be distinguished from common preexisting or degenerative findings?
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Medical literature
How strongly does the peer-reviewed evidence support the proposed relationship?
Deposition & Trial Testimony
. We deliver independent, evidence-based opinions, effectively communicating complex medical-legal findings to ensure clarity and scientific objectivity throughout the litigation process.
Medical Literature Review
We perform exhaustive reviews of current medical literature to support every analysis to ensures that opinions on causation are backed by peer-reviewed clinical data.
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Targeted literature review can address questions concerning:
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Diagnostic criteria
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Causation
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Injection anatomy and mechanism
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MRI findings
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Ultrasound findings
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Treatment
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Natural history
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Prognosis
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Alternative diagnoses
Independent by Design
SIRVA Expert MD was founded on the principle of uncompromised objectivity. Our commitment to evidence-based analysis provides the clarity required for the most complex medical-legal cases.
