Services / Causation Opinions

Did this event cause this injury?

Surgeon-authored causation opinions — mechanism of injury, records, and clinical experience, stated to a reasonable degree of medical probability.

The opinion treating physicians won't give

Causation is where contested injury cases are won and lost — and where a familiar gap appears: treating physicians routinely decline to opine. Depositions consume clinic days, and causation sits outside the treatment role. The record shows the injury; nobody with a medical license will connect it to the event.

That is the retained causation expert's job. Our surgeons review the complete record — mechanism, imaging, operative findings, pre-existing conditions — and state what the evidence supports, to a reasonable degree of medical probability, in a report built for admissibility challenges.

And because the opinion comes from a surgeon who treats these injuries in practice, it carries clinical weight on the stand that a records-review generalist cannot match.

What the analysis covers

Mechanism of injury — is the claimed injury biomechanically consistent with the event?

Temporal relationship — onset, symptom course, and treatment timeline against the record.

Pre-existing conditions — separating degenerative findings from acute injury; aggravation analysis.

Imaging and operative findings — read by a surgeon who operates on these structures.

Alternative causes — addressed head-on, before opposing counsel raises them.

"Stated to a reasonable degree of medical probability — and built to survive the Daubert motion."

The admissibility standard causation opinions must clear.

Frequently asked questions

Why won't the treating doctor just testify?

Some will — many won't. Depositions cost treating physicians clinic time and pull them outside their role. It's one of the most common gaps in injury litigation, and retained causation experts exist to fill it.

What standard does the opinion meet?

Reasonable degree of medical probability — more likely than not — from a qualified physician, with the analysis documented so it withstands Daubert/Frye scrutiny in the relevant jurisdiction.

Records-only, or is an examination needed?

Causation opinions are commonly records-based. Where an examination adds value, we combine the opinion with an IME by the same surgeon.

Plaintiff or defense?

Both. Connecting incident to injury for plaintiffs; testing that connection — degeneration, pre-existing pathology, inconsistent mechanism — for the defense. The evidence decides the opinion.

Causation contested in your case?

Response within one business day. No retainer to inquire.

Request an Opinion →