not work related. The impression was back pain, sciatica and right Sl joint tenderness.
On January 31, 2006, Ms. Ashby was seen with complaints of left shoulder and low back pain
after slipping on a wet plastic ground cover. This was also not work related. The diagnosis was
contusion of the left shoulder and low back. On October 10, 2007, Ms. Ashby was seen with
complaints of lower back pain. She bent over and felt a pop in her lower back, which was not
work related. The records indicate it was difficult to examine due to her pain. On March 22,
2009, Ms. Ashby reported to Wheeling Hospital with complaints of lower back pain after getting
out of bed. X-rays showed no fracture or dislocation. On July 2, 2012, Ms. Ashby was seen at
Wheeling Hospitalwell until the work injury of
August 18, 2012. Dr. Miele diagnosed her with axial mechanical back pain secondary to a lifting
injury at work. Dr. Miele recommended physical therapy and a follow-up with Dr. Hargraves in
one month if her symptoms did not improve.

        From September 27, 2012, through October 16, 2012, Ms. Ashby reported to Wheeling
Hospital Physical Therapy for physical therapy. On October 22, 2012, Ms. Ashby was seen by L.
W. DeGarmeaux, D.C. Physical examination revealed tenderness in the right Sl joint and sciatic
region. Range of motion was limited approximately 40% in all planes. Dr. DeGarmeaux read the
MRI of her lumbar spine as showing a disc herniation at L3-4 and L4-5 with spinal stenosis. On
October 23, 2012, Ms. Ashby reported to Terrence