The Shoulder
The Shoulder
62
Legal questionssharp-badger-035

Surgery scheduled, missed weeks of work — do I actually need a lawyer or am I overthinking this?

So I'm at a crossroads and honestly just need some outside perspective from people who've been through something similar.

Back in the spring I got rear-ended pretty badly at a red light. The other driver was 100% at fault — police report backs that up. My neck and upper back took the hit, and after months of PT not really fixing things, my doctor is now recommending surgery. I just got the date confirmed for next month.

Here's where I'm at:

  • Already missed about 3 weeks of work scattered across the last few months
  • After surgery I'm looking at 5-6 weeks completely out, then a phased return with restrictions
  • My job is physical — being "limited" basically means I can't do it properly, which affects my hours and pay
  • The other driver's bodily injury coverage is on the lower end — I looked it up and it's not a huge policy

I've been handling everything myself so far. Keeping records, talking to the adjuster, documenting everything. I feel like I've got a decent handle on it.

But now that surgery is real and the lost wages are stacking up, I'm second-guessing myself. I know attorneys typically take around a third of the settlement. If the policy limits aren't massive, is hiring one actually worth it, or does that cut just eat into what I'd recover anyway?

Has anyone dealt with a situation like this — surgery, significant lost income, a smaller policy — and figured out whether going it alone or hiring someone made more sense? I don't want to make a decision I'll regret either way.

Not looking for legal advice, just real experiences. Thanks in advance.

10replies

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10 replies

  • 20
    spry-raven-848

    I used to work on the claims side and I'll be straight with you — when a file came across my desk without an attorney attached, the initial reserve we set was lower. Not trying to be shady about it, that's just how it worked. Once an attorney letter came in, everything got re-evaluated. With surgery in the picture, future lost earning capacity, and ongoing PT, your claim has a lot of components that are easy to undervalue if you don't know exactly how to document and present them. Most PI attorneys do free consults, so there's no harm in at least hearing what someone says about your specific situation.

    • 7
      hopeful-driver689

      This is exactly what I needed to read today. Thank you.

  • 19
    keen-heron-706

    Quick question — have you already given the adjuster a recorded statement? And have you signed any medical releases for them? Sometimes by the time people ask this question they've already done things that can complicate the claim. Not saying you have, just worth knowing where you stand before you make any next moves.

  • 17
    tidy-otter-068

    I was in almost this exact spot two years ago. Herniated disc, needed a procedure, missed a ton of work. I tried to handle it myself at first because I thought the same thing — why give away a third? But when the adjuster made me an offer it was embarrassingly low. Didn't account for future PT, the surgery follow-up, or the wage loss properly. I ended up getting an attorney and even after the cut I walked away with significantly more than the original offer. The math surprised me.

    • 12
      careful-bison-505

      I just want to say — you're dealing with a lot right now. Surgery is stressful enough without also trying to figure out all the legal and insurance stuff on your own. Please don't feel like you have to have it all figured out before you ask for help. That's what consultations are for.

  • 11
    clear-mole-283

    From a recovery standpoint — post-surgical PT is no joke, and the timeline your doctor gave you is probably optimistic. People underestimate how long functional limitations last after this kind of surgery, especially with a physical job. Make sure whoever is valuing your claim is accounting for realistic recovery, not the best-case scenario. I've seen people settle before they fully understood how long they'd actually be impacted.

  • 10
    bright-heron-771

    Free consultation. Just go. You're not signing anything, you're not committed to anything. Spend an hour hearing a professional lay out what your claim might actually be worth with everything factored in — surgery, recovery, lost wages, future limitations. Then decide. Agonizing over it on a forum without that info is just spinning your wheels.

  • 8
    wise-marten-336

    Please don't let the 33% thing talk you out of getting representation. That's literally what adjusters are counting on. They know unrepresented claimants almost always settle for less — sometimes way less. The percentage feels painful up front but it's a percentage of a (usually) much bigger number.

    • 18
      calm-seal-094

      One thing people don't always realize — even when the other driver's policy is on the smaller side, an attorney will also look at whether you have underinsured motorist coverage on your own policy. If your damages exceed what the at-fault driver's policy can cover, your own UIM coverage could kick in. That's a whole other pot that people handling things themselves often miss entirely. Worth asking about.

  • 8
    bold-elk-494

    The fact that you've been documenting everything from the start honestly puts you in a much better position than most people. A lot of folks come into this with nothing — no records, no mileage logs, no written timeline. You've already done the hard part of building the foundation. Whatever you decide about representation, that paper trail is going to matter.