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Nevada Injury and Workers' Comp Law Firm, Henderson Nevada
(702) 360-5000
Now Reviewing Carpal Tunnel And Strain Claims

Carpal Tunnel Or Strain From Your Job In Las Vegas?

There was no crash and no fall, so the insurer wants to call it old age or something you did at home. It doesn't work that way. If your work wore your hands down over time, Nevada comp can cover it, and Erik Severino has spent 20+ years taking on insurers and big corporations, proving exactly that.

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No Single Accident Means Causation Is The Whole Fight

A repetitive stress injury is different from almost every other work claim. There's no moment you can point to. Nobody dropped a pallet on your wrist and nobody slipped on a wet floor. The damage built up quietly, one keystroke or one card deal at a time, until one day your hand went numb and stayed that way. That slow build is exactly what makes these claims hard, because the insurer's first question is always the same: how do you know the job did it?

That single question is the battleground. In a crash case, fault is usually obvious. In a cumulative-trauma case, causation is the case. If you can show your work caused or worsened the condition, you have a claim. If you can't, the insurer walks away. So the early work isn't about arguing how badly you're hurt. It's about building a record that ties the injury to the motions your job demands, day after day, year after year.

Nevada workers' comp is a no-fault system under the Nevada Industrial Insurance Act, and it reaches more than dramatic accidents. Occupational disease, the kind of harm that builds from the job itself, sits in its own part of the law (NRS Chapter 617) alongside the main injury rules. The Division of Industrial Relations oversees the system, which covers medical care, temporary and permanent disability, vocational rehabilitation, and more when the proof supports the claim. The trouble is that nobody hands you that proof. You and your attorney have to go build it, which is the whole point of calling early. Our Nevada workers' comp overview lays out how the system works from the first report on.

The Pre-Existing And Degenerative Playbook

Every insurer handling a carpal tunnel or tendonitis claim reaches for the same script, and you should know it before they use it on you. The first line is age. They'll note how old you are and call the condition normal wear. The second is your life outside work: a gym habit, knitting, gaming, gardening, anything they can pin the strain on. The third is a pre-existing condition, an old wrist sprain or a family history they dig out of your records.

None of those lines wins on its own. In many of these cases, work that makes an old problem meaningfully worse can still support a claim, even if you weren't starting from a perfectly healthy hand. The insurer's argument only works if it goes unanswered. We answer it with a treating doctor's opinion that addresses the work connection head-on and a record that shows your symptoms track your shifts, not your hobbies.

The other tactic is delay. Because there's no clean injury date, adjusters love to drag out the review, ask for one more form, and hope you give up. We don't let the file sit. If a claim gets denied on a thin causation argument, that's not the end of the road. See how we push back on a denied workers' comp claim and how the broader work injury claim process protects your rights along the way.

Hand and wrist examination for a repetitive strain injury at a Nevada clinic

The Damage Repetition Does To Your Hands

These aren't dramatic injuries, which is part of why they get ignored for too long. They start small, a little numbness here, a weak grip there, and then they get in the way of the work that caused them.

  • Carpal tunnel syndrome
  • Cubital tunnel syndrome
  • Wrist and hand tendonitis
  • Trigger finger and thumb
  • Tennis and golfer's elbow
  • Rotator cuff strain
  • De Quervain's tenosynovitis
  • Nerve compression and weakness
"Had a great experience with Mr Severino and his staff. They were patient and walked us through the entire process. Highly recommended and they do work with all financial situations as well. Highly recommended and the best in town."
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The Jobs That Run This Town Are Hard On Hands

Repetitive stress injuries don't hit office workers alone. They hit the people who keep Las Vegas running. A table-game dealer can pitch cards and handle chips for hours straight. A housekeeper twists, wrings, and scrubs through twenty rooms a day. A warehouse picker out by the 215 Beltway and the I-15 corridor scans and lifts the same way thousands of times a shift. The common thread is repetition, and the body keeps a tally.

If your work shows up on this list, your hands are doing the kind of motion these claims are built on:

  • Casino and table-game dealers
  • Hotel housekeepers and room attendants
  • Warehouse pickers and packers
  • Office and data-entry workers
  • Line cooks and prep cooks
  • Cashiers and checkers
  • Assembly and production workers
  • Stylists, cleaners, and caregivers

It doesn't matter that you can't name the day it started. What matters is that the work demands the motion, and the motion did the damage. If your job involves heavy lifting and machinery too, our warehouse and forklift injury page and our construction accident page cover those settings in detail.

Medical And Ergonomic Evidence Carries The Claim

Since there's no accident report to lean on, the proof has to come from somewhere else. These are the four pieces that turn a hunch into a covered claim.

Job-Duty Records

Your task list, production quotas, keystroke or scan counts, and how many hours a day your hands actually do the same motion.

Treating Doctor Notes

A physician who ties your symptoms to the work, not just the diagnosis. The words in the chart carry the claim.

Ergonomic Evidence

Photos or video of your station, the tools you grip, and the repetition rate. Sometimes an outside evaluator measures the physical load.

A Clean Timeline

When the numbness or pain started, how it tracks your shifts, and the early complaints you made to a supervisor.

What A Covered Claim Can Pay For

A repetitive stress claim through workers' comp generally covers your medical care, a share of the wages you lose while you can't do the job, and a permanent partial disability award if your hand, wrist, or elbow doesn't fully bounce back. If surgery and recovery keep you out for a stretch, those wage benefits matter.

There's a second path worth checking. If a defective tool, a third party's faulty equipment, or someone outside your employer played a part, you may have a separate third-party work injury claim on top of comp, which can reach losses that comp alone doesn't. We look at both. When it's time to close things out, our workers' comp settlement page explains how these resolve.

Attorney Erik Severino, Nevada Injury and Workers' Comp Law Firm
Erik Severino, Nevada Bar #10221

You Work With The Attorney, Not A Call Center

Cumulative-trauma claims live and die on the medical and ergonomic proof, and that takes a lawyer who reads the chart and asks the doctor the right question. Erik has spent more than 20 years taking on insurers and big corporations in Nevada, and he handles yours himself, from the first call to the final award.

  • No Fee Unless We Win

    You pay nothing up front. Our fee comes out of the recovery, and we go over case costs with you before anything starts.

  • Available 24/7

    Hurt hands don't keep office hours. Call nights, weekends, and holidays. Hablamos Español.

  • Local To Henderson And Las Vegas

    We know the casinos, the warehouses, the courts, and the adjusters. You can sit across a desk from your lawyer.

"I called Erik’s office after seeing the abundance of positive reviews especially highlighting the communication from his office was Pretty quick. This is NOT an office that will make you WAIT days for a reply. Every step of the way I felt confident and as more time passes I’m almost one year using Erik’s service I do feel very confident recommending him. He does a great job of letting you know not to hesitate to call or email if you have any more questions along the way. I plan to use Erik in the future for other service based on how well he took care of my needs. If you haven’t called his office for the FREE CONSULTATION do it!"
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Four Steps That Keep A Cumulative Claim Strong

You don't have to do all of this perfectly. Do what you can, and we'll handle the rest.

1

See A Doctor

Get the numbness or pain on record now. Early treatment helps your hand and dates your injury.

2

Report It In Writing

Tell your employer and fill out the incident form, even without a single injury date. Keep a copy.

3

Save The Job Proof

Note your tasks, hours, quotas, and the motion you repeat. Photos of your station help.

4

Call Erik

We start lining up the medical opinion and the job-duty record before the insurer digs in.

Nevada Deadline: Don't Sit On It

Nevada gives you 7 days to report a work injury to your employer in writing (the C-1 form) and 90 days to file the claim with the insurer (the C-4 form). If your claim is denied, you generally have 70 days from the date the insurer mails its decision to appeal to a Hearing Officer. For a cumulative injury, the practical trigger is often when you knew, or should have known, that your condition was tied to your work. Talk to us early so a deadline never decides your case for you.

More Ways We Help Hurt Workers In Clark County

Repetitive stress is one corner of Nevada work injury law. Here's where to go for the situation that fits you.

Repetitive Stress Claim Questions, Answered Plainly

It can be. Nevada workers' comp doesn't only cover one-time accidents. It also covers conditions that build up from doing the same job over months or years, which is exactly how carpal tunnel, tendonitis, and trigger finger develop. The catch is proof. Because there's no crash and no fall to point to, the whole fight is about whether your work caused the condition. We build that proof from your job duties, your medical records, and the timeline of your symptoms. Start with our work injury claim page to see how these claims are handled.
We line up three things: what your hands do all day, what the doctor says, and when the symptoms started. If you scan, type, deal cards, or scrub for most of an eight-hour shift, that repetition is the engine of the injury. We get a treating physician to connect your condition to the work in writing, then we match it against your job-duty records and the date your numbness or pain began. The cleaner that picture, the harder it is for the insurer to wave it off. Our occupational disease page walks through the medical causation piece in more detail.
That's their go-to move on these claims, and it has an answer. In many cumulative-trauma cases, work that makes an existing condition meaningfully worse can still support a claim, even if your hand wasn't perfectly healthy to begin with. The insurer will point to your age, a hobby, or an old injury and call it the real cause. We meet that with a treating doctor's opinion and a record that ties the flare-up to your shifts, not your birthday. Whether your facts fit is something we'll walk through with you for free.
Around here it's the jobs that run Las Vegas. Table-game dealers and housekeepers on the Strip, warehouse pickers out by the 215 Beltway and the I-15 corridor, line cooks, cashiers, stylists, and anyone glued to a keyboard. The common thread is the same hand or wrist motion repeated thousands of times a shift. If that's your work and your hands have gone numb or weak, it's worth a call to (702) 360-5000.
Numbness or tingling in the fingers, hands that fall asleep at night, a weak grip, dropping things, aching wrists or elbows, and a clicking or locking finger. A lot of people shake it off for months because there was no single moment it started. Don't wait that out. The earlier you report it and see a doctor, the cleaner your claim and the better your odds of healing without surgery.
You do, and this trips people up. In Nevada you tell your employer about a work injury in writing as soon as you can, and within 7 days, using the C-1 form, even when there's no single crash date. Then a claim for compensation goes to the insurer on the C-4 form within 90 days, usually signed at your treating doctor's office. For a cumulative injury, the practical question is often when you knew, or should have known, that your condition was tied to your job, so report it right away and keep a copy. If you think you've already missed a deadline, talk to us before you assume the claim is dead.
Denials are common on cumulative-trauma claims because causation is fuzzy by nature, and insurers know it. A denial is not the end. In Nevada you generally have 70 days from the date the insurer mails its decision to appeal to a Hearing Officer, and if that goes against you, 30 days to take it to an Appeals Officer. Those windows are firm, so move fast. Many denials get reversed when a stronger medical opinion and better job-duty proof come in. Here's how we handle a denied workers' comp claim from denial letter to hearing.
Most of it never sees a courtroom. A Nevada workers' comp dispute runs through the administrative track first: the insurer's adjuster, then a Hearing Officer, then an Appeals Officer, all under the Division of Industrial Relations. If a case goes further, judicial review lands in the Eighth Judicial District Court of Clark County, which covers Las Vegas, Henderson, and the rest of the valley. We handle clients across Clark County, from dealers and housekeepers on the Strip to warehouse crews out toward the 215 Beltway and the I-15 corridor, and our office sits on St. Rose Parkway in Henderson. You can sit across a desk from your lawyer instead of waiting on a call center.
Usually you'll start with a provider from the insurer's managed-care list, and that's worth understanding because the first doctor's notes shape the whole claim. You often have the right to change physicians within the network, and a second opinion can matter a lot when causation is the issue. We help clients get in front of a doctor who will actually examine the work connection instead of rubber-stamping a denial. Our workers' comp overview explains how care and treatment work in Nevada.
Workers' comp generally covers your medical treatment, a portion of your lost wages while you can't work, and a permanent partial disability award if your hand or wrist doesn't fully recover. If your condition came from a defective tool or a third party's equipment, you might also have a separate third-party injury claim on top of comp. We look at both so nothing gets left on the table.
Nothing up front. We work on a No Fee Unless We Win basis, so our fee comes out of the recovery, and we go over case costs and expenses with you in plain language first. The consultation is free, confidential, and available 24/7. Hablamos Español. Call (702) 360-5000 or use the form on this page and we'll tell you honestly whether you have a claim.

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Tell us what your hands do all day and what they're doing to you now. We'll tell you, honestly, whether you have a covered claim and what it would take to prove it. No pressure, no cost, no obligation.

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Attorney Erik Severino, Nevada Injury and Workers' Comp Law Firm
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Erik Severino, Attorney at Law

Licensed in Nevada since 2006 (State Bar of Nevada #10221). More than 20 years representing Nevadans against banks, insurers, and large corporations. Every client works directly with Erik, not a rotating cast of case managers.

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