Denise Armtrout — ADJ14895207, ADJ162421, ADJ14895259, ADJ14894712

Applicant Denise Armtrout sustained an industrial injury to her legs in the form of lymphedema while working as a Child Nutrition Specialist. After utilization review denied a request for 24 sessions of lymphatic massage and two successive IMR determinations upheld the denial, the WCJ twice found the Administrative Director's determinations contained plainly erroneous findings of fact and remanded for further IMR. The September 16, 2022 IMR determination was found internally inconsistent because it denied the treatment partly on the ground there was no evidence of home lymphatic drainage education while elsewhere stating applicant's treatment had included home lymphedema massage. The WCAB adopted and incorporated the WCJ's report and denied defendant's Petition for Reconsideration, confirming applicant was entitled to a third IMR.