Claimant, a 60 year old woman, was employed by an employer who manufactured garage doors. Over the course of several years, Claimant performed repetitive work and developed bilateral thumb pain. Claimant sought treatment by a local plastic surgeon who advised Claimant that she had arthritis. Schemery Zicolello referred Claimant to the Philadelphia Hand to Shoulder Center where Claimant underwent bilateral thumb joint replacements and enjoyed significant relief of pain and almost full restoration of function in the thumbs. SZ successfully secured benefits for the Claimant. Later, the employer maintained that work was available and that as a result of the surgery, Claimant had fully recovered. During the second round of litigation, mediation was ordered and SZ secured settlement in the amount of $150,000.00 for Claimant’s thumb injuries.