                    COURT OF APPEALS OF VIRGINIA


Present: Chief Judge Fitzpatrick, Judges Willis and Bumgardner
Argued at Salem, Virginia


PITT DES MOINES, INC. AND
 EMPLOYERS INSURANCE OF WAUSAU
                                       MEMORANDUM OPINION * BY
v.   Record No. 0974-98-3           JUDGE RUDOLPH BUMGARDNER, III
                                          JANUARY 26, 1999
RANDY W. BUSBEE


         FROM THE VIRGINIA WORKERS' COMPENSATION COMMISSION
           Stephen A. Strickler (Matthew H. Kraft;
           McCardell & Inman, P.L.C., on brief), for
           appellants.

           Linda D. Slough (Chandler, Franklin &
           O'Bryan, on brief), for appellee.



     Pitt Des Moines, Inc. appeals a decision of the Workers'

Compensation Commission that awarded the claimant benefits for

injuries received when he fell at work.   Pitt Des Moines argues

that the commission erred when it held that the claimant suffered

low back injuries caused by the fall.   Concluding that the record

contains credible medical evidence that supports the award, we

affirm the commission's decision.

     The standard of our review of the commission's findings of

fact is well established.
          We do not retry the facts before the
          Commission nor do we review the weight,
          preponderance of the evidence, or the
          credibility of witnesses. If there is
          evidence or reasonable inference that can be
          drawn from the evidence to support the
          Commission's findings, they will not be
     *
      Pursuant to Code § 17.1-413, recodifying Code § 17-116.010,
this opinion is not designated for publication.
          disturbed by this Court on appeal, even
          though there is evidence in the record to
          support contrary findings of fact.


Caskey v. Dan River Mills, Inc., 225 Va. 405, 411, 302 S.E.2d

507, 510-11 (1983) (citations omitted).

     The claimant, Randy Busbee, fell off a ladder on December 9,

1996, while working as a welder building a water tower.    He fell

a distance, variously described as from five to twenty feet, onto

a rock floor and landed on his back and neck.   Though at first he

did not feel that he was injured, shortly afterwards he told his

supervisor that he was hurt and went to get medical attention.

Dr. Arbabi at Express Care referred him to a neurologist, Dr.

Jonathan R. Amy, who released Busbee to light duty work.    Busbee

returned to light duty, but received permission to leave the job

two days before the project ended so that he could go to his home

in Florida.   He planned to return to work on January 7, 1997, at

the employer's next project where light duty work was available.
     When Busbee returned from Florida, he got permission to see

Dr. Ethan O. Todd.   Dr. Todd saw him on January 7, 1997 and took

him off work.   Busbee reported this to Pitt Des Moines, and its

insurer requested that Busbee see a physical medicine and

rehabilitation specialist, Dr. Howard B. Weiss.   Busbee saw him

January 23, 1997.

     On January 13, 1997, Busbee was videotaped while he worked

for a concrete company.   The video shows him without apparent

difficulty stooping, bending, shoveling, lifting, and carrying



                               - 2 -
materials including boards about eight feet long.

     After carefully reviewing the medical record, the deputy

commissioner concluded that Busbee suffered a compensable injury

to his back, right leg, right shoulder, right arm and neck on

December 9, 1996.   The deputy commissioner awarded benefits from

December 9 through December 11, 1996, and January 7 through

January 12, 1997, and awarded medical benefits for as long as

necessary.   Pitt Des Moines appealed claiming Busbee did not

suffer an injury by accident arising out of and in the course of

his employment, did not suffer any disability, did not suffer any

low back injury, and the deputy commissioner incorrectly

calculated weekly wages.   The full commission affirmed the award

modifying only the average weekly wage.
     On this appeal, Pitt Des Moines limits its argument to the

complaints of low back injury.    It argues that the record is

insufficient to establish an injury to the low back by accident

or to establish a causal relation between any low back injury and

the accident.   Pitt Des Moines argues that the commission erred

in failing to address all relevant and material evidence.   We

disagree and conclude that credible medical evidence supports the

commission's findings that Busbee suffered a lower back injury

that was causally related to his industrial accident on December

9, 1996.

     Dr. Arbabi saw Busbee at Express Care on December 9, 1996.

He complained of right arm and leg numbness, with upper back and




                                 - 3 -
neck pain, and a burning feeling between his shoulders.     On

December 11, 1996, Busbee complained to Dr. Amy of pain in the

shoulder and right neck area with a burning pain on the right

side of the cervical spine.    The doctor noted some pain in the

medial aspect of the right elbow and tingling in two fingers of

the right hand.   On December 17, Busbee reported to Dr. Amy

continued neck and arm pain that was sometimes worse than

previously reported.
     Dr. Todd first saw Busbee on January 7, 1997 when Busbee

complained of tingling fingers, occasional low back pain, and

pain radiating in the right thigh.      That was the first specific

reference in the doctors' records to lower back problems.

Busbee's most consistent complaints were pain in the upper back,

primarily on the right side.   On January 14, 1997, Busbee

complained to Dr. Todd of an episode of sudden pain to the right

arm and leg that caused him to fall.     Dr. Todd's physical

findings that day did not differ from his previous examination.

On January 28, 1997, he noted the claimant had limited motion in

his neck and low back.

     Dr. Weiss saw Busbee on January 23, 1997.      He noted that

Busbee's primary complaint was low back and neck pain, right

trapezial pain, and right leg and right arm pain.     On examination

Busbee moved without difficulty.   Busbee said that activity

produced back pain and that leg and back pain limited walking.

Dr. Weiss diagnosed cervical trapezial sprain and lumbosacral




                                - 4 -
sprain that he believed were causally related to the December 9,

1996 injury.

     Dr. Todd saw the videotape of Busbee working at the concrete

company on January 13, 1997, and he was questioned whether it

changed his opinion.   Dr. Todd acknowledged that Busbee's

subjective complaints made the day after the videotape were

inconsistent with what Todd observed on the videotape.   Dr. Todd

did not find Busbee's complaints to be exaggerated and

acknowledged that they were consistent as to location and degree

of pain.   He also believed that Busbee's work on January 13

aggravated his condition, and the examination on January 14, 1997

reflected that.   Based on the tape, Dr. Todd would not restrict

Busbee's bending, lifting, or climbing.
     After watching the videotape, Dr. Weiss said he would have

placed no restrictions on Busbee.   While he acknowledged that he

made his observations based on Busbee's subjective complaints,

Dr. Weiss saw no indications that Busbee exaggerated his

complaints.    Dr. Weiss stated that he had no way of knowing

whether the work Busbee performed on January 13 affected his

examination on January 14.

     "[T]he commission must review all relevant evidence having a

bearing on a case and cannot comply with the Act where the record

is incomplete . . . ."    Dynalectric Co. v. Ellis, 19 Va. App.

541, 547, 452 S.E.2d 372, 376 (1995).   The commission is required

to base its findings of fact on credible evidence, but not to



                                - 5 -
recite all of the evidence in its opinion.     See id. at 546, 452

S.E.2d at 375; Code § 65.2-705.   In Dynalectric, the employer

appealed a commission's decision, which noted that "'[n]o useful

purpose would be served by our review of the extensive record'"

which consisted of two thousand pages of medical evidence.     Id.

at 546, 452 S.E.2d at 375.   As in Dynalectric, "no evidence is

missing from the record, nor is there any indication that the

commission refused to review any relevant evidence brought to its

attention."   Id. at 547, 452 S.E.2d at 376.    Cf. Flavin v. J.C.

Penney Co., Inc., 1 Va. App. 1, 332 S.E.2d 805 (1985) (commission

erred when it refused to review relevant evidence).

     Contrary to Pitt Des Moines’s assertion, the commission’s

decision reflects consideration of the entire record, and it

specifically incorporates the deputy's findings into its opinion.

On December 9, 1996, Busbee complained of upper back pain with a

burning feeling between the shoulders to Dr. Arbabi.    On December

11, 1996, he complained of burning pain on the right side of the

cervical spine to Dr. Amy.   On January 7, 1997, Dr. Todd noted

that Busbee complained of occasional low back pain and more

consistent pain in the upper back.     Busbee's primary complaint on

January 23, 1997 to Dr. Weiss was low back and neck pain.    We

conclude that there is evidence in the record that Busbee

suffered injury to his back including his lower back.

     Pitt Des Moines asserts that even if there was evidence of

low back pain, the record is devoid of evidence establishing a



                               - 6 -
causal relationship between the fall and such problems.    Dr. Todd

testified that Busbee's complaints were consistent as to location

and severity and that he did not exaggerate.   Dr. Weiss also

testified that Busbee's primary complaint was pain in his lower

back and neck.   Drs. Arbabi and Amy both noted Busbee's complaint

of pain between the shoulders and on the right side of the

cervical spine respectively.   Both observations relate to

reported complaints of back pain in December 1996.   "The fact

that there is contrary evidence in the record is of no

consequence if there is credible evidence to support the

commission's finding."   Wagner Enters., Inc. v. Brooks, 12 Va.

App. 890, 894, 407 S.E.2d 32, 35 (1991) (citation omitted).      See

McPeek v. P.W. & W. Coal Co., Inc., 210 Va. 185, 188, 169 S.E.2d

443, 445 (1969).

     Pitt Des Moines stresses the value of the evidence recorded

on the videotape which shows the claimant doing physical labor.

Pitt Des Moines argues that the video evidence destroys the

validity of the doctors' opinions made after Busbee returned from

Florida.   It argues that the commission should only look at the

emergency room doctor's findings and the opinions made before

January 7, 1997.   When so limited, no evidence shows that Busbee

suffered an injury to his lower back because the videotape

renders the claimant's subjective complaints unbelievable.

     It is true that a doctor's opinion based on a faulty premise

is not entitled to weight when resolving conflicting evidence.



                               - 7 -
See Clinchfield Coal Co. v. Bowman, 229 Va. 249, 252, 329 S.E.2d

15, 16 (1985).   However, the evidence in the videotape does not

undermine all evidence supporting the claimant's proof of injury.

He did fall and did suffer compensable injuries.    The tape does

establish that the claimant was not limited after January 13,

1997, and the commission ruled that the tape rebutted any claim

of injury after that date.   However, that does not conclusively

rebut the claim of injury before that date.   The commission must

evaluate conflicting evidence and determine the inferences to

draw from it.    The record shows that the commission evaluated all

the evidence including the videotape and the doctors' testimony

after they saw it.   Determining whether Busbee suffered an injury

is a finding of fact that will not be disturbed on appeal.
     For these reasons, we conclude that the evidence supports

the commission's finding that Busbee injured his lower back on

December 9, 1996.    We affirm the commission's decision.

                                                            Affirmed.




                                - 8 -
