OPINION
Opinion by
Jack Dollison sued for injuries he sustained in a motor vehicle accident, alleging negligence against Allen Wayne Hayes. The case was tried before a jury that found each party fifty percent negligent and awarded Dollison damages for medical bills and lost wages. The jury did not award any damages for pain and suffering, mental anguish, or physical impairment. The court rendered judgment in accordance with the verdict. Dollison filed a motion for new trial, which was denied.
Presented for our review is whether a jury can award a plaintiff damages for medical expenses and lost wages while declining to award past and future pain and suffering, mental anguish, or physical impairment. Under the facts of this case, we hold that the judgment of the trial court, awarding specific but not general damages, was not erroneous.
On July 7, 1998, Dollison was employed by Gregg County and was driving a front-end loader on Highway 349 near Kilgore. As Dollison. was crossing a two-lane bridge, a truck driven by Hayes skidded and struck the loader from the rear. Dol-lison testified that the impact jolted him around a little bit in the seat. Other than knocking some paint loose, the accident caused no damage to the loader. Hayes’ truck, however, sustained substantial damage.
Following the accident, Dollison went to the emergency room complaining of low back pain. X-rays were taken, he was given pain medication, and discharged. Three days later, on July 10, Dollison went to see Michael Langford, M.D., an orthopedic surgeon. Langford reviewed Dolli-soris x-rays, noting they revealed mild arthritis but indicated no injury related to the accident. Dollison was placed on a restricted work schedule with no bending, squatting, or heavy lifting. He also received physical therapy for approximately two months. Effective August 31, 1998, Dollison was released to work with no restrictions and zero impairment. He has not seen Langford since that time.
Dollison contends the trial court erred in denying his motion for new trial. That motion relied on the same six points of error now brought before this Court. All six points of error challenge the jury’s award of damages on legal and factual sufficiency grounds. Dollison argues it is reversible error when a jury verdict awards medical bills and lost wages, but does not award 1) past pain and suffering, 2) future pain and suffering, 3) past mental anguish, 4) future mental anguish, 5) past physical impairment, or 6) future physical impairment, when the plaintiff introduces uncontroverted evidence to support them. A challenge to a damages award for these types of unliquidated and intangible injuries is reviewed as any other challenge based on the sufficiency of the evidence.
Larson v. Cactus Util. Co.,
When a party challenges the legal sufficiency of an adverse finding on an issue on
*249
which it had the burden of proof, it must demonstrate the evidence conclusively established all vital facts in support of the issue.
Sterner v. Marathon Oil Co.,
When the party having the burden of proof challenges the factual sufficiency of a finding in the trial court, that party must show the fact-finder’s finding was against the great weight and preponderance of the evidence.
Croucher v. Croucher,
The essence of Dollison’s sufficiency argument is that he offered undisputed evidence he was injured in the accident and was awarded some damages. He argues that the jury’s award of medical bills necessarily implies he also suffered mental and physical pain, and the jury’s award of lost wages necessarily implies he suffered past and future impairment. Therefore, he argues, once the jury awarded compensation for his medical expenses and lost wages, the jury had to also award some amount of general damages in each category. To see why Dollison’s argument fails, we must examine both the nature of the proof offered and the nature of the damages sought.
Dollison’s points of error and underlying arguments regarding past and future pain and suffering, as well as those regarding past and future mental anguish, all rely on the same principles of law. Therefore, we shall jointly address points of error one through four.
The process of awarding damages for amorphous, discretionary injuries such as mental anguish or pain and suffering is inherently difficult because the alleged injury is a subjective, unliquidated, nonpecu-niary loss.
Brookshire Bros. v. Wagnon,
The presence or absence of pain, either physical or mental, is an inherently subjective question.
Waltrip v. Bilbon Corp.,
The more evidence of outward signs of pain, the less a finding of damages depends on the claimant’s own feelings and complaints. This principle was succinctly set out in
Dupree v. Blackmon,
If the plaintiff has objective symptoms of injury ... and there is readily available testimony which the defendant could offer to refute such fact, plaintiffs evidence cannot be disregarded by the jury when the defendant fails to refute it.
On the other hand, if plaintiffs complaints are subjective in nature ... which the defendant may not readily dispute, then the negative answer of the jury to the damage issue will not be disturbed when it rests upon the testimony of the plaintiff alone.
Id. at 221 (Keith, J., concurring).
Dollison argues the evidence of his injuries was uncontroverted and unre-butted. Therefore, he urges, the only permissible conclusion is that he must have experienced pain as a result of the collision. As restated at oral argument, his position is that any objective symptom of injury, without controverting testimony, automatically entitles a plaintiff to a recovery for pain and suffering, as well as for mental anguish. The mere fact of injury, however, does not prove compensable pain and suffering, nor does it demonstrate the plaintiff suffered either mental anguish or impairment.
See Blizzard,
The only testimony regarding the extent of his injuries came from Dolli-son himself and from Langford, the orthopedic surgeon. The general rule, as explained by the Texas Supreme Court, is that opinion testimony, even when uncon-troverted, does not necessarily bind the jury.
[T]he judgments and inferences of experts or skilled witnesses, even when uncontroverted, are not conclusive on the jury or trier of fact, unless the subject is one for experts or skilled witnesses alone, where the jury or court cannot properly be assumed to have or be able to form correct opinions of their own based upon evidence as a whole and aided by their own experience and knowledge of the subject of inquiry.
McGalliard v. Kuhlmann,
The record contains the following objective evidence of pain. The emergency room physician’s evaluation mentions lower spinal muscle cramping. When asked to describe his pain for the jury, Dollison stated, “I started hurting up on the left side of my back; and then the next morning when I put my work boots on, I couldn’t straighten back up.” Dollison received a pain shot and later “some pain pills, which didn’t work.” Then the following exchange took place during Dollison’s direct examination:
Q. During that month or so after the accident, were you hurting at home? I mean, were you in pain?
A. Yes, sir, yeah.
Q. Was it still that sharp, shooting pain in the left side of your back? 2
A. Yeah.
Q. Anything else?
A. No, just my back.
The record also contains Langford’s reference to “tenderness ... around the left paraspinal muscular area,” which Dollison described as an “achy-type pain.” This evidence was repeated in Langford’s deposition testimony. Dollison’s x-rays revealed no accident-related injury, only the early signs of arthritis in his lower back. Dollison did not suffer any bruising as a result of the accident. The orthopedic surgeon determined Dollison sustained a lumbar sprain and strain. The recommended course of treatment included use of a heating pad, pain medication, and physical therapy. “Trigger point” pain injections were also prescribed, but Dollison refused this treatment. Langford also recommended modified work duty to avoid lifting, squatting, or stooping. Dollison did not return to work with Gregg County while on modified work duty. During this time, he worked instead at his brother’s transmission business, answering telephones and running errands. On August 27, Langford released Dollison to return to work with no restrictions and zero impairment. When asked, Langford declined to state an opinion about whether Dollison would have future pain, and he would not comment on the possibility of any potential future medical care related to this injury. *252 Further, Dollison’s testimony was not entirely consistent about the locus of his pain. He testified his back pain was on his left, then on his right, then on his left again. When asked if he had any continuing pain during the year after the accident, Dollison answered, “Not unless I drove a whole lot. Like if I went to Dallas or something....”
We recognize that muscle cramps and spasms can be potentially painful. We also recognize, however, that severe com-pensable pain does not automatically accompany a muscle cramp or spasm in the same way that such pain accompanies a concussion or broken bone. The jury had to rely on Dollison’s testimony regarding the pain associated with his injury and its own evaluation of his credibility as a witness. The jury was free to reject the testimony of both Dollison and his doctor as to the existence, amount, or severity of his pain.
Dollison cites several cases which, he argues, stand for the proposition that some injuries carry with them a presumption of pain and suffering, as well as mental anguish. He first directs us to
Robinson v. Minick,
In
Del Carmen Alarcon v. Circe,
In
Brown,
We believe it very far fetched to conclude that Mrs. Brown, shown to be a vigorous, healthy, hardworking woman before the accident would consult doctors time after time for more than a year, incurring large medical, hospital and drug bills, wear a neck brace, lose *253 one hundred days from work and poorly perform her job unless she was suffering discomfort and pain.
Dollison, however, admitted he was getting older and showing signs of arthritis (which could account for his “achy” pain). He missed only one and one-half months’ work, and even worked at his brother’s business during that time. Since returning to work, he has suffered no continuing pain and has not required additional medical treatment.
To the extent the cases to which Dolli-son refers purport to state that it is error to award damages for medical expenses without simultaneously awarding damages for pain and suffering, we disagree. The mere fact of injury does not prove
compen-sable
pain and suffering, nor does it demonstrate Dollison suffered
compensable
mental anguish.
See Blizzard,
In this case, Dollison’s own testimony and exhibits provided an alternate explanation for his back pain. His x-rays revealed lesions symptomatic of arthritis in his lower back. This fact, combined with advancing age, 3 could also account for Dol-lison’s “achy-type” pain. There appears to be no evidence whatsoever of mental anguish, and Dollison has not directed the Court to any testimony on that issue. We cannot say that the jury’s award of $0 for past and future physical pain and mental anguish was so against the great weight and preponderance of the evidence as to be manifestly wrong and unjust. Points of error one through four are overruled.
Physical impairment is an element of damages that extends beyond loss of earning capacity and beyond any pain and suffering, to the extent that it produces a separate loss that is substantial or extremely disabling.
Blankenship v. Mirick,
The evidence showed Dollison did not return to his regular job with Gregg County while completing his prescribed course of physical therapy. During this time, Dollison worked at his brother’s transmission business. On August 27, Langford released Dollison to return to work with no restrictions and zero impairment. In light of this evidence, it was not improper for the jury to determine that the fact Dollison did not work for his regular employer entitled him to lost wages. Because he did other work during this time, it was not error for the jury to determine Dollison suffered no compensable physical impairment.
See Landacre v. Armstrong Bldg. Maint. Co.,
We cannot say the jury’s award of $0 for past and future physical impairment was so against the great weight and preponderance of the evidence as to be manifestly wrong and unjust. Points of error five and six are overruled.
At oral argument, Dollison also argued that the jury’s award of $0 indicates the jurors improperly failed to consider evidence related to pain and suffering, mental anguish, and impairment. We disagree. Question three of the jury instructions divided the damages issue into eight distinct parts:
1) Physical pain in the past;
2) Physical pain that in reasonable probability will be sustained in the future;
3) Mental anguish in the past;
4) Mental anguish that in reasonable probability will be sustained in the future;
5) Medical care in the past;
6) Loss of earning capacity in the past;
7) Physical impairment in the past;
8) Physical impairment that in reasonable probability will be sustained in the future.
The jury filled in zeros for each part except medical care in the past and loss of earning capacity in the past. The jury form was signed by the presiding juror and indicated a unanimous decision. We believe that, by affirmatively entering zero as an amount, the jury demonstrated it considered each element of damages and rejected Dollison’s proof with respect to all but two of those elements.
We affirm the judgment of the trial court.
Notes
. Examples of objective evidence of injury supporting an award of damages for pain and suffering include:
organic brain syndrome and nerve damage (Cornelison v. Aggregate Haulers, Inc., 777 S.W.2d 542 (Tex.App.-Fort Worth 1989, writ denied));
linear fracture of the foot (Russell v. Hankerson, 771 S.W.2d 650 (Tex.App.-Corpus Christi 1989, writ denied));
broken hip (Johnson v. Tom Thumb Stores, Inc., 771 S.W.2d 582 (Tex.App.-Dallas 1989, writ denied));
severe electrical burns (Loyd Elec. Co. v. Millett,767 S.W.2d 476 (Tex.App.-San Antonio 1989, no writ));
skull and facial fractures, accompanied by the dripping of spinal fluid from the nose (Robinson v. Minick,755 S.W.2d 890 (Tex.App.-Houston [1st Dist.] 1988, writ denied));
cut (Porter v. Gen. Tel. Co.,736 S.W.2d 204 (Tex.App.-Corpus Christi 1987, no writ)); lacerations, tendinitis, and tom muscles requiring surgery (Crowe v. Gulf Packing Co.,716 S.W.2d 623 (Tex.App.-Corpus Christi 1986, no writ));
reverse cwvature of the spine, concussion, and lumbar sprains (Del Carmen Alarcon v. Circe,704 S.W.2d 520 , 521 (Tex.App.-Corpus Christi 1986, no writ)); and
broken ankle requiring full cast (Fuller v. Flanagan,468 S.W.2d 171 (Tex.Civ.App.-Fort Worth 1971, writ ref’d n.r.e.)).
. There was no prior testimony about a sharp, shooting pain in the left side of Dollison’s back.
. Dollison testified that he was bothered about not being able to lift as much as he used to, but that, as he aged, there were things he could not do.
