EE sustained an ankle sprain unloading rail cars on 1/21/09. Over the past 6 months he experienced minor discomfort with the ankle. On 7/23/09 he was reviewed by a doctor and no abnormalities were found. He was seen by an orthopedic specialist on 8/7/09. On 8/10/09, The orthopedic doctor gave him lifting and walking restrictions and prescribed physical therapy.