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What Challenges Arise in Proving Damages for Head-On Collision Injuries?

Schilling & Esposito PLLC July 27, 2025

Head-on collisions are among the most dangerous types of auto accidents. When two vehicles crash front-to-front, the force involved often leads to devastating collision injuries, long recovery periods, and significant medical expenses. Victims face not only physical pain but also mounting financial pressure and emotional trauma.

In Virginia, recovering compensation for collision injuries means showing not just who caused the crash but how severely the injured person’s life has been affected. At Schilling & Esposito in Richmond, Virginia, we can help you prove damages after a head-on collision.

The Types of Damages That Can Be Claimed in Head-On Collisions

Before getting into the challenges, it's important to understand the different types of damages that can be claimed in a personal injury case. These typically fall into two main categories: economic damages and non-economic damages. Here are a few common types of damages that are claimed.

  • Medical expenses: Bills for emergency room visits, surgeries, follow-up care, therapy, prescriptions, and any future treatment.

  • Lost wages and loss of earning capacity: Compensation for missed work or the inability to return to previous employment because of collision injuries.

  • Pain and suffering: Physical pain, emotional distress, anxiety, PTSD, and reduced quality of life.

  • Property damage: Costs to repair or replace the vehicle and any personal items destroyed in the crash.

  • Loss of consortium: When injuries impact the victim's relationship with their spouse or family.

Each of these categories requires a different kind of proof. And that’s where the challenges begin.

Challenges in Proving Medical Damages

Medical damages caused by collision injuries might seem easy to prove—after all, there are hospital records, bills, and prescriptions. But in reality, it’s often much more complicated. Here are a few problems victims often face when it comes to medical documentation:

  • Delayed symptoms: Injuries like whiplash or traumatic brain injuries (TBIs) may not appear right away, leading insurance companies to argue they weren't caused by the crash.

  • Pre-existing conditions: If the victim had a similar injury before the collision, insurers may claim the accident didn’t cause it.

  • Lack of consistent treatment: Gaps in treatment or failing to follow doctors' orders can be used to argue the injuries aren't as serious as claimed.

  • Disputed diagnoses: Insurers may hire their own doctors to contest the severity or even existence of certain conditions.

  • Future medical needs: Estimating future treatment and tying it to the accident involves medical opinions and expert projections, which can be challenged in court.

To push back against these tactics, victims need clear medical timelines, expert testimony, and consistent treatment records.

Proving Non-Economic Damages Is Even Harder

Unlike medical bills or lost wages, pain and suffering don’t come with receipts. Yet for many victims of head-on collision injuries, the emotional and psychological impact is just as damaging as the physical injuries. Some obstacles that can come up when trying to prove non-economic losses include:

  • Subjectivity: Pain and emotional distress are subjective experiences. Two people can suffer the same injury but respond very differently.

  • Lack of visible signs: Mental health issues like depression, anxiety, or PTSD may not show up on X-rays or MRIs.

  • Insurance skepticism: Adjusters often view non-economic damages as exaggerated or fabricated.

  • Bias against mental health: Some jurors or insurance evaluators may not take emotional trauma as seriously as physical harm.

  • Inconsistent narratives: If the victim posts on social media or makes statements that appear to downplay their suffering, it can hurt their credibility.

Supporting non-economic damages often requires testimony from mental health professionals, family members, and the injured person themselves, backed by detailed medical records and personal journals.

Dealing With Insurance Company Tactics

Even when victims of collision injuries have strong evidence, insurance companies use every trick in the book to avoid paying full damages. These tactics are especially aggressive in serious injury cases like head-on collisions, where the potential payout is high. Here are a few common insurance company strategies:

  • Downplaying injuries: Arguing the victim’s injuries are minor or unrelated to the crash.

  • Lowball offers: Making quick settlement offers that don’t reflect the full scope of damages.

  • Delaying tactics: Dragging out the claims process to pressure the injured party into settling.

  • Shifting blame: Suggesting that the victim was partially at fault to reduce the payout under Virginia’s contributory negligence laws.

  • Surveillance and social media monitoring: Watching the victim for any sign they’re exaggerating their condition.

Dealing with these tactics takes preparation, documentation, and often legal representation. Without it, victims risk walking away with far less than they deserve.

Documenting Lost Wages and Career Impact

For many victims, being out of work isn’t just a short-term problem. Some can’t return to the same job at all. But proving these losses—especially future income—takes more than a pay stub. Here are a few hurdles you should expect when trying to demonstrate wage-related losses:

  • Inadequate records: Gig workers, freelancers, or those paid under the table may not have solid earnings documentation.

  • Uncertain recovery timelines: Doctors can’t always predict how long someone will be out of work, especially with TBIs or orthopedic injuries.

  • Career trajectory speculation: Estimating what someone might have earned had they not been injured involves educated guesses that insurers often reject.

  • Lack of job descriptions: Without showing the physical or mental demands of the prior job, it can be hard to prove the victim can’t return to it.

  • Disputes over accommodations: Insurers might argue the victim could still work with adjustments or in a different role.

A strong claim will include letters from employers, tax records, vocational experts, and medical evaluations—all linking the injury directly to the job loss.

Proving Long-Term and Permanent Injuries

Many head-on collision victims deal with lifelong consequences: chronic pain, limited mobility, or neurological damage. These long-term injuries are harder to prove because they involve future projections. Some issues with proving lasting effects include:

  • Disputed permanence: Insurers often claim the victim will recover in time and doesn’t need long-term care.

  • Lack of diagnostic clarity: Some symptoms may be subjective or not easily linked to a specific injury.

  • Time needed to diagnose: Certain injuries (like post-concussion syndrome) take months to fully diagnose, delaying claims.

  • Challenge of documenting daily impact: It’s not enough to show the injury exists—the victim must show how it affects everyday life.

Journals, videos, and statements from caretakers or therapists can help paint a picture of how the injury has reshaped the victim’s mindset and reality.

Gathering the Right Evidence

A successful claim relies on more than just medical records. A wide range of evidence may be needed to show the full scope of the damage caused by a head-on collision. Here are some useful types of supporting evidence you should prioritize:

  • Photographs and videos: Of injuries, the crash scene, vehicle damage, and recovery process.

  • Witness testimony: From friends, family, coworkers, or others who can describe changes in the victim’s behavior or abilities.

  • Daily logs or pain journals: These provide a timeline of how injuries affect sleep, mobility, or mood.

  • Receipts and invoices: For treatment, travel, modifications to home or car, and over-the-counter supplies.

  • Third-party evaluations: Opinions from vocational experts, therapists, or social workers can be powerful.

The more detailed and varied the evidence, the harder it is for insurers or defense attorneys to dispute the damages claimed.

Compassionate Legal Guidance

Proving damages after head-on collision injuries is rarely easy. With the right strategy and strong legal guidance, victims can overcome these obstacles. We serve clients in Central and Richmond, Virginia. Call Schilling & Esposito to speak with an experienced personal injury attorney.