Workers with Disabling Back Pain

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Abstract
For much of this century the countries of the industrialized world have grappled with the problem of covering disabling back pain under workers' compensation insurance plans.1 These insurance programs entitle an injured worker to clinical remedies and compensation for lost wages if the injury arises out of and in the course of employment.2 However, there is rarely any extraordinary or peculiarly occupational precipitant of back pain.3 In the absence of a clear causal link between an injury and the pain, applying the label of compensable “injury” is a questionable practice. We seem to be stuck with the following syllogism, which . . .