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Low Back Injuries & Workers Compensation

“Why should we care about back injuries?”

According to published statistics by the National Institute for Occupational Safety and Health (NIOSH), a branch of the Center for Disease Control and Prevention (CDC), back injuries account for 20% of all illnesses and injuries in the workplace and cost the nation an estimated $20 - $50 billion each year. Left unabated, this trend will continue in terms of frequency and severity. This is a tremendous strain on business, medical resources, and society in general. Imagine the negative impact on the cost of WC coverage.

Since 7/10/01, back injuries have accounted for 28% of all Distinguished Workers Compensation Safety Group claims – costing several hundreds of thousands of dollars in lost wages and medical expenses. The primary cause is “lifting” with the most common items being suitcases or trash bags. One recent claim, allegedly resulting from a back injury sustained while “lifting and throwing out a trash bag”, is expected to cost $227,400. In addition to pure dollars, these losses are expensive in terms of “soft” costs that can dramatically increase the ultimate costs. Consider the following:

  • An injured worker who loses time creates a situation where co-workers must absorb his/her responsibilities. Their lack of familiarity with the job can expose them to an increased possibility of injury and decreased productivity.
  • Employee morale can suffer due to increased workloads.
  • An additional or temporary employee may need to be hired at additional expense and someone’s time for training and supervision.
  • Tenants may perceive a diminution in service because of a key employee’s absence and a lesser level of service by a replacement.
  • Statistics have shown once a low back injury is sustained; the probability of recurring injuries increases dramatically.


“I purchased back belts for my workers and told them to wear them. Isn’t that enough?”

In a word, “no”. National and international studies on this subject unanimously conclude there is no scientific evidence to suggest the use of back belts either prevents or mitigates back injuries. In a high percentage of cases workers don’t even use them, or use them improperly. The NIOSH does not recommend the use of back belts to prevent injuries among workers who have never been injured.

Leading experts in the field of physical therapy do recognize there may be some “psychological value” in wearing back belts for employees who have been injured previously. The presence of the belt can serve as a “reminder” of the need to exercise care to avoid re-injuring themselves.

“What can be done?”

It makes good business sense to focus attention on preventing these types of losses from occurring. A little bit of knowledge and awareness can go a long way in making a significant, favorable impact on loss experience. Here are some suggestions that consider the overall ergonomics of the workplace:

  • Make an assessment of all work activities to insure they are not beyond the physical capabilities of the worker assigned to them. Age and physical condition are factors, but not the sole determinant in susceptibility to injury.
  • Develop an ongoing training plan for all workers involved in any type of lifting. This training should include lifting mechanics, techniques, and exercises to strengthen muscle groups.
  • Create an awareness on the part of supervisory and management personnel to observe employees lifting habits. Immediate feedback should be offered on the use of both proper and improper lifting techniques.

Tips for Lifting

  • Push or pull instead of lifting. If you have a choice, push instead of pull. This will use the larger abdominal muscles instead of the lower back muscles.
  • Lift under control; don’t hurry. If you are uncertain about the weight of the object, begin to lift it carefully and get help if it’s too heavy.
  • Always bend and lift with your legs, not your back or arms.
  • Never twist and bend at the same time. (Lifting and throwing trash bags into a receptacle or attempting to lift and swing a suitcase into a cab or onto a cart.)
  • Keep the object as close to your body as possible.
  • "Set” or “lock” the muscles of the back and abdomen just prior to lifting. This will “lock” the spine and prevent movement in a way that exposes you to injury.

For more information, please contact:

Claims Department
The Distinguished Programs Group
6 East 43rd Street, 15th Floor
New York, NY 10017-4609
888-355-4626
212-297-3131 (fax)
dpgclaims@distinguished.com