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Abstract

Two men working in the same factory report the onset of back pain after the same type of incident—lifting a heavy object at the end of a long work day. One man, Mr. A, misses 2 days of work and then returns although, for the first few days back at work, he avoids the heavier tasks. Mr. Z, destined never to return to work, experiences increasing pain and limitations in his ability to function. He undergoes ever-more expensive and invasive treatments until, perhaps inevitably, he ends up having spine surgery. Even so, his pain does not remit. Eventually, he loses his job, his motivation and his self-esteem. He is declared to have failed back surgery syndrome (FBSS), and another surgery is proposed. He goes on to become, essentially, a ward of the State, on Social Security Disability, with almost no hope of resuming productive activity.

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Block, A.R., Shellock, J. (2014). Back Pain. In: Gatchel, R., Schultz, I. (eds) Handbook of Musculoskeletal Pain and Disability Disorders in the Workplace. Handbooks in Health, Work, and Disability. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0612-3_2

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