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The author justly states that back injuries have a bad reputation. "The workman looks upon them with apprehension, the insurance company with doubt, the medical examiner with suspicion, the lawyer with uncertainty, and the court with as open a mind as is possible under the circumstances.... This little book is offered to the medical and legal profession as an honest effort to throw some light into the existing darkness." Since the introduction of workmen's compensation laws, the number of cases of injury to the back which appear for adjudication has almost equaled that of the so-called traumatic neuroses in personal injury courts. These cases are by no means all frauds, yet the difficulty of determining the presence of positive objective evidence of injury often so great, and it must be said the methods of detecting them frequently so little understood, that many of the cases are incorrectly diagnosed, at times
Back Injuries and Their Significance Under the Workmen's Compensation and Other Acts. JAMA. 1917;LXVIII(8):655. doi:10.1001/jama.1917.04270020319031
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