Settlement FAQs

how much is a l5 spine injury workers comp settlement

by Prof. Kole Johns Published 2 years ago Updated 2 years ago

Across all workers’ comp claims for all types of injuries, the average claim comes to $41,003, according to the National Safety Council. That same data set states average costs of $36,882 for lower back injuries and $33,154 for upper back injuries.

Full Answer

What is the average workers comp settlement for a lower back injury?

In my experience, the average workers comp settlement amount for low back injuries ranges from $45,000 to $500,000 or more, depending on the need for surgery or a career change. This is higher than the average settlement amount for work-related upper back injuries is lower, ranging from $35,000 to $175,000 or more.

What is the average settlement for a spinal fusion injury?

The average settlement compensation payout for a back injury lawsuit involving spinal fusion surgery is between $150,000 and $200,000. One factor that limits the settlement value in spinal fusion auto tort cases is the limits of applicable insurance coverage.

What is the average lump-sum settlement for a back injury case?

For the 2,057 back injury cases settled in 2018, $14,949 was the average lump-sum payment. When insurance companies negotiate settlements, they often use average injury settlement data as an evaluation reference.

What is an L5 S1 Workers’ Comp case?

L5 S1 workers’ comp cases are common, as well as L4 L5 back cases. A herniated disc injury occurs when the soft center of the spinal disc pushes through a crack in the exterior casing.

What is a lower back injury worth?

The average settlement for a back injury accident ranges from $10,000 to $100,000. Settlements can also be lower or higher than these averages, with some cases settling in the millions of dollars. This wide value range results because back trauma is a complex injury with a broad range of severity.

How much can you get for hurting your back at work?

How Much is a Workers' Comp Back Injury Settlement in California Worth? According to data collected by Lawyers.com, 68% of workers with back injuries received less than $20,000 in compensation, while 32% received settlements between $20,000 and $60,000.

What percentage of all compensation claims involve back injuries?

You're likely to be sued for Back Injury. Back pain accounts for almost 20 percent of all workers' compensation claims, with half a million employees making claims each year.

What is the lowest settlement for a herniated disc?

Because there are so many variables involved (surgery/no surgery, insurance coverage of at-fault driver, etc.), herniated disc claims can settle for as high as $1,000,000 or as low as $1,000.

How much are body parts worth in workers compensation?

of Labor the average weekly wage is $483), your arm would be "worth" $124,800....Why is a thumb worth more than a finger?Body part lostCompensationBig toe$15,200Second finger$12,000Third finger$10,000Any toe other than big toe$6,4008 more rows•Jun 11, 2002

Is degenerative disc disease covered by workers comp?

Can You Recover Workers' Comp Benefits for Degenerative Disc Disease? Yes, your degenerative disc disease may be an occupational illness. However, it is not always considered an occupational illness because degenerative disc disease can also be the result of natural WEAR and TEAR.

What are 3 key risk factors for a back injury?

Risk factorsAge. Back pain is more common as you get older, starting around age 30 or 40.Lack of exercise. Weak, unused muscles in your back and abdomen might lead to back pain.Excess weight. Excess body weight puts extra stress on your back.Diseases. ... Improper lifting. ... Psychological conditions. ... Smoking.

Is sciatica covered under workers comp?

If you suffer a sciatica injury while on-the-job, you are likely eligible for workers' comp benefits. These benefits should result in funds to help cover expenses while you recover from the injury.

Which of the following makes back injuries more?

Things that increase your risk for back pain and injury include getting older, having a family history of back pain, sitting for long periods, lifting or pulling heavy objects, and having a degenerative disease such as osteoporosis. Slumping or slouching alone may not cause low back pain.

How much would a settlement be for a bulging disc?

The average settlement value for a bulging disc in a personal injury lawsuit is about $15,000 to $30,000. The median jury award in bulging disc cases is $31,000. Bulging disc cases have a lower average settlement value when compared to herniated disc cases.

What is a L4 L5 herniated disc?

AN L4-L5 slip disc (herniated or bulged) can impinge (compress) the thecal sac (spinal cord fibers) and spinal nerves. The slightest amount of compression or impingement on a nerve or spinal cord fibers is significant. Nerve compression is significant because it causes nerve degeneration.

Is a herniated disk a permanent injury?

Once a healthy disc herniates, it will never return to its normal anatomical state—the disease or injury is permanent in nature.

Can I claim if I hurt my back at work?

If you develop discomfort and stiffness in the lower back, muscle spasms, or long-term mobility issues as a result of your working conditions, you may be able to make a claim for compensation.

Can I sue for back pain at work?

Proving Your Back Pain Is Work-Related In order to recover Workers' Compensation benefits, you must prove that your pain is work-related. Keep in mind that there is no such thing as an average payout for a back injury at work; each case is different.

What happens if you hurt your back on the job?

If you injure your back while on the job, report it to your employer or supervisor right away. For injuries that occur gradually, you need to report them as soon as you realize they are work-related. Your employer should have the appropriate documentation to complete and file your claim (DWC1).

How do you prove work-related back pain?

Evidence for Proving Your Injury Signed doctors' notes stating your diagnosis and that the back injury is work-related. Medical records showing the dates and duration of your treatment, such as prescribed physical therapy. Testimonials from coworkers and other witnesses who saw the accident occur.

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How long does it take to settle a workers comp claim?

Workers’ compensation back injury settlements can take between one and two years to resolve. More complicated or expensive claims may take longer. For your protection, many states require workers’ comp settlements to be approved by a judge or the state’s workers compensation commission.

How long does it take to get a lump sum for back injury?

Workers’ compensation back injury settlements can take between one and two years to resolve.

Why is it so hard to settle a spinal cord injury?

Because these injuries often result in severe disability, they’re more difficult to resolve through settlement. In addition to the typical medical records and doctor testimony, you may also need to demonstrate the challenges presented by your spinal cord injury in a more human and relatable way.

What to do if you have a broken back in workers compensation?

In a workers’ compensation claim involving a broken back, it’s very important to limit your physical activity so you don’t make the injuries worse. This may require more time away from work, which should be considered in any settlement.

How long do you have to wear a brace for a broken spine?

Fractured bones in your back can be extremely painful and require serious medical treatment. You may have to wear a brace for as long as three months. You might also need surgery and months of physical therapy to get back to your pre-injury condition.

What is the most common workplace injury?

A back injury is one of the most common workplace injuries in the United States. It can also be among the most debilitating. Inability to walk or stand and chronic pain are among the serious issues suffered by injured workers. Depending on your job and the extent of your injury, you could be limited in the way you perform your duties.

Can you settle for lower back pain?

Getting a better settlement for lower back injuries will hinge on you and your doctor being able to explain why your case is one of the 10% that continues to linger. You may also need to prove your lower back pain is not from a pre-existing condition.

Why are settlements higher for injured workers?

This is because work injuries tend to have a more substantial impact on their ability to make a living. These workers are also more likely to have permanent restrictions.

What is the maximum improvement in a work injury?

With most work injuries, there will come a time after you have completed medical treatment when you will have reached what is called “maximum medical improvement.” If you have not already returned to work at this point in time, you will usually do so once a doctor has determined that your condition has stabilized or has become permanent and stationary.

What is an epidural steroid injection?

Epidural steroid injections are a common form of treatment used for injuries causing lower back pain. These injections are called epidural steroid injections because the process involves injecting both a local anesthetic and a steroid medication directly into the epidural space surrounding the spinal cord and the nerve roots.

Why is spinal fusion more common in cervical spine?

However, it is more common to have a spinal fusion in the cervical or lumbar spine because there is more risk of sudden trauma or degeneration in these areas of the spine. During a laminectomy with spinal fusion, the surgeon will connect two or more bones in the back in order to better stabilize the spine.

What type of surgery is performed for a back injury?

Another type of surgical procedure that may be performed in severe back injury cases is a laminectomy with spinal fusion . A laminectomy with spinal fusion is performed for the same reasons as a laminectomy —and is considered after more conservative treatments have failed.

What is a spinal cord stenosis procedure?

This procedure is designed to ease pressure on the spinal cord or on any nerve roots that had been caused by an injury, a herniated disc , spinal stenosis, or another cause . Typically, this procedure will only be performed after conservative medical treatments have failed.

How much is the average worker's compensation payout?

The average payout for workers’ compensation cases, in general, was found to be $21,800. Based on this study, workers’ compensation back injury settlement amounts (and award amounts) tend to be slightly higher than the average settlement and award for workers’ comp cases in general.

Back Injury Settlement & Strategy

Even a car accident that may not initially appear to be serious can cause serious, permanent back injuries. This is true even at low speeds, and even when there is little to no damage to the car. Our firm has folders full of scientific medical journals to back that up.

Anatomy of a Back Injury

Allowing our bodies to bend and stretch, the spine has three natural curves that help to keep us balanced. While our spines are undoubtedly flexible and strong, they can easily become damaged when facing sudden traumatic force. This can happen even with, and sometimes because of, seat belts.

Other Back Injuries

Although sprains and strains are the most common type of lower back and middle back injuries, these are other common back injuries you may see noted in your medical records or hear a doctor say you have:

Different Vehicle Impacts & Related Back Injuries

The type of accident you were involved in (meaning the type of impact, such as rear-end, head-on, and t-bone) can cause different types of injuries.

Insurance Arguments for Back Injuries

One thing to remember as you work on dealing with your injuries is that no matter the pain you feel you are in, or the amount you feel you may be entitled to, insurance companies to not want to pay out on these injuries.

Average Back Injury Settlements

If surgery to repair a back injury is necessary, then the total cost of treating a back injury can exceed $100,000 depending on where you, geographically. In a city like Los Angeles, a lower back surgery can cost twice as much as it would in a rural country town.

Back Injury Q&A

Not all back injuries will be permanent, but there is a chance that yours may be. This all depends on the severity and circumstances of your accident. If your injuries are soft tissue and they persist for more than 12 months, there is a high likelihood your injury is permanent.

How does a back injury settlement increase?

The average settlement value of a back-injury claim will increase based on the level of treatment that the plaintiff underwent. Whenever a back injury requires spinal fusion surgery, it can easily double or triple the potential value of the case. There are two reasons for this. First, it entitles part of the damages that a plaintiff ...

How Does Spinal Fusion Surgery Impacts Settlement Value?

As a general rule, in personal injury cases, all surgery greatly increases the potential settlement value of the plaintiff’s injuries. Whenever a plaintiff’s injuries require surgery, their tort case is going to have a higher potential settlement value. This is very true in back injury cases involving spinal fusion surgery.

Is Spinal Fusion Major Surgery?

Yes. Spinal fusion surgery is a major surgical procedure requiring general anesthesia and takes several hours to complete. Bone grafts and artificial hardware such as rods and screws are used to fuse and stabilize the spine.

Does Insurance Cover Spinal Fusion Surgery?

Yes. Spinal fusion surgery is generally a valid treatment for an actual medical condition and, therefore, it should be covered by health insurance.

What are the most common injuries in the back?

The term “back injury” is an umbrella term that refers to any and all injuries involving the bones, discs, and nerves in the spinal cord. Some of the most common back injuries we see in personal injury cases include: 1 Whiplash: Whiplash is a type of neck injury that is often suffered in auto accidents, particularly rear-end auto accidents. Whiplash occurs when the sudden impact of a collision causes the neck to whip forward, injuring tissue in the cervical area of the spine. 2 Herniated Disc: Between each of the vertebrae bones in the spine are soft, doughnut-shaped discs that act as cushions. A herniated disc injury occurs when the outer casing of a spinal disc ruptures causing the soft, jelly-like tissue to push out of the disc. This can be very painful, especially when the protruding tissue compresses a nerve. 3 Fractured or Dislocated Vertebrae: fracture or dislocation of the spinal bones (vertebrae) is a very serious back injury. These types of back injuries usually occur in very high-impact accidents involving significant force. 4 Pinched Nerve: the spinal column is surrounded by many nerve attachments that connect various parts of the body to the brain. A pinched nerve results when a herniated or bulging spinal disc compresses or pinches down on a nerve root in the spine. This can cause severe pain and numbness.

Why is spinal fusion surgery higher than level 1?

There are two reasons for this. First, it entitles part of the damages that a plaintiff to receive in personal injury cases includes medical expenses. More treatment equals more damages. The medical expenses associated with spinal fusion surgery are going to be much higher than the expenses associated with Level 1 treatment.

How does spinal fusion work?

Spinal fusion works by reducing the motion between two vertebrae bones that can be the source of chronic pain. Fusion on the spine bones also prevents stretching and pinching of adjacent ligaments and nerves. The idea is that if the vertebrae are immobilized through fusion, they will no longer cause chronic pain.

How much does a hip injury settlement cost?

While the average settlement for a hip injury is above $50,000, minor injuries that get treated without surgery will typically settle for between $5,000 and $20,000. Settlement amounts jump drastically in cases involving total disability.

When did multiple injuries get calculated separately?

Under the 1980 revisions to the laws, if a worker suffered multiple injuries, each injury was calculated separately:

What to do if you have multiple injuries from a single work accident?

If you suffered multiple injuries from a single work accident, contact a workers’ compensation attorney for legal advice about your options.

What is the NSC for workers comp?

The National Safety Council (NSC) maintains a database of the average payout for workers’ comp settlements by type of injury. Based on the NSC data, this article will look at average settlement amounts for different work injuries and disabilities.

What is loss of use schedule?

Most states use a loss-of-use schedule of injuries to calculate lump-sum payments for permanent disability settlements. These schedules assign a compensation value depending on the body part you injured or the bodily function that your injury impacted.

What is the most common cause of accidents that result in injuries to multiple body parts?

Slip and falls are common causes of accidents that result in injuries to multiple body parts. Workers often get injured from the initial slip but then injure another body part when trying to break their fall.

What happens if you waive your right to medical insurance?

If you waive this right, you’ll be responsible for future medical bills related to your injury.

What Happens If I Accept A Section 32 Settlement And My Injury Worsens?

You will be responsible for any future costs associated with your injury once you have made a Section 32 settlement. The case is considered closed and you can not file any more claims based on the injury.

What Makes Worker’s Compensation Different From Personal Injury?

A worker’s compensation case is initiated when you are injured at work, in the course of your job . This could be in a factory where you stand in the same square meter all day long every day, or out on the road in a delivery van that you drive. If you’re injured in the course of doing your job, then you probably have a good worker’s compensation claim.

Who is the attorney for workers comp in New York?

If you have been injured in an accident at work, contact New York workers’ compensation attorney Paul Giannetti and get the representation that you deserve.

Is Section 32 settlement closed?

You will be responsible for any future costs associated with your injury once you have made a Section 32 settlement. The case is considered closed and you can not file any more claims based on the injury.

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