Back injuries--getting injured workers back to work.

BACKGROUND Back problems are the seventh most common reason for seeking care in general practice in Australia. Despite medical advances, chronic disability from back pain is a major contributor to the burden of disease in society today. OBJECTIVE This article provides an overview of evidence based management for workers presenting with acute low back pain, with the aim of minimising the risk of chronic disability. DISCUSSION Approximately 95% of cases of acute low back pain are nonspecific. Serious spinal conditions are rare and can be identified by triaging for 'red flags'. A modern biopsychosocial approach does not require a specific patho-anatomic diagnosis for effective management. It is essential to reassure patients to stay active and to resume normal activities quickly--including return to work. Screening for environmental and psychosocial 'yellow flags' can identify patients at risk of poorer outcomes so that additional early intervention can commence.