It was a beautiful morning. The Upper Sacramento River in California's Siskiyou Mountains stretched out before me as I strung up my fly rod for a long-awaited day of fly-fishing. An hour (and a few fish) later, I took a misstep as I was wading waist-deep across the river and instantaneously felt the pain in my lower back. By the time I got back to my car, I could barely walk. And, I still had to face a four-hour drive home.

The experience reminded me of some of the interesting findings from the July IBI Research Insights. A survey of 100,000 employees shows that nearly 20 percent suffer back/neck conditions, and those conditions are the third leading cause of absence and the fourth leading cause of total lost time from absence and presenteeism.

When I got back to my office, I came upon fascinating research a colleague sent me recently on acute low-back pain and predictors of functionality and return to work (RTW) for occupational injuries. The study includes 568 patients between 2000 and 2002 seeking treatment for low back pain within 14 days of pain onset. The research seeks to identify the factors influencing (and predicting) functional outcomes and RTW from information available upon a first clinical visit.

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