You sustain a back injury due to heavy lifting at work. You do all the right things – you immediately report the accident to your supervisor, you seek prompt medical care, you supply your employer off work notes from your doctor, and you're compliant with treatment. Eventually your adjuster sends you for an Independent Medical Exam (IME). Shortly after the IME you receive the letter from your adjuster indicating the IME physician opined you could return to work and no treatment is needed. The IME report states – "Patient's complaints disproportionate with exam findings. Patient exhibited 4/5 Waddell signs." So what does this mean? In short, the IME physician believes that you are malingering or exaggerating your symptoms
Waddell's signs are a group of physical signs designed to detect non-organic components to lower back pain. A non-organic symptom is one that deviates from the usual presentation of a particular condition. There are 5 categories of Waddell tests –
- Tenderness test
- Stimulation tests
- Distraction/Straight Leg test
- Weakness/Sensory test
- Over-reaction test.
The presence of three or more of these signs suggests a non-organic component to lower back pain.
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