Quiz - Is this a work-related back injury?

A 35-year-old labourer consults you about his back pain.

He says he cannot recall any specific activity that may have caused it. However, his job does require some heavy lifting.

As his pain persists after conservative treatment, you arrange a CT scan and an MRI, both come back normal.

After giving him a WorkCover certificate, he still claims he cannot cope with the pain at work.

He refuses analgesics and is often seen making a nuisance of himself in the local clubs and pubs. What do you do about the WorkCover certificates?

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Dr Craig Lilienthal is a GP and medicolegal adviser in