Why you can still qualify for benefits after an aggravation injury
If you’ve been injured at work but have a pre-existing medical condition, you might be wondering if you can still file a workers’ compensation claim. It’s a question that keeps many New York workers up at night, and frankly, it’s one of the most significant misconceptions in workers’ compensation law.
However, having a pre-existing condition doesn’t automatically disqualify you from receiving workers’ compensation benefits. Let’s say you’re a construction worker who hurt your back a few years ago. It healed up fine, and you’ve been working without problems. Then one day, you’re lifting materials on a job site and feel that familiar sharp pain shoot down your leg. Your first thought is, “They’ll never approve my workers’ comp claim because of my old back injury.” However, this isn’t necessarily the case.
This kind of thinking keeps thousands of injured New York workers from getting the benefits they deserve. However, if your job made your pre-existing condition worse, you’re entitled to benefits under New York law.
How does New York law approach pre-existing conditions in workers’ comp cases?
New York takes a worker-friendly approach to pre-existing conditions. The law doesn’t require your job to be the only cause of your injury. It just needs to be a significant contributing factor. Maybe you had a weak ankle from an old sports injury, but you’ve been walking on it just fine for years. Then you slip on a wet floor at work, and suddenly that ankle is screaming in pain again. Your job didn’t create the original weakness, but it sure made it a whole lot worse.
In New York, that’s enough to qualify for workers’ comp benefits. This is also referred to as “lighting up” a dormant condition. Your pre-existing condition was just sitting there, minding its own business, until your work injury woke it up and made it a problem again.
What counts as a pre-existing condition in a workers’ compensation case?
When discussing pre-existing conditions in workers’ compensation, we cover a broad range of topics. Here are the most common physical conditions we see:
- Back and neck problems
- Arthritis in your joints
- Old fractures that didn’t heal quite right
- Heart conditions
- Asthma or other breathing problems
- Previous head injuries
Pre-existing mental health conditions often include:
- Depression or anxiety
- PTSD (especially common with first responders)
- Work-related stress that’s making existing mental health issues worse
These can all be part of a valid workers’ comp claim if your job is making them significantly worse.
How will insurance companies use my pre-existing condition against me?
Insurance companies aren’t in the business of paying out claims if they can avoid it. When they see a pre-existing condition in your medical history, many will try to use it as a blanket reason to deny your entire claim.
Here’s what they’ll often say: “You had this condition before, so your work injury isn’t our problem.” This is where having experienced legal representation becomes important, because this argument often doesn’t hold water under New York law.
Insurance companies might also put you under surveillance, hoping to catch you doing something that “proves” your injury isn’t work-related. They might scroll through your social media looking for photos of you doing activities they claim you shouldn’t be able to do.
To win a workers’ comp claim with a pre-existing condition, you need to show that your work significantly contributed to your current injury. This doesn’t mean you need to prove your job was 100% responsible. Just show that it played a meaningful role. The key is documentation. You’ll need:
- Complete medical records from before your work injury.
- Clear documentation of what happened at work.
- Medical evidence showing how your condition changed after the workplace incident.
- Healthcare providers who understand the connection between your work and your worsening condition.
What industry-specific challenges might I face?
Different types of work in New York present unique challenges when it comes to pre-existing conditions. For example:
- Construction workers often see a lot of cumulative trauma and injuries that build up over time rather than happening in one dramatic moment.
- Healthcare workers face physical demands, mental health stress, and exposure to bacterial, fungal, and viral diseases.
- Office workers aren’t off the hook just because they work at a desk. Repetitive stress injuries, mental health issues from workplace stress, and ergonomic problems can all aggravate pre-existing conditions.
Our New York workers’ comp lawyers fight for the benefits you deserve
If a work accident or daily job duties have exacerbated a pre-existing condition, it’s important to understand your rights. The New York workers’ compensation lawyers at Pasternack Tilker Ziegler Walsh Stanton & Romano LLP know how overwhelming it can be when pain flares up and you’re suddenly missing work, struggling with paperwork, or facing resistance from an insurance company.
With more than 90 years of experience and over $1 billion recovered for our clients, our dedicated team of workers’ comp lawyers understands how to prove that your job made your condition worse, and how to fight for every dollar you’re entitled to. Our legal team meticulously prepares every case. We know the insurance company’s tactics, and we won’t back down.
We serve injured workers across New York City, Long Island, Albany, Buffalo, Rochester, White Plains, the Hudson Valley, and beyond, representing hardworking New Yorkers in construction, healthcare, transportation, and every industry in between. You have nothing to lose by reaching out to us.
We offer free, no-obligation consultations, and you pay nothing unless we win your case. Contact us today, and let us help you take the next step toward physical and financial recovery.
“This firm has dedicated professionals that work with you from the inception of your case throughout. Regardless of who your opposition is, THIS FIRM DOES NOT BACK DOWN. They are the definition of perseverance, tenacity, and professionalism.” — Enzo K., ⭐⭐⭐⭐⭐
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