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Answer · Last reviewed July 2026

Can I claim for a work accident if I had a pre-existing condition?

What is the eggshell skull rule?

Tortfeasor takes claimant as found; if claimant's pre-existing condition made them more vulnerable to injury, the defendant is fully liable for the consequences — Smith v Leech Brain & Co [1962]

What is an acceleration or aggravation claim?

Where accident materially worsened a pre-existing condition; compensation = difference between claimant's position with the accident vs without it; not the full value of the underlying condition

Common pre-existing conditions in work accident claims

Degenerative disc disease; previous back or joint injuries; osteoarthritis; mental health conditions; PTSD from previous events

How is a pre-existing condition assessed in a medical report?

Orthopaedic or specialist consultant distinguishes baseline vs accident contribution; expressed as percentage or period of acceleration — "would have reached this state in X years anyway"

What evidence helps show the acceleration?

Pre-accident medical records showing previous good function; imaging showing change; witness evidence of activity level before vs after

Related questions

What if my back was already bad before the accident?

If the accident significantly worsened your back — even temporarily — you can claim for the additional period of pain and the additional loss of function caused by the accident.

What if the insurer argues my injury was purely pre-existing?

They must produce medical evidence to support that position. Your independent medical expert can rebut it. This is a question of fact for the court if unresolved.

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Where did the accident happen?

Pick the setting closest to your situation.

Sources

  1. Smith v Leech Brain & Co Ltd [1962] 2 QB 405
  2. Jobling v Associated Dairies [1982] AC 794
  3. JCG 17th edition
  4. Law Commission — pre-existing conditions

This answer is editorial information about UK law. It is not legal advice and does not create a solicitor–client relationship. For advice on your circumstances, speak to a regulated personal-injury solicitor.