Kentucky Injury Resource Center
A back injury after a car accident can come from strained muscles, a herniated disc or a fracture. Symptoms to watch, typical treatment and how to protect a Kentucky claim.
Reviewed by Larry Forman, Attorney.
Back injuries are among the most common injuries in car crashes, and among the most disputed by insurance companies. Pain may start right away or build over a few days. This guide covers common back injuries, warning signs, treatment and how back injuries are documented in a Kentucky claim.
Key takeaways

These can signal nerve compression or a fracture that needs prompt treatment.
Treatment depends on the injury and may include rest and activity changes, medication, physical therapy, chiropractic care, injections and, for some disc injuries or fractures, surgery. Imaging such as an MRI can show disc and nerve problems that X-rays miss. Follow your doctor’s plan and keep appointments; gaps in treatment are a favorite insurance argument.
Many adults have some disc changes on imaging before any crash. That doesn’t defeat a claim. If a crash made a condition worse or caused new symptoms, the at-fault party is responsible for that harm. See pre-existing conditions and injury claims.
To recover pain and suffering from an at-fault driver, Kentucky’s no-fault law generally requires more than $1,000 in medical expenses, or an injury such as a fracture, permanent injury, permanent disfigurement or permanent loss of bodily function (KRS 304.39-060).
Most Kentucky personal injury claims must be filed within one year (KRS 413.140). Most motor vehicle injury claims have two years from the injury or the last PIP payment, whichever is later (KRS 304.39-230).
Inflammation and muscle spasms can build over a day or two. Get checked and tell the provider when the pain started.
PIP covers reasonable and necessary medical expenses from the crash, which can include chiropractic care. Disputes do happen; see how Kentucky PIP works.
Future surgery is part of the damages if it is related to the crash. That’s one reason not to settle too early.
Talk with us about your back injury claim. The consultation is free.
Get a free case evaluation or call 502-931-6788.
This page is general information about injuries and Kentucky law as of October 2026. It is not medical or legal advice. Follow your own doctor’s instructions.