In an interesting prospective study, Papageorgiouet al,1 reported that in a low back pain free population dissatisfaction with work status doubled the risk of reporting a new low back pain episode in the employed and non-employed. This is an interesting finding that adds to the literature on the importance of worker job perceptions to the development of low back pain episodes. In this report, however, Papageorgiou et al 1 neglected to discuss previous research on the importance of pre-injury job perceptions to chronic …