What It Means, How Much You Can Get, and How to Choose the Right Lawyer
Many people think that if they already had a medical problem before a car accident, they can’t get compensation. This is one of the biggest myths in personal injury law.
The truth is:
If a car accident made your pre-existing condition worse, you may still be entitled to a settlement.
In fact, aggravated pre-existing condition cases are very common—and often valuable—when handled correctly.
This article explains everything in simple, everyday language: what these cases mean, how settlements work, what affects the payout, and how to choose the right lawyer to protect yourself from insurance tricks.
What Is an Aggravated Pre-Existing Condition?

A pre-existing condition is any injury or medical issue you had before the car accident.
Examples include:
- Back pain or herniated discs
- Neck or shoulder problems
- Arthritis
- Knee injuries
- Old fractures
- Previous surgeries
An aggravated pre-existing condition means:
👉 The car accident made that condition worse, caused new symptoms, or increased pain or limitations.
Can You Get a Settlement If You Had a Pre-Existing Condition?
Yes. Absolutely.
Under U.S. law, a driver who causes an accident is responsible for:
- New injuries and
- Making existing conditions worse
This legal idea is often summed up simply as:
“You take the victim as you find them.”
So even if you weren’t perfectly healthy before the crash, the at-fault driver can still be responsible for the additional harm.
Common Examples of Aggravated Conditions After Car Accidents
These cases happen more often than people realize:
- A person with mild back pain now needs surgery
- An old knee injury becomes unstable after impact
- Arthritis pain becomes constant and severe
- A healed neck injury flares up with nerve pain
- A previous disc problem turns into chronic disability
If your symptoms clearly got worse after the accident, that matters.
Average Settlement for Aggravated Pre-Existing Condition Cases
There is no single average amount, but based on real-world U.S. cases, here are general settlement ranges:
Typical Settlement Ranges
- Mild aggravation (temporary increase in pain):
$10,000 – $40,000 - Moderate aggravation (longer recovery, therapy):
$40,000 – $150,000 - Severe aggravation (surgery, permanent worsening):
$150,000 – $500,000+ - Life-altering aggravation (loss of mobility, work limits):
$500,000 – $1 million or more in serious cases
⚠️ These are averages, not guarantees. Every case is unique.
Why These Cases Are Often Disputed by Insurance Companies
Insurance companies do not like aggravated pre-existing condition claims.
They often argue:
- “You were already injured”
- “This pain isn’t from the accident”
- “Your condition would have worsened anyway”
- “This is just normal aging”
Their goal is to reduce or deny your claim.
That’s why documentation and legal strategy are critical.
What Factors Affect the Settlement Amount?
Several key factors determine how much compensation you may receive.
- Your Medical History (Before and After)
Clear medical records showing:
- Your condition before the accident
- How symptoms changed after the accident
This comparison is extremely important.
- Severity of the Worsening
Settlements are higher if the accident caused:
- New symptoms
- Increased pain
- Reduced mobility
- Need for surgery
- Medical Evidence
Strong evidence includes:
- MRI or CT scans
- Doctor opinions
- Physical therapy records
- Specialist evaluations
- Impact on Daily Life and Work
Compensation increases if the aggravation affects:
- Your job
- Your ability to walk, lift, or sleep
- Your independence
- Length of Recovery
Temporary flare-ups are worth less than permanent worsening.
- Insurance Coverage Limits
Even strong cases may be limited by:
- The at-fault driver’s insurance
- Your own underinsured coverage
What Compensation Can Include
A settlement for an aggravated condition may include:
- Medical bills (past and future)
- Physical therapy
- Surgery and pain management
- Lost wages
- Reduced earning ability
- Pain and suffering
The key is focusing on what changed because of the accident.
Why You Should Not Hide a Pre-Existing Condition
Some people think hiding a prior injury helps their case. It doesn’t.
If insurance discovers it later:
- Your credibility is damaged
- Your claim may be denied
Honesty combined with proper medical explanation is the strongest approach.
How a Lawyer Helps in Aggravated Condition Cases
These cases are more complex than standard injury claims.
A good car accident lawyer will:
- Compare pre- and post-accident medical records
- Work with doctors to explain aggravation
- Challenge insurance denial tactics
- Calculate long-term losses
- Negotiate aggressively or file a lawsuit
Without legal help, many people accept far less than they deserve.
How to Choose the Right Lawyer for an Aggravated Pre-Existing Condition Case
Choosing the right attorney can dramatically affect your settlement.
- Experience With Complex Injury Cases
Look for a lawyer who regularly handles:
- Back and spine injuries
- Chronic pain cases
- Pre-existing condition claims
- Strong Medical Understanding
The lawyer should be comfortable working with:
- Medical records
- Doctors and specialists
- Imaging results
- Clear, Honest Communication
You should understand:
- Your risks
- Your strengths
- Realistic settlement expectations
Avoid lawyers who promise guaranteed results.
- No Upfront Fees
Most reputable lawyers work on a contingency basis:
- No upfront payment
- They only get paid if you win
- Willingness to Fight Insurance Companies
Insurance companies offer better settlements when they know a lawyer is ready to go to court if needed.
When Should You Contact a Lawyer?
You should contact a lawyer if:
- Your pain worsened after the accident
- Old injuries flared up
- Insurance is blaming your past condition
- Medical treatment is ongoing
Early legal guidance helps protect your case from the start.
Final Thoughts
Having a pre-existing condition does not cancel your right to compensation.
If a car accident made your condition worse, the law recognizes that harm—and you deserve to be compensated for it.
A car accident aggravated pre-existing condition settlement depends on strong medical evidence, honest presentation, and the right legal strategy. With the right lawyer, many people recover far more than the insurance company’s first offer.