Hurt On The Job?

We help you stay on your feet

No matter how cautious your are, getting hurt while on the job is a possibility for anyone. Whether it’s due to lifting heavy loads, or continuously sitting at the desk, or the way you stand while working. A work relating injury can cost both you & your employer time and money.

At Missouri Orthopedic, Dr. Irvine specializes in treating common work place injuries such as knee pain, hip and/or shoulder pain and discomfort. No matter what pain or discomfort you are feeling, trust in our skilled and experienced care that we will get you back on the job and feeling well again.

Fluid, cartilage, ligaments & bone make up your knee joint(s). What helps your knee joint move is the muscle and tendons location within. If, and when any of the mentioned is hurt, strained or diseased (such as arthritis) you will have a knee pain, and knee problems that can cause difficulty walking or moving while on the job.

What is arthritis in your knee?

Cartilage gradually wears away in your knee, causing discomfort and swelling, and oftentimes pain while walking or even sitting.

Are you staying safe at work?

Missouri Orthopedics & Advanced Sports Medicine offers tips to stay safe at work.

Injuries are never good, especially when they can be avoided. Often times, injuries in the workplace are avoidable if proper consideration has been taken by the worker and his/her employer.

No one wants to miss work because missing work means missing money. As noted by, workers have a responsibility to take reasonable care of their own health and safety.

NTWorkSafe provides a quality list of safety tips for workers to use in their workplace:

  • Pay attention to any training you receive, including your workplace induction training.
  • Know the health and safety procedures in your workplace, including emergency procedures.
  • Always follow the health and safety procedures in your workplace.
  • Ask for training when you are doing a new task or using/operating new tools or machinery.
  • Asked to be supervised to make sure you are doing to the job correctly.

Be sure to check out NTWorkSafe to learn more work safety tips to use. also has a great list of “The Golden Rules of Occupational Safety.” Their tips include following the proper procedure on using equipment as well as following the proper traffic laws inside and outside of work zone sites. Also, be sure to read the user manual before operating any equipment.

Contact Missouri Orthopedics & Advanced Sports Medicine if have suffered an injury on the job. Dr. David Irvine is the go-to doctor in the St. Louis if you have suffered a knee, shoulder, hip or foot injury.

We make it easy for our patients to seek medical attention in a timely fashion with office hours at St. John’s Mercy Hospital and St. Mary’s Medical Campus. We value you your time so you can preregister by filling out new patient forms before your first appointment. You can print and complete the forms and turn in upon your arrival to our office.

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The Bright Side of an Injury

The Positive Side To Injuries


An injury can be a huge setback for any athlete or fitness enthusiast, but is it the end of the world? Absolutely not! At Missouri Orthopedics, we understand that you want to get back to your normal routine as soon as possible, but we also want you to know that there may be benefits to your injury.

Bari Lieberman from Refinery29 wrote an article entitled “Why I’m Glad I Broke My Ankle.” During her story, she explains how she ended up breaking her ankle during a laser tag game. She was devastated that she would not be able to perform her workouts that she claims she was “addicted” to. She used exercise to relieve stress and to take a break from the demands of being a senior in college.

While her ankle was injured she could no longer perform her usual workout routine, the same workout routine that she had been doing since she was in high school. Although she was mobile, she could not get on an elliptical or a treadmill and that was her go to start of exercise. Instead of completely throwing in the towel on fitness while her injury healed, Lieberman decided to compromise and try something new. She began using a rower. During this new workout she discovered that she was being challenged much more during this than she had been for some time on her cardio machines. Even after her injury was healed she kept exploring different types of exercises that would challenge her. She says being injured opened up her eyes and now she is getting more from her workouts.

Your doctor or your PT should talk with you about what you can and cannot do while recovering from your injury, but Bari Lieberman’s story is one to keep in mind. Take your injury & go with it, see the positives that it can bring and embrace them!

Prevent Occupational Injuries

Prevent Occupational Injuries


A worker is injured every 5 seconds in the United States, according to the United States Bureau of Labor Statistics. Occupational injuries are not only painful and inconvenient, but they are extremely costly. We want our patients to put more thought into reducing work related injuries since most of them are the result of a momentary lapse of judgment or a lack of proper safety precautions.

Most occupational injuries are preventable so stay injury free while at work using these tips:
• If you have a desk job, make sure that you sit with your knees at about a 90 to 130 degree angle. Any more or less of an angle can cause strain on your back.
• Be sure you’re lifting properly. Keep your back straight, the weight balanced and close to your body while bending at the knees and using your hips.
• Stay healthy! Eat the right foods and exercise frequently and properly, making sure you stretch before and after your workout.
• Stretch throughout the day. If you sit at your computer all day, make sure to stretch periodically. If you stand all day, taking the load off can also help prevent injury.
• Fatigue greatly increases the risk of injury, so be sure to get a good night’s sleep.

Preventative Prehab

What is prehab and should I do it?

Although it seems like it may be, prehab isn’t just for professional athletes. For anyone who is active and wants to avoid injuries and the rehab that comes after them, prehab should be an essential part of your workout regimen.

From one individual to the next, the exact prehab plan will be different, but the ultimate goal remains the same: to improve the body’s overall function. At the center of prehab is a focus on enhancing core function, which will help to mitigate muscle imbalances and poor posture. Muscle imbalances can alter normal functions in the body, changing both the way joints are loaded and the mechanics of our movements. This can trigger a domino effect of compensations throughout the entire body since the body is one kinetic chain.

And this doesn’t only happen to the pros. “Sixty-five percent of injuries are caused by these imbalances and overuse, which are more apt to come from spending long hours sitting at a desk than from playing on a field,” says Shana Martin, a master trainer for ACE and TRX.

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How to Prehab
The best prehab focuses on stability and mobility training for the entire body, with additional attention to injury-prone areas such as the shoulders, Martin says. Ten to 20 minutes of myofascial release (using a foam roller or massage stick) followed by a dynamic warm-up incorporating corrective exercises and an assortment of mobility-focused movements for the feet, ankles, hips, thoracic spine, chest, and shoulders can be quite beneficial, says Todd Durkin, C.S.C.S., owner of Fitness Quest 10 and author of The Impact Body Plan.

Once joint and postural integrity is gained or restored, you can shift to movement-based training centered around the five primary movement patterns: bend and lift movements (such as squats), single-leg movements (lunges), pushing movements (pushups), pulling movements (rows), and rotational movements (woodchops). These movements not only apply in the gym, they also translate to the things we do in everyday life, from climbing up the stairs at work to carrying a heavy bag of groceries to the car. Developing efficient movement patterns will ultimately decrease the likelihood of pain and injury.

For those with an existing injury that requires surgery, doing prehab under the guidance of a fitness professional can help you enter the procedure in the best possible shape so recovery goes more smoothly. “Often individuals will have conditions associated with orthopedic and/or cardiorespiratory issues that aren’t the direct reasons for the surgical intervention,” says Anthony Carey, C.S.C.S., founder of Function First in San Diego and inventor of the Core-Tex. “Addressing these conditions prior to a procedure minimizes the detrimental effects on the rehabilitation process while also enabling the supporting structures adjacent to the involved area to be functionally maximized to aid in daily activities during rehab.”

So, regardless of your training goals, current fitness level, activities, and preexisting conditions, prehab should be a part of your routine to help you maximize your workouts and remain injury-free while enabling you to live your happiest, healthiest, fittest life.

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