Common Hockey Injuries

Concussions, Back Injuries, Elbow Injuries

Hockey Players Take A Beating, Typically

It is no surprise that hockey player undergo some physical pushing and shoving during the game. Sometimes the game is so physical that it can lead to injuries to their body which requires the medical attention of a doctor. We recommend an advanced sports medicine doctor like our very own, Dr. Irvine.

Ice hockey players fighting during game, Dr. Irvine, Sport Medicine

What are some common hockey player injuries?

Concussion This is a traumatic brain injury which may alter the way your brain functions.

Shoulder Injury* Our team evaluates and treat shoulder injuries including labral tears, Bankart lesions, rotator cuff tears & more.

Elbow Injury* Dr Irvine helps east the pain from elbow injuries such as fractures.

Back Injury Hockey players are especially at risk for lower back injuries which can affect your skating stride and overall comfort.

Hip Injury* Dr Irvine is experienced in treating hip arthroscopy as well as performing total hip replacement.

Knee Injury* Our doctor can perform ACL and PCL reconstruction, whether it be minimally invasive or a total reconstruction. However, his experience does not stop there. He is also able to treat a number of other knee conditions and injuries.

Wrist Injury* If you are experiencing a mallet finger injury and/or a wrist or hand fracture, then Dr. Irvine is your guy to call.

* Denotes services in which Dr. Irvine can help diagnose & treat.

If you are interested in jumping onto the road of recovery, and would like to become a potential patient of ours, please call today to schedule your appointment 314-567-5850.

Patience is key to ACL surgery recovery

Missouri Orthopedics & Advanced Sports Medicine will help you recover from an ACL injury in a proper time frame.

If you play soccer, it’s likely that you or someone you know has suffered an injury to the Anterior Cruciate Ligament, better known as ACL. The number one question after an ACL surgery is schedule is “how long until I’m better and can return to play?”

Unfortunately, the answer isn’t the same for everyone and that’s because the answer depends on the extent of the injury and the rehabilitation.

As noted by, there are many phases of an ACL rehabilitation.

The first phase, or the first two week after surgery, is focused on controlling the inflammation, using crutches and working on the range of motion. The next phase comes two to six weeks after surgery and it’s focused on strengthening the knee and giving it full range of motion.

The third phase happens six weeks to four months after the surgery and works on preparing the athlete to return to playing sports. This includes improving the patient’s confidence and beginning some light jogging.

Four to six month after surgery, the patient might be able to return to sports depending on the sport. The patient should also be pain-free with full range of motion and have sufficient strength back in the ligament.

Usually around six months, the patient can return to playing sports if he/she meets all the criteria for rehabilitation and recovery with a doctor’s clearance. The patient should also understand there may be limits to what he/she can do following surgery.

The recovery time for any surgery is unique to each individual patient. These phases listed above are just a general guideline for most patients.

At Missouri Orthopedics & Advanced Sports Medicine, Dr. Irvine performs the most advanced techniques in arthroscopy, including ACL and PCL reconstruction. He is skilled at performing a minimally invasive ACL reconstruction to shorten your recovery time.

More information:

Stay safe on the slopes this winter

Ski injury prevention Missouri Orthopedics

It’s difficult to be active during the winter if you hate the cold, but those who don’t mind the chill in the air often find refuge on the ski slopes where injuries on slick surfaces and choppy areas are common.

The following is a list of common skiing injuries and prevention tips:

According to, the most common skiing injury is a damaged ACL. This happens by twisting your knee such as when skiers squat, extend their uphill arm behind them and place their weight on the inside edge of the downhill ski. Skiers can avoid this injury by squatting to keep from falling, quickly pulling the skis together, flexing your knees and extending their arms in front of them.

Twelve percent of skiing injuries are a damaged MCL. It can happen when you fall forward and catch the ski tip’s inside edge which puts stress on your knee’s MCL. You can avoid it by making sure your bindings work. You can have a ski mechanic do a release check by following the American Society for Testing and Materials standards.

Another common injury is known as “skier’s thumb.” This happens when a skier grips their pole as they fall and drive their thumb into the snow or against the strap. Doctors urge skiers not to slip their wrists through the strap if a pole as one on it.

Click here for more information on common skiing injuries.

At Missouri Orthopedics & Advanced Sports Medicine, Dr. Irvine can help your ski or other injury-related ailments. He has a particular interest in treating knee pain and injuries, but he can also treat and evaluate injuries to the elbow, hand, wrist, hip, foot, and ankle.

If you recently suffered an injury, don’t hesitate to call us at (314) 567-5850!

Stretching can help prevent knee sprains

Knee Sprain Prevention at Missouri Orthopedics

In late November, the St. Louis Blues had a scare when goaltender Brian Elliott suffered a “lower-body injury” when his leg appeared to be caught underneath him during a scramble in front of the net.

The injury would be later classified as a knee sprain by several media outlets.

A knee sprain is classified as the stretching or tearing of ligaments that support the knee, but fortunately for the Blues, Elliott didn’t need surgery which is required when the ligament is completely torn.

While Elliott was injured playing a sport, a knee sprain can happen in everyday life, such as having poor coordination and balance, inadequate flexibility and strength in muscles and ligaments, and loose joints.

According to, some of the causes of a knee sprain include forced twisting of the knee, stopping suddenly or shifting your weight while running, landing awkwardly after jumping, a blow to the outer or inner side of the knee, and a blow to the front of the knee while bent and the foot is firmly planted on the ground.

There are three grades of knee sprains and the treatments to heal a sprained knee include the RICE method (Rest, Ice, Compression, and Elevation), medication, knee support such as a brace, rehabilitation exercises, and surgery.

How can you reduce the risk of spraining your knee? It’s recommend to stretch or warm up before exercising and cool down afterwards. Also, you should take a break from sports or exercise when you feel tired. Doing exercises that strengthen the leg muscles and learning proper techniques for sports and exercises will decrease the stress on the knee area.

Dr. Irvine at Missouri Orthopedics & Advanced Sports Medicine has a particular interest in treating knee pain and injuries. He performs the most advanced techniques in arthroscopy, including ACL and PCL reconstruction, and treatment of osteochondral defects.

Call us at (314) 567-5850 to schedule an appointment.

Learn more here:

The aftermath of knee replacement

Pain, Physical Therapy & Patience: The Aftermath of Knee Replacement


Pain. After knee surgery your nurse(s) should be available for you to check in so that they are able to assess your pain level after knee replacement and how much medicine they will need to give you in helping you deal with the pain steaming from knee replacement.

The medicine your nurse(s) give you to control your pain may cause you to be very “out of it” as well as feeling sick. But, your nursing staff should work towards finding a pain regimen that will work for you. The pain will be there, it is just up to you and your nurses to find the best way to combat the pain that won’t leave you sick.

PT (Physical Therapy)

Before being discharged, you will be asked to demonstrate that you can get into a car, walk up the stairs and/or walk using a walker. This will be easiest to do when you have a support system such as a friend or family member nearby. After being released you will need to begin physical therapy.

One of the most important things Physical therapy does is get your knee moving so that scar tissue doesn’t form. If scar tissue is present, you’ll never be able to reach a full recovery which means you’ll always have pain and typically, you won’t ever be able to walk normally and there is a chance that you will face a second surgery on your knee to deal with the scar tissue.

The first Physical therapy session after your knee replacement will be difficult. You will have to be patient with yourself as you will not be able to perform tasks as you used to be able to. You will get frustrated. You will complain. You will be uncomfortable.  PT therapists and assistants are there to motivate and encourage you, so be sure and lean on them in times of need.


In the end, recovering from a knee replacement takes a ton of patience and a determination to persevere. Actually, great big doses of both are necessary.

If you have more questions about how to recover from a knee surgery, or if you are needing advice from the experts at Missouri Orthopedics and Advanced Sports Medicine on how you can help assist someone who recently had knee replacement surgery, give Dr. Irvine a call at 314-567-5850 or contact us by visiting one of our locations.