The Risk of Repetitive Motion in the Workplace

In the United States, repetitive motion injuries are one of the leading injuries named in workers’ compensation claims.

There is a myth that to receive workers’ compensation benefits, the cause of your injury must result from a single event. For example, a cable installer falling off a ladder or a waiter slipping on an ice cube. Many workplace injuries result from prolonged exposure, either to a dangerous substance or chemical or repeating the same motion throughout your workday.

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Law Office of James M. Hoffmann

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Shannon B.

After a bad car accident in 2021, I was referred to Jim Hoffman to help with my medical needs. Jim was able to help me get the treatment and surgery I needed to heal & move forward through pain and suffering. I’m extremely grateful to have had a lawyer work hard for me and keep me up to date in the process. We received all of my bills covered and a nice settlement. Thank you, Jim!

Response from the owner:Hello Shannon! Thank you for the kind words. It's my passion to help the injured and I am grateful that you allowed me to represent you. Insurance companies are bullies. As a kid, I never liked a bully and fought them to protect others. Didn't always win those fist fights as a kid, but I sent a message. Glad to continue those fights in the courtroom. God bless, love and hugs Jim

Jay L.

Great great lawyer . Perfect execution and preparedness

Taylor G.

A relative who does work injury claims said Mr Hoffmann handles all the biggest workers compensation cases in St Louis. I see why. Simply great!

Jay G.

This lawyer is on another level for work injury cases. The judges had a lot of respect for this attorney. You just know you are in the best hands.

Response from the owner:Thanks Jay. We just received a favorable decision from the court of appeals reinstating an award of $200,000 in denied medical by the work comp but was taken away when the employer and work comp insurer appealed to the LIRC. The court of appeals ruled that the LIRC made up laws that do not exist and that the hearing judge's award for the denied medical was spot on with Missouri work comp law. The appeals took several years, but thank god my client was willing to fight this battle. The denied bills were for a 2 level lumbar fusion for 2 herniated discs due to lifting heavy items at work. We won wage loss, permanency, and future medical care as well.. and now he gets the denied medical bills too. Fighting for the injured. James Hoffmann Your Missouri car accident and workers comp lawyer 314 361 4300 [email protected]

James W.

In the area of Workers Comp, this lawyer is better than anyone on TV. Thank you!

Response from the owner:Thanks James. From interviewing a few former secretaries of a law firm that advertises a lot, I discovered that the law firm had monthly settlement quotas in order to pay for all of the advertising. The secretaries left the large law firm because they were upset at how cases were being settled cheap to meet the quotas. Bigger is not better. I have gone to trial and taken more depositions than the big firms. It's the quality of the lawyer that counts and not the size of the law firm.

Glenn T.

Mr Hoffman is an excellent Attorney! So good that we settled out of court and I am Extremely satisfied! Very kind, Mr. Hoffman and his son and I would recommend him to anyone And I already have thanks Mr. Hoffman

Response from the owner:Thanks Glenn. Missouri residents need to contact their state representative about proposed changes to Missouri workers comp laws that only benefit the insurance company and limit the compensation to the injured worker. Jefferson City is full of state representatives and senators who do favors for the insurance companies because they like the donations and high paid lobbying jobs after they leave office. When work comp laws become so favorable to the insurance companies, lawyers stop representing the injured worker because the laws limit what the lawyer can do for the employee and how much he/she gets paid. Write the governor. Write your state rep and state senator. Tell them your story about how the employer, the insurer, or the work comp doctor mistreated you. Tell them you will not vote for any person who passess work comp laws that limit the recovery of the injured worker.

Tonka F.

Mr Hoffmann and is son, Remy, are great work injury attorneys. Definitely recommend hiring their law firm. You will not find better in saint louis.

Response from the owner:Thank you Tonka. Remy and I are preparing for a permanent and total disability trial on Friday. Employee alleges that because of the work injury and two level lumbar fusion, she is unable to return to work. Another issue will be pursuing denied medical for the lumbar fusion surgery. Plus, we are pursuing future medical for life. The work comp adjuster sent my client a doctor who alleged my client suffered no back injury despite work comp sending my client to doctors immediately after the injury who diagnosed herniated discs and radiculopathy... and then did three lumbar steroid injections. Proud to fight for the injured. Law Office of James M Hoffmann 2001 S. Hanley suite 325 St. Louis, MO 63144 314 361 4300 [email protected]

Phylicia F.

The reviews and news articles are facts. This workers compensation lawyer is the greatest in St. L. You will notice the difference after you speak to him the 1st time. He knows his business and he's just getting better and better as time goes on.

Response from the owner:Thanks Phylicia. 30 years of representing 1000's of injured workers and car accident victims. Proud to be a Missouri personal injury and workers compensation attorney. We represent the injured across the entire state of Missouri. James Hoffmann St. Louis, Mo work comp and car accident lawyer 314 361 4300

Angela H.

Reviews are correct. This is the best works comp lawyer in the state of Missouri. I tell everyone to call jim

Response from the owner:Thanks Angela. Across the state of Missouri from St. Louis to Kansas City, from Cape Girardeau to Kirksville, from Columbia to St. Joseph, from Springfield to St. Charles, we represent and fight for those injured under Missouri workers compensation and in car accidents. Wrongful death, amputation, lumbar fusion, disc replacements, shoulder replacements, knee surgery, fractured bones, carpal tunnel, ankle fusions, and more, we have fought for the injured. Law Office of James M Hoffmann 314 361 4300 [email protected]

Kendall

Great lawyer. Knowledgeable. Professional. The lawyers on TV were not in the same league as this workers compensation attorney. I tell everyone to hire Jim.

Response from the owner:Very kind of you Kendall. Unlike the tv guys who are either from St. Louis but never step foot in court or are not from St. Louis and have never been in a MIssouri court, I've been taking depositions and trying cases in Missouri for over 30 years. I have deposed orthopedic and neurosurgeons regarding herniated discs, disc extrusions, neck fusions, back fusions, disc replacements, fracture vertebrae's, paralysis, and death. I've deposed doctors about hip fractures, hip replacements, knee replacements, shoulder joint replacements, shoulder fusions, carpal tunnel surgery, cubital tunnel surgery, ankle surgery, ankle fusions, lis franc fracture dislocations, traumatically induced arthritis, and future medical for life. I've depose psychiatrists about depression, anxiety, and PTSD caused by injury and/or chronic pain . I've deposed neurologists regarding TBIs, or traumatic brain injuries, skull fractures, brain bleeds, and post concussion syndrome. We spend money on expert witnesses as the work comp insurer will have experts who will deny your claim. I've taken 1000's of depositions and tried 100's of cases. Those guys on tv have not. Law Office of James M Hoffmann 2001 S. Hanley, suite 325 St. Louis, MO 63144 314 361 4300 [email protected] Your Missouri car accident and workers compensation attorney

Jeffrey C.

Mr.Hoffmann does an amazing job with workers comp cases. Helpful from beginning to end and gets more than you would ever expect. Best lawyer I have ever seen.

Response from the owner:Thanks Jeffrey. My son, Remy Hoffmann, and I only represent those injured whether at work, car accidents, falls, product defects, dog bites or malpractice. Strains, sprains, herniated discs, fusion surgeries, amputations, joint replacements, compound fractures, rotator cuff surgeries, disc replacements, concussions, traumatic brain injuries, loss of vision, hearing loss.. we have successfully obtained compensation for pain and suffering, past medical bills, future medical care, loss of income, and permanent total disability. We are not the big firm advertisers who have monthly settlement quotas. We fight equally hard for every client across Missouri from St. Louis to Kansas City, Springfield, Rolla, Columbia, Jefferson City, Kennett, Cape Girardeau, Branson, Troy, St. Joseph... . Glad to help. All cases on a contingency fee which means we will never ask a client for a penny. Law Office of James M Hoffmann James Hoffmann Remy Hoffmann Missouri personal injury attorneys 314 361 4300 [email protected]

Ryan

This attorney gets the highest awards in the division of workers compensation. A lawyer you do not want to pass up when looking to proceed after a workplace injury. I highly recommend.

Response from the owner:Thanks Ryan. We recently went to trial on a denied Missouri workers compensation low back injury that caused two herniated discs, radiculopathy, and eventually required a two level lumbar fusion. Once a case is tried, the attorneys have 30 days to submit proposed awards. The work comp judge has 90 days to issue a final award. We had orthopedic and neurosurgeon experts testify as to causation, permanency, wage loss, the denied medical bills. We also requested sanctions as the employer/insurer denied the injury even before a doctor reviewed the case on behalf of the employer. I cited a prior trial award I obtained for a client where we received an award that included sanctions: The LIRC in Nouraie v. MO. Baptist Medical Center et al, Injury No.: 10-111746, March 13, 2013, sanctioned the employer for refusing medical care in connection with a repetitive use claim. The Employer obtained an expert long after the wrongful denial of benefits. This did not justify the prior wrongful denial. The LIRC explained: “In any event, whether an employer has sent a worker for a medical examination prior to denying a claim is a factor for our consideration in determining whether an employer had reasonable grounds for denying a claim.” The LIRC in Nouraie also explained: “The courts have instructed us we are only to award such costs “where the issue is clear and the offense egregious.” Landman v. Ice Cream Specialties, Inc., 107 S.W.3d 240, 250-251 (Mo. 2003). We think it is clear that employers have an obligation to investigate the circumstances giving rise to alleged work injuries before denying benefits. And where the worker is available to discuss the injury, we think any reasonable employer conducting an investigation designed to determine whether an injury is work-related would discuss the alleged injury with the worker. In the instant case, Ms. Bequette, as employer's agent, denied evaluation, treatment and benefits to employee without even discussing employee's alleged back condition with employee. We think employer's act of denying workers' compensation benefits to employee before even discussing the alleged injury with employee constituted an egregious offense. Based upon the forgoing, we find employer defended this claim at the outset without reasonable ground.”

Michelle B.

This attorney really helped my nephew, Best lawyer for injured workers in the St Louis area.

Response from the owner:Thank you Michelle. If you are injured while working in Missouri, or if you are hired while in Missouri and injured whether in or out of Missouri, we can pursue a Missouri workers comp claim for you. Workers injured due to another's fault, such as a car accident or machine failure, can also pursue a civil claim for personal injury in addition to a work comp claim. Merry Christmas. James Hoffmann, Missouri work comp and auto accident attorney 314 361 4300 [email protected]

Barbara R.

My favorite lawyer. Hire him if a work accident causes you to be injured. Much better than any other workers compensation attorney I have met.

Response from the owner:Thank you Barb.

Dave B.

Attorney is the king of workers compensation. Nobody better!

Response from the owner:Thank you Dave. We recently finished an all day work comp hearing. Below is a summary: Claimant, a full-time carpenter for Employer, developed low back pain in September of 2017 making cabinets and displays for the Employer. Claimant’s job is physically demanding. Cabinets and displays can range from 60 to 500 lbs. Claimant job duties include lifting displays weighing up to 500 hundred pounds during the assembly process. Carts, each with 100 lbs of materials, are brought to Claimant who must lift the materials from each cart and assemble same. In October 2017, Claimant’s job duties caused his low back soreness to become severe pain with numbness down his right leg. At the final hearing, the Employer/Insurer produced no evidence of non-work activities that could have caused, or did cause, Claimant’s low back pain. When Claimant’s low back pain became severe in Oct. 2017, he sought treatment with a chiropractor, Dr. Lynch, on 10/17/20217. Claimant then, on 10/23/2017, reported to Employer a repetitive use work injury to his low back. He went sent to Concentra by the Employer but left due to delays in providing immediate treatment as he had severe pain and radiculopathy. He went immediately to an urgent care and returned to work with a light duty slip for 6 weeks for which the Employer complied. Despite asking the Employer for additional treatment during the next few months, none was offered. He kept the Employer informed of the treatment he was receiving on his own. IN December 2017, Claimant contacted attorney James Hoffmann who instructed Claimant to hand deliver a letter to the Employer making a written demand for treatment. Claimant delivered the letter in December 2017. At the hearing, Employer presented no evidence that it disputed the contents of the letter. Immediately after receiving the letter, the Employer contacted the Insurer which then sent medical authorizations to Claimant who signed and immediately returned same to the Insurer. The Insurer then obtained a statement from Claimant in Dec. 2017 where Claimant informed the adjuster of a repetitive use low back injury at work and need for treatment. After 6 weeks of light duty, Employer requested another light duty slip which Claimant provided. Claimant continued to work light duty until Feb. 15, 2018, when Employer informed Claimant there was no more light duty and sent Claimant home. In the meantime, neither the Employer nor the Insurer offered treatment. The Employer’s attorney was aware of Claimant’s treatment as he was sending copies of Claimant’s medical records to Claimant’s attorney received via the authorizations signed by Claimant. In Feb. 2018, Claimant’s attorney obtained a medical report from Dr. Armond Levy who related lumbar disc herniations and the necessity of surgery to Claimant’s work for Employer. Several demands were sent IN Feb. 2018 to the Employer for the surgery recommended by Dr. Levy and for TTD. At the hearing, Employer presented no evidence of any response to the demands for treatment and TTD made by Claimant’s attorney in February 2018. Claimant then underwent 2 surgeries on his own for his low back, the first being in March 2018 and the second in August 2018. During that time, no TTD or treatment was offered. When Claimant returned to work in November 2018, after recovering from the second surgery, he was informed by the Employer that he was fired. The Employer eventually sent Claimant to a physician, Dr. Bernardi, in November 2018, who is of the opinion that a person cannot suffer a repetitive use herniated disc. It is his opinion that herniated discs can only acute, and that any degenerative changes in the low back are genetic and cannot be caused by repetitive use occupations. In other words, Employer sent Claimant to a doctor who disagrees with Missouri law which specifically recognizes and accepts repetitive use injuries. Claimant had zero chance of a favorable opinion from Dr. Bernardi

Marie H

⭐️ ⭐️ ⭐️ ⭐️ ⭐️
This is the lawyer you want to hire! Just read the reviews. It is all true. Incredible! He will get you every dollar of lost wages, get you every ounce of medical treatment, and get you the highest possible award from the Division of Workers Compensation.

Response from the owner:Thanks Blair. We are preparing for another trial! Client worked as a carpenter and injured his L4-5 and L5-S1 discs from repetitive heavy lifting. We made several demands for treatment. We obtained an opinion from a neurosurgeon and an orthopedic surgeon that back surgery was necessary. The employer refused treatment so our client had surgery, a lumbar fusion, on his own. We are pursuing the employer/insurer for 6 months of wage loss, denied medical of $245,000, permanency, and future medical for life. Law Office of James M. Hoffmann 2001 S. Hanley, suite 325 St. Louis, MO 63144 314 361 4300 [email protected] Your Missouri workers comp and car accident attorney.

J G

This laywer rocks!

Response from the owner:Thanks Justin. Happy to report another win a trial. Client injured his knee at work. He underwent a meniscus surgery. The doctor also "cleaned up" other degenerative changes in the knee. This is called a chondroplasty. After the surgery, client's knee go worse. The doctor blamed prior arthritis even though my client had no prior knee issues and no prior pain. Yes, at his age he had prior natural degenerative changes. We retained experts who testified that chondroplasty caused those areas top become inflamed and painful, thus causing the "arthritis." We argued that prior to the injury, there was no "itis", which means inflammation and pain. We argued that all of the "itis", and thus arthritis, was due to the surgery. The judge agreed and also awarded future medical for life which includes knee replacements. So, why did the doctor shave areas in the knee that were not symptomatic? Look at the bill: a meniscus surgery is onl $3000; but for every other area he "cleaned up", he gets $3000 for each area. Law Office of James Hoffmann 314 361 4300 [email protected] Your Missouri workers comp and car accident lawyer

Katie B.

Best you will find! This law firm is great for work injury claims. Tons of union members use him to file claims.

Response from the owner:Thanks Katie. We also help families through car accidents and slip/falls. We recently recovered $500,000 for a client who fell at service station! James Hoffmann 314 361 4300 [email protected]

Zach B.

Several of the big TV law firms advertised for workers compensation. Called them but was not impressed. Then I called attorney Hoffman because of his reviews and am so glad we did. Night and day difference. Extremely competent lawyer!

Response from the owner:Thank you Zach. I represent injured Missouri workers from St. Louis to Kansas City and all throughout Missouri: Springfield, Cage Girardeau, Hannibal, Rolla, Columbia. Ozarks. Kennett, Poplar Bluff, etc. We fight hard for every client and do not have monthly settlement quotas like the big advertisers do to pay for all of their advertising! Law Office of James Hoffmann 314 361 4300 [email protected]

Jacob P.

Love my workers compensation law firm. Highest work injury awards in St Louis. The reviews are 100% correct.

Response from the owner:Falls at work are not compensable under Missouri work comp unless it is shown that something specific at work caused the fall. Just walking and stumbling for no reason is not work comp. Walking, and carrying a box, which causes you to stumble because you can't see your feet is work comp. Falling down stairs because you missed your step is not compensable unless you missed the step because you were in a hurry for a work issue; or you were carrying work items and that affected your line of sight. Having to wear certain shoes is work specific if the shoes are awkward and contributed to your fall. James Hoffmann attorney St. Louis workers comp and car accident lawyer 314 361 4300 [email protected]

Jerry H.

And used Mr Hoffman's Law Firm for a workers compensation claim. All the firefighters use him said he gets the highest work in injury Awards.

Response from the owner:Thanks Jerry I have represented numerous first responders in Missouri workers comp and car accidents. Heavy ambulance doors have caused severe post concussion syndrome and TBI's. Lifting victims has caused herniated discs requiring cervical and lumbar fusion surgeries. Glad to help our hero's. Law Office of James Hoffmann 2001 S. Hanley, Suite 325 St. Louis, MO 63144 314 361 4300 [email protected]

Jessica B.

Exceeded our expectation. Incredible lawyer for work injury claims he will file and litigate the workers compensation claim walk you through the process and fight for treatment and the final award gold medal effort.

Response from the owner:Thanks Jessica. Missouri injury claims are a battleground. Whether its a wrongful death claim, herniated disc, lumbar or cervical fusion, strain/sprain, shoulder surgery, knee surgery, amputation, concussion, dog bite, workers comp, and other injuries, the bottom line is that insurance companies don't want to pay fair and reasonable damages, they want to as little as possible and delay the case so payment is delayed. Attorneys from across Missouri from St. Louis to Kansas City to Springfield, Columbia, Cape Girardeau, etc. need to ready for a fight. Money needs to be spent on experts and the attorney needs to go to trial when the offer is too low. The big law firm advertisers settle everything they can for cheap to meet advertising budgets and attorney quotas. Law Office of James Hoffmann St. Louis personal injury and work comp lawyer. 314 361 4300 [email protected]

Thomas H.

You are a great attorney! Thank you.

Response from the owner:Worsening of prior conditions are a valid Missouri work comp claim: Per Tillotson v. St. Joseph Med. Ctr., 347 S.W. 3d 511 (Mo. App. W.D. 2011) to determine need for treatment, surgery, and treatment after surgery. Treatment need only be reasonably required to cure and relieve the effects of the injury. Id. Section 287.140.1 RSMo states in pertinent part that the Employer shall provide such medical as may “reasonably be required. To be entitled to future medical care the employee must establish that there is a reasonable probability that he will need future medical care. Forshee v. Landmark Exc. & Equip., 165 S.W. 3d 533 (Mo.App. E.D. 2005) An [Employee] does not have to provide evidence of specific medical treatments or procedures which will be necessary in the future in order to receive an award of future medical care. See Chatmon v. St. Charles County Ambulance, 55 S.W.3d 451, 459 (Mo.App. E.D. 2001). Employee has already satisfied the burden of proving a compensable injury. Here, defense's authorized Dr. Spears on 4/26/2010 opined "if she doesn't get improvement in her radicular pain, then the next step is going to be a microscopic transforaminal lumbar interbody fusion to remove the foraminal stenosis." He went on to state the January 2010 incident was a "fall (that) aggravated significantly a pre-existing condition". This is enough under Tillotson, Forshee, and, Chatmon (supra) to award further treatment. Please also see Maness v. City of De Soto, 421 S.W.3d 532 (Mo. App. 2014). The court rejects Employer's contention that the mere existence of degenerative disc disease in the cervical spine and neck symptoms prior to the work accident requires a determination that Claimant's injury is not compensable. See also the following in support: If the evidence establishes that an accident caused a disability or aggravated a preexisting condition or infirmity of an employee, which produces a condition that would not have resulted in a normal, healthy individual, an award is authorized. Fogelsong v. Banquet Foods Corp. 526 S.W.2d 886 (Mo. App., K.C.D. 1975) An aggravation of an existing infirmity caused by an accident or occupational exposure arising out of and in the course of employment is compensable under Chapter 287, RSMo, even if the particular accident (occupational injury) would not have produced such result in a normal and healthy individual. Mashburn v. Chevrolet-Kansas City Division, General Motors Corp., 397 S.W.2d 23 (Mo. App., K.C.D. 1965)

Steven Mitchell J.

Bunch of Ford employees recommended Mr Hoffmann for workers compensation claims. Said he handles all the union workers who get injured at the plant.

Response from the owner:Thank you Steve. I wish I handled all of the work comp claims, but I do represent many. Whether it's large employers like Boeing, Ford, Emerson, Anheuser Busch, BJC, or smaller employers, we fight hard for injured workers in Missouri. 30 years of experience. 1000's represented. Over $100,000,000 recovered and the battles rage on. We also had personal injury claims as well. We recently recovered $450,000 for an injured worker who was bit by a dog. Law Office of James M. Hoffmann 2001 S. Hanley St. Louis, MO 63144 314 361 4300 [email protected]

James V.

My cousin was injured in a work accident so we had to interview all the “top workers compensation lawyers” in Saint Louis. This lawyer was clearly on another level.

Response from the owner:Thanks James. Workers' comp, or workman's comp as some say, lawyers need to hire experts such as pain management doctors, or orthopedic doctors who specialize in back surgery, shoulder surgery, knee surgery, neurologists, concussion specialists, and psychiatrists. The political environment in Missouri now favors insurance companies. Work comp claim are no longer simple and informal. They are a jury trial but without a jury. Lawyers need to know how to depose doctors and try a case. Every day we fight for our clients injured at work, injured in car accidents, injured by dog bites, injured medical negligence, and more. James M Hoffmann, attorney 2001 S. Hanley, suite 325 St. Louis, MO 63144 314 361 4300 [email protected]

Eric A.

This workers compensation lawyer gets a perfect 10. Fights hard for injured workers and he wins. Walks you through the entire process. He is also a great person.

Response from the owner:Thanks Eric. Workers comp insurance doctors love to blame ongoing pain on pre-existing arthritis even though all of the employee's pain started with the work injury and prior to the work injury the employer had no pain and had never been diagnosed with arthritis. The insurance doctors always refer to prior, non-symptomatic degenerative changes in a joint as being "arthritis." "Itis" means inflammation and pain. The itis is usually due to the joint becoming inflamed and painful from the work injury and surgery. Thus, the "arthritis" is due to the injury and not because a person has prior naturally occurring non-symptomatic degenerative changes. Ask the work comp doc: "you agree that 60 year old tonsils probably have degenerative changes. Would you call 60 year old non-symptomatic tonsils "tonsilitis": NO!; would you call a 60 year old non-symptomatic appendix "appendicitis":NO!; would you call a 60 year non-symptomatic bursa "bursitis": NO!.. that's because the "itis" means inflammation and pain, non of which I had until the work injury!!! I see this all the time with neck injuries, low back injuries, disc herniations, rotator cuff tears, meniscus tears: doctors do surgery under workmans comp and then blame ongoing pain on a made up pre-existing condition. James Hoffmann Your Missouri workers comp and car accident attorney 314 361 4300 [email protected]

Jennifer A.

I agree with the reviews. This lawyer is in a different league from other workman’s compensation lawyers. He does all the massive injury cases in Missouri.

Response from the owner:Thank you Jennifer. We just went to trial for a disputed total knee replacement. The work comp doctors always allege the knee replacement is due to pre-existing arthritis yet my client has no prior knee pain, no prior limitations, no prior treatment. He had a 60 year old knee that had natural degenerative changes, but he was pain free. In the word "arthritis", itis means inflammation and pain, neither of which my client had before the injury. The itis started with the work injury. It takes 90 days for a ruling. Law Office of James M. Hoffmann St. Louis, MO car accident and workers compensation lawyer 314 361 4300

Payton G.

Phenomenal experience with the Law Office of James Hoffmann. He is know as the best in workman’s compensation and I can tell you he is. Great team. Answered all questions, was available and is brilliant.

Response from the owner:Thanks Payton. Call it work comp, or workers comp, or workman's compensation, it's all the same. A current battle with a work comp insurer concerns "natural consequences." My client had a L5-S1 fusion under work comp. She has at home transitioning from a walker to a cane, per doctor's orders, when she fell fracturing her elbow and damaging her lumbar fusion. The injuries from the fall are part of the work injury as someone falling, due to balance issues from the surgery, while rehabbing is a known and accepted consequence. Of course the work comp insurer is fighting us arguing that her home rehab should only have been indoors and not outdoors where she fell...absurd! The doctor placer no restrictions on where to practice transitioning. She now has a three level lumbar fusion from L3-4. L4-5. and L5-S1. We'll go to trial if not accepted. Glad to fight for the injured worker in Missouri. Law Office of James M. Hoffmann St. Louis, Missouri workers comp, car accident, injury attorney. 314 361 4300 [email protected]

Joshua H.

5 Stars

These reviews are correct. This attorney is incredible. He knows workmans compensation, fights for denied treatment and wages, and gets your on the job injury rated by the best doctors. I will be using him from here on our great experience.

Response from the owner:Thanks Joshua. Unlike the big firms that advertise on TV which have monthly settlement quotas for their attorneys, I spend my money on experts such as orthopedic surgeons, neurosurgeons, pain management doctors, vocational experts, and life care plans. These experts are necessary to prove the permanent damage and wage loss caused by back injuries such as paralysis, disc herniations, disc protrusions, and fractured vertebrae, or shoulder injuries such as rotator cuff tears, labral tears, shoulder replacement surgeries and frozen shoulders; or fractured hips and pelvises that require plates, screws, or hip replacement surgery; or TBI's, traumatic brain injuries, also called concussions, PCS, or post concussion syndrome; ankle fusions; ankle joint replacements; knee joint replacements, PTSD from the injury, and depression and anxiety from chronic pain. It does not take a large law firm to fight an insurance company. It takes a good lawyer. There's a reason why injured insurance adjusters and injured insurance doctors call me to represent them. They know I fight and will not back down. Law Office of James M. Hoffmann St. Louis, MO workers comp and auto accident attorney 314 361 4300 [email protected]

jelly W.

Great person. Even better lawyer. Thank you Mr. Hoffmann for being so good at workers compensation. Getting hurt at work is frightening. That went away as soon as we spoke. Bless you!

Response from the owner:It's scary because there are employers who go the attack when an employee gets hurt. There are insurance adjusters who deny claims and create hardships. There are insurance doctors who blame pre-existing arthritis even though you had no or little prior issues. If the doctor says that you suffered a compensable injury by accident, then the legal standard for determining employer’s obligation to afford medical care under the Missouri workmans comp law requires the employer to provide treatment reasonably required to cure and relieve the effects of the injury. The prevailing factor standard no longer applies. Further, it is immaterial that treatment may have been required because of the complication of a pre-existing condition or that treatment will benefit both the compensable injury and a pre-existing condition. The fact that medical treatment may also benefit a non-compensable earlier injury or condition is irrelevant. Whether or not claimant may have needed future treatment even if the injury did not occur is irrelevant to the analysis of whether future medical care flows from the injury actually occurred. With respect to permanent partial disability it is immaterial that the employee had a prior condition as an employee is entitled to compensation for disability rising out of the medical treatment reasonably required to treat the injury. With respect to future medical benefits, the claimant need only show reasonable probability because of the work-related injury, future medical treatment will be required. A claimant need not show evidence of the specific nature of the treatment required. In other words, prior conditions, such as arthritis, is irrelevant if the doctor says you suffered a work injury. The employer/insurer must treat both. James Hoffmann St. Louis, Missouri workers comp and car accident lawyer. 314 361 4300 [email protected]

Suzanne C.

Re: Law Office of James M. Hoffman

The Law Office of James M Hoffmann was referred to me from a previous client, that was extremely impressed, with his service and outcome.

I met with Jim Hoffmann to discuss a car accident. Three cars were involved, my car was totaled, and I was seriously injured. After meeting with Jim the very first time, I immediately felt comfortable, and knew that he would have my back, and would fight for me.

Throughout my journey, I dealt with a lot of pain and several issues that lasted for years. During this time I had to contact Jim and Jamie (Jim’s wonderful assistant) many times. Every time I sent an email with questions, I received feedback extremely quickly!

I feel Jim negotiated a great settlement for me!

The Law Office of James Hoffman will be the first place I contact if I ever need his help again!

Suzanne Charles

Response from the owner:Thanks Suzanne. Over the past 25 years, we are proud to help families through injuries from car accidents and work accidents in Missouri. James Hoffmann St. Louis, MO auto accident and workers compensation lawyer 314 361 4300

Cassie C.

This law firm handles the biggest workers compensation cases. Biggest cases require the best. This is it in St Louis. Everyone you call says the same thing that Jim Hoffmann is the best in Missouri and consistently beats the biggest defense lawyers and defense doctors and gets the highest awards.

Response from the owner:Thanks Cassie. Although the workers compensation statute in Missouri mandates that the process be simple, informal, and summary, it is anything but. Your attorney should use experts such as orthopedic surgeons for shoulder, hip, hand, and knee injuries, or neurosurgeons for herniated discs and other spine injuries, vocational rehabilitation experts to prove permanent and total disability, and pain management doctors to prove the need for future medical care for life. These experts are expensive, but I risk my money as we need them be successful whether at trial or to get a good settlement. Glad to fight for the injured Missouri worker and those injured on car accidents. James Hoffmann Missouri personal injury attorney 314 361 4300 [email protected],

shane D.

The workers compensation doctor said to hire this attorney because he is the best to put towards the task of making sure I’m accurately represented and assured he would not give up in my time of need. This attorney is great and I would recommend them to any and everybody.

Response from the owner:Thanks Shane. I have fought for 1000's of injured Missouri workers and car accident victims. Workers compensation doctors and insurance adjusters have hired me to represent them, all saying "you fight for your clients." I hire experts. I take depositions. I try cases. The insurance adjusters know who settles cheap to meet big advertising bills and who fights for their clients. Glad to say I am a fighter. Jim Hoffmann Missouri workers compensation and car accident attorney 314 361 4300 St. Louis, MO

Austyn A.

Workers comp claim in the Missouri division of Workers
Compensation? Get this lawyer. Simply better than all the rest.

Response from the owner:Thanks Austyn. We represent workers all across the state of Missouri. We've won numerous permanent and total disability trials. We've won numerous hardship trials either for additional treatment and/or wage loss, known as TTD. We've helped construction workers, police officers, warehouse workers, production workers, firemen, workers compensation doctors and insurance adjusters have hired us when they get hurt, salesmen, nurses, and numerous others. Across Missouri from St. Louis , Kansas City, Springfield, Kirksville, Milan, Rolla, St. Joseph, Branson, Kennett, Cape Girardeau and other cities, we have helped people recover damages for auto accidents and Missouri workers compensation injuries. James Hoffmann 314 361 4300 [email protected]

Alex B.

Higher this workers compensation lawyer. no question about it top notch.

Response from the owner:Thanks Alex. Recently won a hardship where the work comp adjuster and insurance doctor denied treatment for knee injury. My experts convinced the judge that the injury caused meniscus tears, cartilage damage, and traumatic arthritis, thus leading to the need for a knee replacement. My client's knee is now covered for life by workers compensation and all back pay, or TTD, was recovered too. James Hoffmann Missouri workers compensation and auto accident lawyer 314 361 4300 [email protected]

dylan F.

Every lawyer we spoke to said call this law firm for very serious worker’s compensation claims. They do the biggest workplace injury and death cases.

Response from the owner:Thanks Dylan. Here are a few things injured Missouri workers should immediately after the injury: report the injury in writing; if the employer says that he/she will fill it out and refuses to let you fill out the injury report, you can prepare a letter about what happened and give it to your boss (keep copies and date it!); ask for treatment: just telling your boss that your back is hurting isn't good enough; say "my back is hurting from breaking up concrete and I'd like to see a work comp doctor:; if your boss refuses, give your boss a letter confirming that you reported a back injury, asked for treatment, and it was refused; when you see the work comp doctor and the front desk gives you intake sheets that don't ask all of the necessary questions about what happened and only what x's and o's: just write anything anywhere you want to so that you explain how you go hurt and what body parts are hurting; on the body chart, circle your low back and write "back pain that shoots down my right leg"; if your employer gives you work that exceeds the light duty restrictions, refuse to do that work and give your boss a letter confirming what has transpired (date it and keep copies); when the work comp doc releases you in pain and blames a pre-existing condition even though you had no prior pain, no prior treatment and no prior limitations; give that doctor a letter :"Dr. No: to confirm, I am very upset that you are releasing me and sending back full duty despite ongoing pain from my work injury. My back pain is still a 4-7/10; it wakes me at night; and light duty was making it worse. You said I've healed from my injury and any ongoing issues are due to pre-existing arthritis. I told you I had no prior pain; no prior treatment; and no prior limitations. All of my pain, treatment, and limitations started with my work injury and have never resolved. If my back gets worse at work working full duty, I will hold you personally responsible."

Lexi S.

This lawyer is a workers compensation machine. Fights for injured workers hurt on the job and denied medical after a work accident.

Response from the owner:Lexi Writing a proposed award for an upcoming work comp trial for an injured Missouri worker. L4-S1 lumbar fusion with plates and screws. Pursuing permanent and total disability plus denied medical. Here is the case law on denied medical in MO workers compensation: The employer is held liable for medical treatment procured by the employee only when the employer has notice that the employee needs treatment, or a demand is made on the employer to furnish medical treatment, and the employer refuses or fails to provide the needed treatment. Hawkins v. Emerson Electric Co., 676 S.W.2d 872, 880 (Mo.App.1984). The courts have consistently held that an award of past medical expenses is supported when the employee provides (1) the bills themselves; (2) the medical record reflecting the treatment giving rise to the bill; and (3) testimony identifying the bills. Martin v. Mid-America Farm Lines, Inc., 769 S.W.2d 105, 111-12 (Mo. 1989). The pertinent case law requires employee to prove that the past medical expenses were “due” to support an award of interest. McCormack v. Stewart Enters., 956 S.W.2d 310, 314 (Mo. App. 1997). As explained in McCormack, this means employee must show that he actually paid the bills, or received demands that he pay interest on the bills, or suffered some other loss, such as a doctor refusing to provide additional treatment until employee paid his bill. Id.

Dj P.

Great attorney to work with. Work injuries and workers compensation is his specialty. Known as “the best” and that is 100% accurate.

Response from the owner:Thanks DJ. When the workers comp doctor treats you for an on the job injury, releases you still in pain, and then blames pre-existing arthritis as the cause of your ongoing knee, hip, shoulder, or back pain, make that doctor answer these questions: Please explain why you allege pre-existing arthritis when, before the injury, I had no knee/neck/shoulder pain; I had no limitations at work; I sought no treatment; I enjoyed xyz activities. All of my pain, my limitations, my need for treatment. started with the work injury and my pain has never stopped. Then say "let's look up the definition of arthritis": arthr means joint and itis means inflammation and pain... I had no inflammation or pain before the work injury. I may have had natural degenerative changes in my joints, but I had no pain, no limitation, no treatment. All of my pain and inflammation started with the work injury.

Lyndsey P.

Found this workers comp attorney on Google for a friend in St. Louis. Great reviews. This lawyer was by far much better than the others we interviewed. This was a bad injury and Mr. Hoffmann got him payments for life.

Response from the owner:Missouri work comp law mandates compensation for either partial disability (PPD) or permanent total disability ( PTD). Employees who can no longer work seek PTD which is either a lump sum by settlement or, if the parties cannot settle, then a trial a weekly check for life is sought, plus back pay and future medical care.

Angela D.

This lawyer does complex workplace injury cases resulting in total disability. If badly hurt at work, this is the attorney to hire for your workers compensation claim. You don’t get a second chance! Hire James!

Response from the owner:Thanks Angela. You are correct. You get one chance to win. Injured workers from across Missouri have hire me to represent them. Joplin, Springfield, Cape Girardeau, Kennett, Fenton, Kansas City, Poplar Bluff, St. Louis, Moberly, Kirksville, Columbia, Chillicothe, Sedalia, Moberly, St. Joseph, Nevada, Neosho, West Plan, Sikeston and other Missouri residents have hired me for their work comp or car accident case. Permanent total disability claims are life changing. Your attorney needs to hire experts and be thoroughly prepared for trial. Law Office of James M. Hoffmann 314 361 4300

Leisa H.

Great workers comp lawyer. I recommend this lawyer for anyone injured at work and having to file a Work Comp claim. He is in St Louis and does cases all over Missouri. He fights for you and Workers Comp claims are a fight.

Response from the owner:Thanks Leisa. We are proud to fight for injured Missouri workers. Our clients have required neck and low back fusions, shoulder replacements; knee replacements; carpal tunnel surgery; amputations, disc replacements, and other various injuries. We fight for future medical care as well as either perm partial or perm total benefits. James Hoffmann, attorney 314 361 4300 [email protected]

Hadleigh D.

A workers compensation judge told me to hire this lawyer for a relatives work comp claim. He was right, this lawyer is great.

Response from the owner:Thanks Hadleigh. I've handled 100 plus trials and 1000's of injury claims for injured workers over the past 25 years across the entire state of Missouri. Unlike these large law firms with their silly ads and their monthly settlement quotas, I hire experts and try cases. I've represented Missouri workers comp claim adjusters and insurance company doctors because they know I fight for injured workers. Gold bless James Hoffmann, attorney 314 361 4300

ReAnna N.

Work injury cases need a great lawyer who will fight to get treatment and pay. This lawyer does it. Most do not. He also gets you rated. Most lawyers do not. Best lawyer for Workers Comp in St. Louis.

Response from the owner:I appreciate your kind words ReAnna. I do not hesitate to hire experts for reports from pain management doctors, shoulder specialists, back specialists and life care plans for catastrophic injuries. If a biased work comp doctor releases my client too early and my client wants more treatment, we send the injured worker to our docs for opinions on additional treatment. Whether the injuries are work comp or a car accident, we spend a lot of money on expert witnesses. Law Office of James M Hoffmann St. louis, MO injury attorney 314 361 4300

tony B.

Great service use Hoffman a few back

Response from the owner:Proud to be representing injured Missouri workers and car accident victims for over 25 years. The law firms advertising bigger is better is a bunch of crap. Being in Missouri courts for 25 years, trying cases for 25 years, and taking 1000's of expert depositions for 25 years makes you a good lawyer. James Hoffmann Missouri personal injury and workers comp lawyer. 314 361 4300

Gladys C.

James Hoffman has done a great deal of work for me since my accident and he's been working very hard to get me back on my feet he fights for his clients and I very well appreciate him.

Response from the owner:Thank you Gladys. It is my passion to fight for the injured in Missouri. You suffered severe injuries requiring surgery. Insurance companies think injury claims are a game but its not. People have bills to pay and family to provide for. Unlike the "big" law firms that settle cheap to pay for advertising costs, I hire experts and try cases. God bless.

Sonya D.

Mr. Jim Hoffman is the best Lawyer in Mo, If I just can give him a 10 star out of 5 I will give him a 10 star, They are the greatest.

Response from the owner:Very kind of you Sonya. Both workers comp and car accident insurance companies like to play the game of blaming pre-existing degenerative changes even though someone had no prior pain, no prior limitations, and no prior treatment to the body part at issue. This happens a lot with back injuries such as herniated or ruptured lumbar and cervical discs that require a fusion or disc replacement surgery. I have developed an extensive cross examination of the insurance company experts to expose their flawed opinions. Glad to fight for the injured. Jim Hoffmann St. Louis injury attorney 314 361 4300

unpopular_kid

amazing service, got my speeding ticket (which was over 40) down to a parking violation.

Response from the owner:Car accidents, work comp, and other injury claims in Missouri are my specialty. But, glad to help anyone in need. If I don't practice in the area, such as discrimination or medical malpractice, I will refer only to the best attorney's who I know and trust.

Edward W.

Does great with Workers Compensation cases in Saint Louis, MO area.

Response from the owner:Work comp and car accident cases in Missouri for over 25 years. We have sued trucking companies for wrongful death. Our clients have undergone lumbar/cervical fusions, shoulder surgeries,knee surgeries, hip replacements, carpal tunnel, ankle replacements.. we know injuries. We hire experts. We try cases. Thanks Law Office of James M Hoffmann 314 361 4300

There does not have to be a fault in a workers’ compensation case; proof that the injury directly results from your job is needed. If you are being treated for a disease or condition that may have been caused by a regular part of your work duties, an experienced workers’ compensation attorney can help you determine whether or not you qualify for benefits.

Repetitive Motion Injuries

In the United States, repetitive motion injuries are among the leading injuries in workers’ compensation claims. Most are often associated with carpal tunnel syndrome. However, repetitive motion injuries can also include bursitis and tendinitis. Bursitis is inflammation of the cushions protecting your joints. It develops over time, usually by placing direct pressure on the affected joint for long periods. Workers such as gardeners who spend a lot of time on their knees are susceptible to developing bursitis in the knee joint. Tendinitis is an inflammation of the tendons that connect the muscle to bone. Since tendons pull the muscle that controls the bone, injury is often caused by repeating the same action. Office workers who spend long periods typing on a keyboard are susceptible to developing tendinitis in their wrists. In fact, for every 100,000 full-time workers, 1.1 will develop tendinitis.

Tendinitis of the elbow is known as epicondylitis or, more commonly, tennis elbow, as it is seen primarily in tennis players. For example, imagine a Missouri bus driver goes to their physician complaining of elbow pain and is initially diagnosed with epicondylitis. The development of bone spurs worsens the joint’s condition, requiring removal surgery. Bone spurs occur in about 20% of tendinitis cases. The employer’s insurance denies the claim. At this point, a Missouri workers’ compensation attorney could bring in experts to show how using the stick shift caused the condition.

4 Ways Employers Can Help Prevent Repetitive Strain Injuries

1. Encourage Employees to Take Breaks and Move Around

This cannot be emphasized enough. Employees must take breaks every 20 minutes when performing the same task repeatedly. This will allow them to stretch their muscles.

At the same time, employers should encourage employees to move around and be active outside work. They may do this by providing them with gym memberships or organizing workplace sports teams.

2. Make Sure Employees Have the Right Equipment

One of the most critical ways employers can help prevent repetitive stress injuries is to ensure that employees have the right equipment for the job. This includes ergonomic furniture such as chairs, desks, keyboards, proper tools, and safety gear.

Employers should also train employees on how to use this equipment properly. For example, workers who use a computer all day should know how to set up their workstations ergonomically and take breaks to avoid eye strain.

3. Change the Workplace Layout

The layout of the workplace can also impact the risk of repetitive stress injuries. For example, if workers constantly reach for something, moving it closer to them may be helpful. Alternatively, if a task requires employees to stand for long periods, employers could provide them with a stool or raise the height of the work surface.

4. Educate Employees About Repetitive Stress Injuries

One of the best ways to prevent repetitive stress injuries is to educate employees about the risks and how to avoid them. Employers should provide information on the symptoms of repetitive stress injuries, how to prevent them, and what to do if they occur. This information can be disseminated through posters, handouts, or online resources.

Additionally, employers should hold regular safety meetings to ensure that employees are up-to-date on the latest information on repetitive stress injuries and other workplace safety issues.

Seek Legal Advice

If an action related to your job is suspected of causing your disease or condition, contact a Missouri workers’ compensation lawyer immediately. Remember, you typically have 30 days after the initial diagnosis to report it to your employer. Failing to do so may put receiving workers’ compensation benefits at risk. Your attorney can help you draw up the written notice, including your name and address, the date of diagnosis, and the nature of your injury, particularly how it relates to your work.

Workers’ compensation benefits are available to anyone who requires medical care due to their employment, not just those who have an accident. There is no need to prove negligence.

If you have recently been diagnosed with a disease or condition commonly found to be work-related, speak to the experienced workers’ compensation attorneys at The Law Office of James M. Hoffmann. We’ve been helping injured workers in Missouri for over 30 years and can help you navigate the claims process and ensure you receive the benefits you deserve. Contact us today to schedule a free consultation.