Work Injuries
Work Injury Types and Settlements in Missouri
Whatever got hurt, the questions are the same: what does the claim cover, and what is it worth.
Each year, thousands of Missouri workers are injured on the job, and many are denied benefits or receive only a portion of what they are entitled to. For more than 30 years, the Law Office of James M. Hoffmann has represented injured workers across the full range of work injuries, throughout Missouri and the greater St. Louis area.
Find your injury below. Each guide covers what the injury involves, what drives the settlement, and what to check before you sign anything.
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Workers Comp Guides by Injury Type
Nine guides, one for each of the most common serious work injuries in Missouri. Start with yours:

Shoulder & Rotator Cuff
Rotator cuff and bicep tears, surgical repairs, and what a shoulder settlement should cover.
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Back, Neck & Spine
Herniated discs, fusions, and spine injuries that change what you can do for a living.
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Knee, Hip & Leg
ACL and meniscus tears, fractured kneecaps, and real knee settlement results.
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Hand, Wrist & Elbow
Carpal tunnel, fractures, and the scheduled-loss math behind hand injury settlements.
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Hernia
Missouri’s special proof standard for hernia claims and what the surgery claim covers.
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Head, Brain & Neurological
Concussions and brain injuries, and why these claims should not close early.
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Hearing Loss
Gradual or sudden hearing loss from workplace noise, covered as an occupational disease.
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Amputations & Crush Injuries
Specific loss, the Missouri schedule, and what the schedule leaves out.
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Repetitive Trauma & Occupational Disease
Injuries and illnesses that build over years, from repetitive strain to toxic exposure.
Learn MoreEvery Injury Type
We Handle the Full Range of Work Injuries
The guides above cover the most common serious injuries, but the practice covers every injury that comes out of a Missouri workplace, including:
- Broken bones, ligament tears, nerve injuries, cuts and lacerations, and internal injuries from falls, machinery, and overexertion.
- Construction, scaffolding, crane, and industrial plant accidents, including explosions and safety violations.
- Toxic exposure, pulmonary and respiratory injuries, vision loss, heart conditions, and psychological injuries.
- Musculoskeletal disorders, aggravation of pre-existing conditions, off-site work injuries, and fatal accidents, where death benefits support the family.
Some work injuries also involve a negligent third party, defective equipment, or another company on the job site, which can add a claim beyond workers’ compensation. Bring the whole story to the consultation, because the extra claim is often the larger one.
Common Situations
Where Injury Claims Go Wrong
The claim gets denied. Insurers deny claims for many reasons, some legitimate and many not, and deadlines apply to your response. A denied claim is the start of the fight, not the end of it.
The employer disputes the injury. Employers and insurers sometimes challenge whether the injury happened at work at all, which makes early reporting and clean documentation the backbone of the claim.
The settlement comes in low. Amounts depend on the injury, your wage rate, your rating at MMI, and future medical needs. Understand how the number was built before you accept anything.
A Trial Firm
How we prove injury claims
In 2025 alone, our firm spent over $700,000 on expert witnesses. Injury cases are proven the same way they are won: physicians who connect the work incident to the injury, and preparation that treats every disputed claim as one that may need a judge.
Our firm handled roughly 1 in 4 of recent workers’ compensation trials at the St. Louis Division of Workers’ Compensation, out of hundreds of attorneys representing Missouri workers. Insurers know which firms will actually try a case, and it changes how they negotiate.
When the claims administrator knows a trial firm is on the file, refusals of care get reconsidered.
Common Questions
Work injury questions we hear every week
What types of injuries does Missouri workers’ comp cover?
Any injury arising out of and in the course of employment where work is the prevailing factor, from single accidents to occupational diseases that build over years. That includes the nine categories above and everything in between, whether the claim was accepted or denied.
What is my work injury settlement worth?
It depends on the diagnosis, your permanent rating and restrictions, your wage rate, and whether future medical care stays open. The full breakdown is on what a Missouri workers’ comp case is worth, and each injury guide above covers the factors specific to that injury.
What if I have more than one injury from the same accident?
Each injury is rated, and the combined effect on your ability to work drives the claim. Where a new injury combines with a prior disability, the Missouri Second Injury Fund may provide additional benefits.
When should I talk to an attorney?
Before you sign anything, and ideally before the rating is done. The consultation is free, and the questions that matter most, restrictions, future medical, and how the offer was calculated, are exactly the ones to ask early. Every case is different; results depend on the facts.

About Attorney Hoffmann
Talk directly with Attorney James M. Hoffmann
For more than 30 years, James M. Hoffmann has represented injured Missouri workers, and only injured Missouri workers.
When you call, you talk with the attorney handling your case, not a call center and not a junior associate. Questions about your work injury are exactly the kind to ask before you settle, not after.
Find out what your injury claim is worth before you settle
Whatever your injury, the release you sign decides what the rest of it costs you. The consultation is free, and you talk directly with Attorney James M. Hoffmann.