What is Farm and Labor Medicine?

In the most simple terms, Farm and Labor Medicine means approaching people who use their bodies for their jobs as a unique group of patients. The field of Sports Medicine is a specialty of orthopedic surgery dedicated to understanding in treating the injuries of athletes. This requires a fundamental understanding of the different athletic activities and different injuries thereof. Dr. Goding focuses his practice on understanding and treating the conditions which prevent people from functioning and working. In order to further this understanding he is actively involved in visiting job sites and interviewing workers and employers in an attempt to understand these issues specifically. He feels that laboring workers are distinct enough group to warrant specialized attention from orthopedic surgeons. To this end he has written an article which will be published in the major journal of the American Academy of Orthopedic Surgeons. He is hoping to open a broader discussion among orthopedic surgeons about the issues and injuries associated with laboring workers.

By understanding injuries injury mechanisms and job demands Dr. Goding better tailor treatments to the specific needs of the patient. Just as a sports medicine doctor will spend time on the field of play to understand injury mechanisms and sport demands, Dr. Goding gives that same attention to the laboring worker. The lessons he learned by providing on-field coverage for sports teams and treating sports injuries for 10 years he is now employing to gain a better understanding of the needs and demands of the laboring worker.

Dr. Goding is providing cutting edge joint preserving treatment for conditions like early osteoarthritis of the knee and “unfixable” rotator cuff tears. Dr. Goding is the first surgeon in the CU area and one of the first in the nation to perform the Superior Capsular Reconstruction for massive rotator cuff tears or previous failed repairs. This ground breaking procedure truly fixes a previously unfixable problem for which oftentimes patients either had no option or the option of a reverse total shoulder replacement. His experience with this procedure mirrors the success being described by some of the nation’s leading shoulder surgeons. Dr. Goding is planning laboratory and clinical research to further validate this procedure.

Dr. Goding is also the first surgeon in the area and one of the first in the nation to perform the subchondroplasty procedure. This minimally invasive outpatient alternative to joint replacement shows tremendous promise to prolong the life span of the patient’s own knee, and significantly delay the need for total knee replacement. By injecting a calcium phosphate cement into the lesions of early arthritis, Dr. Goding cannot only treat the pain associated with early arthritis but actually may be able to slow down the progression of the disease. As chief clinical coordinator of theTissue Biomechanics Laboratory in the College of Mechanical Engineering and University of Illinois, Dr. Goding is able to do ground breaking research on this procedure. He is in the final stages of planning a study which leading surgeons and industry representatives believe will THE benchmark study on this procedure.

Dr. Goding believes that by approaching laboring workers as a primary practice focus he can best provide care for the specific conditions the prevent people from working and functioning normally in life. The added benefit to other people in his practice is that his expertise in treating serious conditions of the shoulder and knee in the laboring worker, leads to treatments that are useful in all middle aged and older patients with shoulder and knee problems. Dr. Goding is on the leading edge and is in fact the first surgeon in the nation specifically dedicate his practice to joint preservation and treatment of shoulder and the conditions in the laboring worker. By doing this his expertise in treating shoulder and knee problems in the middle-age and older patients in general continues to grow and all of his patients benefit.