By Gianna Bergstrom
As hurricane season approaches in South Florida, attention is typically directed toward infrastructure, emergency supplies, and evacuation planning. However, a consistent and often underrecognized consequence of storm preparation and post-storm recovery is an increase in orthopedic injuries. Orthopedic providers in the region observe predictable injury patterns related not to the storm itself, but to the physical demands of preparation and cleanup.
Pre-storm activities–such as installing shutters, moving outdoor furniture, clearing debris, and securing property–frequently involve repetitive overhead motion, heavy lifting, and using unfamiliar tools. These activities can contribute to acute injuries as well as exacerbations of underlying degenerative conditions.
Shoulder and elbow injuries are among the most common cases during this period. According to Dr. John Hinson, an orthopedic surgeon specializing in shoulder and elbow conditions at Palm Beach Orthopaedic Institute, patients frequently present with rotator cuff strains, tendinitis, and ligament sprains following prolonged or improper use of the upper extremities. Tasks that involve lifting overhead, operating power drills, and carrying heavy objects can place significant strain on the shoulder girdle and elbow joints. Individuals who are not accustomed to these movements, particularly older adults and those with preexisting conditions, are at a higher risk.
Preventive strategies for upper extremity injuries include pacing activities over several days, using proper lifting mechanics, and avoiding sustained overhead work without rest intervals. When possible, the use of assistive devices or additional personnel to distribute workload may reduce strain. Early recognition of symptoms such as persistent pain, weakness, or reduced range of motion is important to prevent progression to more significant injury.
Lower extremity injuries, particularly involving the hips and knees, are also frequently observed during hurricane preparation and recovery. Dr. Jonathan Shaw, another orthopedic surgeon at Palm Beach Orthopaedic Institute, specializes in hip and knee conditions. He sees an increase in cases of knee sprains, meniscus injuries, and exacerbation of osteoarthritis during this time. These injuries are often associated with lifting heavy debris, navigating uneven or wet surfaces, and performing twisting movements under load.
Post-storm environments can also increase risk due to unstable footing, poor visibility, and debris-laden terrain. Slips, trips, and falls are common mechanisms leading to injury. Individuals may underestimate the physical demands of cleanup efforts, especially when working for prolonged periods without adequate rest or hydration.
Risk mitigation for hip and knee injuries includes wearing supportive footwear with slip-resistant soles, being aware of environmental hazards, and avoiding sudden or forceful twisting movements while carrying loads. Individuals with known joint disease or prior injury should consider delegating high-risk tasks or using protective bracing where appropriate.
Across all injury types, fatigue is a significant contributing factor. Extended work periods without breaks can impair coordination and increase susceptibility to injury. Adequate hydration, scheduled rest intervals, and realistic task planning are essential components of injury prevention in hurricane-preparatory season.
Healthcare facilities and providers may anticipate a seasonal increase in orthopedic cases associated with hurricane activity. Public education efforts that emphasize safe preparation practices may reduce the incidence of injuries and associated healthcare utilization. Messaging should focus on practical, accessible guidance tailored to a broad population, including older adults and individuals with limited prior experience in manual labor.
While hurricane preparedness remains essential for community safety, awareness of the associated physical risks is equally important. Incorporating injury-prevention strategies into storm-preparation plans may help reduce the burden of avoidable orthopedic conditions during this period.
To learn more about Dr. John Hinson and Dr. Jonathan Shaw at Palm Beach Orthopaedic Institute, please visit www.pboi.com.
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