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Sports hernias impacting NHL players of all ages, including potential No. 1 pick Nolan Patrick

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Months removed from sports hernia and hip surgeries, Claude Giroux still didn’t feel like himself.

The Philadelphia Flyers’ captain finally got back to normal by the end of the season, roughly nine months after going under the knife.

“I thought it’d be quicker, to be honest,” Giroux said. “It’s harder than I thought it would’ve been.”

Because of the unnatural motion of skating, hockey is among the most common sports for sports hernias, a catch-all term for what are also called core muscle injuries. Within the past couple of years, Jamie Benn of the Dallas Stars, Patrice Bergeron of the Boston Bruins, Jason Zucker of the Minnesota Wild, Karl Alzner of the Washington Capitals, Shayne Gostisbehere of the Flyers and goaltender Mike Smith of the Arizona Coyotes are among the NHL players to have an operation to repair a sports hernia or core muscle injury.

Dr. L. Michael Brunt, who has been a St. Louis Blues team physician since 1994, estimates that anywhere from six to 15 players each year undergo some type of sports hernia surgery – and it’s on the rise across all ages. Brunt, who has performed the surgery on Joel Ward, Mike Green, Matt Cooke, Doug Weight and others, believes the increase over the past 10 to 15 years has to do with better recognition of abdominal and groin injuries that are common in hockey, soccer and football players.

He also believes that too much repetition among young athletes in a single sport can cause problems, something others have blamed for more Tommy John surgeries among younger and younger pitchers.

“It’s because of the sudden propulsive movements: turning, cutting, etc., that occur at high rates of speed,” Brunt said. “Young athletes are committed to one sport very, very early on, and so there are these repetitive movements that occur because they’re not doing three or four sports year-round and mixing up their physical sports activity. They concentrate on one sport, and it’s that gradual wear and tear over the years that tends to predispose them to developing something like this.”

The recovery from surgery varies drastically from player to player, too. Nolan Patrick, who’s expected to be a top pick in the NHL draft next week, had surgery on his right side last summer, came back too soon and missed three months of his season.

Read more:

Potential No. 1 overall pick Nolan Patrick to miss world juniors

Nolan Patrick, potential top pick, dealt with two hernias

“Everybody’s different so it’s hard to put a blanket on it,” said veteran Dallas defenseman Dan Hamhuis, who played a full 82 games and had one of the best seasons of his career after summer sports hernia surgery in 2011. “There’s lots of variables: different surgeons doing it, different levels of tears. Some guys it’s just a simple hernia and mesh insertion. Other guys have (adductor muscles that) could be torn and then it’s a whole thing. … I think rehab was a huge part of it, and of course everybody has different rehab programs.”

Dr. William Brown , a California-based sports hernia specialist, said many different muscles, nerves and tendons can be injured – and inexperienced surgeons can miss other injuries in the area.

“Some of the athletes respond poorly because not everything’s fixed appropriately at the time of surgery,” Brown said. “If (other injuries) are missed, then that could be another one of those reasons why the athlete doesn’t heal quickly after the operation’s over.”

That’s one explanation for Patrick being limited to 33 games for the Western Hockey League’s Brandon Wheat Kings during his draft year. The 18-year-old center said he should have had two surgeries but isn’t dwelling on the situation as he looks forward to the draft.

“There’s a ton of guys that have these injuries these days and everyone bounces back from it,” said Patrick, who took two full months off skating from October to December before returning in January. “It happens to a lot of hockey players and mostly comes from over-usage. … It’s a tough bounce, but you know it’s the way it goes sometimes.”

When he came back, Patrick put up 16 goals and 42 assists in 28 games before a leg injury ended his season. Former NHL executive Craig Button, now a draft analyst for Canadian sports network TSN, said Patrick was more careful when he came back the second time and looked like an elite prospect again.

“Initially there was a little bit of a working-in process,” Button said. “But after he got right up to speed, I thought he was right back to where he was at.”

Patrick’s injury history is a question for the New Jersey Devils, who have the top pick, and it led the Flyers, who draft second, to bring him in to see their doctors after the scouting combine.

“I’ve had to take care of my hips and groins for my whole career, so I’ve learned how to manage that properly,” Hamhuis said. “To stay around in this league, you’ve got to stay healthy and allow your body to be in a good position.”

 

Rookie coaches enjoying chess match that comes in playoffs

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Rod Brind’Amour does not think what he is doing is anything special.

Brind’Amour not only has the Carolina Hurricanes in the playoffs in his first season as coach but has made the necessary adjustments to tie their series against the defending Stanley Cup champion Washington Capitals at two games apiece. Along with Washington’s Todd Reirden and Jim Montgomery in Dallas, Brind’Amour is one of the rookie NHL coaches in the playoffs whose decisions are playing major roles in the first round.

Just don’t tell him that.

”The coaching thing is fun. I think it’s a little overrated,” Brind’Amour said earlier this week. ”You open the door and you say, ‘Go play.”’

Brind’Amour’s Hurricanes are playing at their peak with the chance to put the champs on the brink of elimination if they win Game 5 Saturday night in Washington (8 p.m. EDT, NBC). Carolina has already dealt with a concussion to 19-year-old Andrei Svechnikov and an upper-body injury to big winger Micheal Ferland, and is expected to be without Jordan Martinook because of a lower-body injury that happened in a 2-1 Game 4 win Thursday.

The Capitals have a major injury concern of their own now after a hit from behind from Warren Foegele knocked winger T.J. Oshie out indefinitely. Devante Smith-Pelly was recalled from the minors and will go directly into the lineup. There could be more changes from Reirden after his team failed to score a 5-on-5 goal the past two games.

”That’s the game within the game,” Reirden said Friday. ”It’s up for me and our staff to decide how to fill those voids in different areas and put players in situations to succeed and if it’s not working you’ve got to also know when to stop and try something new.”

Craig Berube knew that moment had come in the middle of the St. Louis Blues’ Game 5 against the Winnipeg Jets. The interim coach who took over in November moved David Perron on to the top line in place of Brayden Schenn, and the savvy change helped the Blues come back from a two-goal deficit to win in regulation and take a 3-2 series lead going into Game 6 at home (7 p.m. EDT, NBCSN).

”Our team responded to it,” Berube said after the comeback win. ”You don’t score, you’ve got to change it up a little. It was a good time to make the change.”

Montgomery, who played with Brind’Amour for a brief time with Philadelphia in the 1990s, hasn’t had to make big-time changes but saw the Stars finally break through on the power play and find some offense in Game 4 against the Nashville Predators to tie that series. Dallas goes into Game 5 at Nashville (3 p.m. EDT, NBC) with the chance to put the Central Division champions on the ropes.

”They feel like we’re challenging them, for sure,” defenseman John Klingberg said. ”We’re giving them a tough fight.”

Montgomery instills that fight in his team after joining the ranks of college coaches to jump directly to the NHL. This isn’t the Frozen Four, where he led Denver twice and won a national title, but Montgomery is adjusting on the fly quickly in his first Stanley Cup playoffs.

”I’m like a baby learning how to walk right now,” Montgomery said. ”The downs have been like, ‘OK, how do we get better.’ The ups have been, ‘Let’s keep getting better.’ I feel we continue to get better in this series, which is a good feeling for all of us.”

Carolina has gotten better and better since allowing three goals on eight shots in the first period of Game 1. Brind’Amour credits his players, including goaltender Petr Mrazek for some timely saves, but he clearly made some tactical switches to turn the series around – even if he won’t say what.

”Can’t tell you that,” Brind’Amour said with a laugh. ”I think it’s just wet got to our game a little better.”

And there’s Brind’Amour, again, sounding like the veteran coach he already looks like.

BATTLE OF ATTRITION

Injuries played a role in the Columbus Blue Jackets’ shocking sweep of Tampa Bay, and they could tip the balance for Nashville-Dallas, too.

The Predators have been without forward Brian Boyle since Game 1 after an appendectomy, and forward Wayne Simmonds has been out since taking a one-timer from Roman Josi off the inside of his left knee. They’re considered week-to-week, but Boyle and Simmonds skated with the team Friday.

”I had my appendix out when I was in high school, you’re literally out for months and months,” Laviolette said. ”That was a long time ago. Now it’s somebody being able to be back and playing in less than a week is unbelievable. So he looked really good out there today. Wayne the same thing. When it first happened, we were thinking it might be that long and it’s never an exact science. But they’re both out there and they look good.”

Dallas could have forward Mattias Janmark back in the lineup after a lower-body injury caused him to miss the past two games.

The Capitals know they won’t have Oshie for a while. And while Brind’Amour quipped after Game 4 that the Hurricanes are dealing with more injuries, Oshie’s absence will take a chunk out of Washington.

”He’s a heart-and-soul guy,” goaltender Braden Holtby said. ”The thing with Osh is no matter what he’s going to find a way to have a positive impact on our team. … He’s a leader and he’s a guy that guys want to fight for.”

Whoever wins the Carolina-Washington series will face a shorthanded New York Islanders opponent in the second round. General manager Lou Lamoriello said defenseman Johnny Boychuk will miss three to four weeks with a lower-body injury.

AP Sports Writers Schuyler Dixon in Dallas, Teresa M. Walker in Nashville and Joedy McCreary in Raleigh contributed.

Follow AP Hockey Writer Stephen Whyno on Twitter at https://twitter.com/SWhyno

More AP NHL: https://apnews.com/NHL and https://twitter.com/AP-Sports

The Wraparound: Hurricanes keep believing as they eye series lead vs. Caps

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The Wraparound is your daily look at the 2019 Stanley Cup Playoffs. We’ll break down each day’s matchups with the all-important television and live streaming information included.

Winning breeds confidence and the Carolina Hurricanes’ success this season has continued into the Stanley Cup Playoffs. As they seek to take a 3-2 series lead on Washington Capitals Saturday night (8 p.m. ET; NBC; Live stream), they’ve envisioned this possibility since earlier this season as the chemistry in the dressing room and on the ice developed.

“There’s always been a belief with our group from day one that we could be in this situation. If the fans and the people are starting to believe, that’s great,” said head coach Rod Brind’Amour. “The most important thing is the guys believe.”

That belief was reinvigorated after their 2-1 win in Game 4. The Hurricanes had lost six straight to the Capitals before taking both games at PNC Arena. Now heading back to D.C., it’s a best-of-three series now and both teams will be missing key pieces with Andrei Svechnikov and T.J. Oshie out.

“We’ve always believed [we could win], right?” said Hurricanes captain Justin Williams. “We had lost six straight games to them after Game 2, close ones albeit, but lost them. So winning that one in Game 3 was big, this one is big, and they just keep getting bigger.”

Carolina knows that winning two in a row won’t cause the defending Stanley Cup champions to panic. They realize they need to continue their dominant possession play and timely scoring to keep the momentum going as they hit the road.

“A team that’s that experienced, I don’t think they get frustrated,” said Brind’Amour. “You might a little bit, but I don’t think they’re sweating it too much.”

[NBC 2019 STANLEY CUP PLAYOFF HUB]

TODAY’S SCHEDULE

Game 5: Stars at Predators, 3 p.m. ET (Series tied 2-2): The Stars exploded in Game 4 scoring five times, chasing Pekka Rinne and winning the only game in the series that wasn’t decided by a single goal. After scoring on their first two shots of the game, Dallas kept the pressure on and quickly built up a 4-0 lead with three of them coming via the power play. “It hurt us, so discipline is definitely something that is on the plate,” said Predators head coach Peter Laviolette. “We’ve got to play a cleaner game.” (NBC, Live stream)

Game 6: Jets at Blues, 7 p.m. ET (Blues lead 3-2): If this series tells us anything, the Jets should have a grand old time seeing as how the home team has been unable to win in their own building through five games. Jaden Schwartz broke some hearts on Thursday night and put the Blues on the verge of advancing to Round 2. “We’ve been down before and I’m sure the guys will come back, regroup tomorrow, watch some film and get ready for Game 6,” said Jets forward Kevin Hayes. “We have to stay positive in this room.” (NBCSN, Live stream)

PHT’s 2019 Stanley Cup playoff previews
Capitals vs Hurricanes
Bruins vs. Maple Leafs

Predators vs. Stars
Blues vs. Jets
Sharks vs. Golden Knights

Power Rankings: Why your team won’t win the Stanley Cup
NHL Stanley Cup Playoffs: Round 1 schedule, TV info

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Sean Leahy is a writer for Pro Hockey Talk on NBC Sports. Drop him a line at phtblog@nbcsports.com or follow him on Twitter @Sean_Leahy.

The Playoff Buzzer: Wilson’s brace helps Avalanche through; Andersen bounces back

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  • Auston Matthews and Kasperi Kapanen scored 2:12 apart in the third to push the Bruins to the brink
  • Avalanche trample Flames, sending Calgary crashing out of the playoffs

Maple Leafs 2, Bruins 1 (TOR leads 3-2)

A game where neither team gave the other much time through two periods ended in a bit of a flurry as Toronto, led by Auston Matthews, (controversially) found two goals in 2:12 in the third. It would prove to be enough, with the Bruins scoring with less than a minute left and their net empty. Toronto has a chance now to finally oust the Bruins on Sunday.

Avalanche 5, Flames 1 (COL wins 4-1)

Colorado fanned the Flames right out of the playoffs with an impressive, and surprisingly easy Game 5 win. Calgary didn’t provide much resistance facing elimination and are now the second top-seed team in the playoffs to be sent packing. Mike Smith could only do so much with the lack of scoring he received. And Calgary could only watch as Colorado’s top line of Mikko Rantanen, Nathan MacKinnon and Gabriel Landeskog trampled all over them.

Three stars

1. Colin Wilson, Colorado Avalanche

Two goals, one assist and a second-period effort that put the Flames down 4-1. Wilson first two goals of the series helps the Avs put their foot on the throats of the Flames. Wilson also assisted on Mikko Rantanen’s first of the night, a goal that stood as the game-winner.

2. Kasperi Kapanen, Toronto Maple Leafs 

Auston Matthews’ goal may be tainted by a controversial non-call on a goaltender interference challenge. There was no doubt about Kapanen’s goal, however, and it proved to be the deciding marker in a close game. Kapanen had a great game and nearly scored shorthanded earlier in the game on a breakaway. He’ll sleep soundly knowing his first of the playoffs was a crucial one. Kapanen added an assist on Matthews’ goal and had three shots on goal.

3. Frederik Andersen, Toronto Maple Leafs

After allowing five goals on 30 shots in Game 4, Andersen surrendered just one in Game 5 to put the Boston Bruins on the brink of elimination.

Highlight of the night

Tic-tac-toe:

Controversy of the night

Factoids

  • Never before had both top seeds from their respective conferences been eliminated in the first round. (Frank Seravalli)
  • The Maple Leafs are 19-5 when leading a best-of-seven series 3-2. (NHL PR)

Thursday’s Games
Game 5:
Stars at Predators (Series tied 2-2), 3 p.m. ET, NBC (Live Stream)
Game 6: Jets at Blues (STL leads 3-2) 7 p.m. ET; NBCSN, (Live stream)
Game 5: Hurricanes at Capitals (Series tied 2-2), 8 p.m. ET, NBC (Live Stream)


Scott Billeck is a writer for Pro Hockey Talk on NBC Sports. Drop him a line at phtblog@nbcsports.com or follow him on Twitter @scottbilleck

Avalanche douse Flames as Calgary fanned from playoffs

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It’s taken just nine games for both No. 1 seeds from their respective conferences to be ousted from the Stanley Cup Playoffs.

Nine. And the team that tied an NHL record for wins in a regular season went out in four. The 107-point Calgary Flames resisted for an addition game as the eighth-place Colorado Avalanche dispatched them in five games after a 5-1 win on Friday.

In the NHL’s storied history, over 100 years of existence, never have the top seeds from each conference from the regular season been put out in the first round.

After the Columbus Blue Jackets shocked the hockey world earlier this week, the Avalanche sent similar tremors when they fanned the Flames, Colorado’s first series win in 11 years

It’s hard to imagine.

Maybe Colorado was burned out a bit after clinching the final playoff spot just a few days earlier. Maybe it was Smith’s solid outing after he was given the vote of confidence heading in as the starter despite his struggles down the stretch

Maybe it was all a facade.

Game 1 seemed more like what many thought this series would resemble as Mike Smith and the Flames shutout the Avs 4-0.

Colorado made a third-period comeback in Game 2 and then won the game in overtime. The momentum carried into Game 3, where Colorado scored six to take the series lead. Finding themselves down once again in the third, the Avs erased a 2-0 deficit to tie the game and then one once again, emphatically, in overtime.

Game 5 was just a continuation of Colorado playing better and finding a way.

The Avs built a 2-0 lead, allowed a goal with six seconds left in the first, and then took over in the second and third.

Colin Wilson scored a brace in the middle frame and Mikko Rantanen scored this fourth and fifth of the series just 57 seconds into the third to really put this series to bed.

Perhaps there’s something to be said for teams playing meaningful games down the stretch. The Avalanche did so every night until Game 82. An off-night could have spelled disaster, so there was that heightened sense of urgency and ability to play at a high level right out of the gate, even if Game 1 didn’t suggest that.

Calgary, better rested, took advantage in Game 1, but Colorado’s pace was just too much after that.

Smith, who had all sorts of question marks dragging in the tin cans behind him. But he put a lot of that to rest in Game 1, and then was solid the rest of the series. His problem was lack of run support.

Johnny Gaudreau? One assist.

Sean Monahan? One goal, one assist.

Elias Lindholm? One goal, one assist.

Matthew Tkachuk? Two goals, one assist

The Flames found just seven goals in the final four games. That won’t do it in the playoffs, even with Smith playing well. .

Calgary led the lead with a league-low 28.1 shots allowed per game in the regular season. They entered Friday’s game allowing a league-high 43.3, over 15 more per game (and eight more than the next most-peppered team in the playoffs this year.

And, most importantly, they couldn’t stop Mikko Rantanen (five goals, four assists) or Nathan MacKinnon (three goals, five assists.

Colorado’s top line came as advertised. In fact, they combined (along with Gabriel Landeskog) for 21 points in the series, more than all of the Flames’ 12 forward combine.

Calgary’s regular-season offense proved more false advertising.

“Calgary didn’t _____” will be a popular fill-in-the-blank question in southern Alberta for the days and weeks to come as try to figure out what went wrong in the postseason.

Aside from Tampa’s epic exit, Calgary’s is not far behind in terms of unlikelihood. If nothing else, both series show that all a team needs to do is get into the playoffs. From there, the sky’s the limit.


Scott Billeck is a writer for Pro Hockey Talk on NBC Sports. Drop him a line at phtblog@nbcsports.com or follow him on Twitter @scottbilleck