Showing posts with label groin. Show all posts
Showing posts with label groin. Show all posts

Sunday, October 19, 2014

Hockey and Hernias, Part IV: Men's Pelvic Health


“Have you ever had a pelvic exam?” my PT specialist asked.

Sure, I surmised. Doctors’ hands thumping on the region between my fifty-year-old hips, physical therapy, and surgery—all that must count for something, right?

No, this would be a different kind of probing, an internal exploration of the pelvic floor region.

Yikes. Okay.

After the test, eight sessions of myofascial release, prescribed light pelvic movements and a ton of Internet research, here’s what I’ve discovered.

Pelvic health problems apply to women and men. Just because we males don’t bear children doesn’t mean we’re exempt from chronic pelvic pain syndromepudendal neuralgia, pudendal nerve entrapment or a combination of these (pelvic myoneuropathy).

“Pelvic” pertains to more than what meets the hip.

The perineum supports the diaphragm, bladder and bowel and is bordered by the pelvic floor.

We have two superficial transverse perineal (STP) muscles. They stabilize the perineum. They remind me of shock absorbers. In my case, the left STP is more clenched—as if bracing itself against additional injury—than the right.

Many people, myself included, have forgotten how to breathe like a baby; stress and fatigue cause us to inhale through the chest rather than through the rib cage, thus putting unhealthy pressure on the perineum.

Everything’s connected: Abdominal bloating, pelvic floor and radiating pain come and go and vary in type intensity and duration, but guided meditationdiaphragmatic breathing, playing the guitar, walking and light exercise can deflate the symptoms and, more importantly, the negative “here-it-comes-again/what-am-I-doing-wrong/I’m-never-going-to-be-free-of-this thinking that enters my mind.

Progress will be slow and is best measured by what pain I can tolerate or how often I reach for Advil. For example, if I play golf and am not debilitated the next day or two (did that twice in the last month), then I’m on the right track.
My STP is more relaxed than it was before the eight sessions.
Dealing with healthcare insurance and the pending appeal for additional sessions is a pain in the perineum.

I have options as I await that decision and for UMASS Worcester to develop a better MRI: Restorative yoga, cold laser therapy or trigger point massage for hockey players.


I can’t say when or even if I’ll ever return to the AMHL but am grateful for the opportunity to help others with this same injury and similar conditions. I’m grateful for the proactive professionals who care about and for me and who have responded to email. I thank goodness for financial and spiritual stability, the guitar my mom and dad gave me, my wife, my hockey friends and….the list goes on as long as I want it to.



Monday, July 14, 2014

Hockey and Hernias, Part III: Plan B, Plan Let's See

A lot of AMHlers and other hockey friends have asked me when I’ll be back playing hockey.  I’m grateful for their compassion and support.

Not sure, is what I tell them, or I shrug my shoulders.

Have I retired?

No. Well, probably. At least from real competitive hockey. Maybe not, though, from pick-up activity. My return to any form of significant exercise other than walking will depend upon what magic the hockey gods might contribute to my healing. I want to alleviate the pain incurred from surgery to fix what medical professionals refer to as athletic pubalgia and/or a sports hernia.

Essentially, it’s an injury affecting the pelvic floor or inguinal canal. As I’ve mentioned in previous posts, diagnosis is difficult because MRI’s usually don’t reveal the damage that we know is there and that will not heal on its own. (Any doctor who tells you to “give it time because you’re old” and who is not familiar with this conditions probably isn’t the right doctor for you.). Surgery tends to be the only recourse to find the torn tissue.

For those of you who’ve benefited from surgical repair, more power to you. I wish you continued hockey happiness.

For those whom surgery has not healed, or who too often feel even worse, you may find company at this Mayo Clinic online forum or perhaps here, where I’ll continue to share my experience.

I don’t fault my surgeons for their baffled reactions to why my pain is just as intense and more widespread than what it was before surgery in 2010; they were clear from the outset that about five percent of surgeries are unsuccessful. The reasons, from what one of my surgeons has told me, are all over the map.

The surgeon can inject steroids to the painful area and call for additional MRIs. In my case, these steroids haven’t helped, and additional MRIs (from different providers) have not shown any evidence of damage. Exploratory surgery is not something the surgeon wants to do, and I don’t blame him.

Rather than waiting for MRI technology to improve, I’ve researched options for those of us who want to get back to focusing on sports, fun, family…whatever arena that gives us purpose and contentedness.

Pelvic floor therapy. My new Plan A. This is not about “strengthening the core,” what traditional physical therapists help their clients with; this is about releasing what might be an entrapped nerve.

Trigger point massage. Probably Plan B. Larry Warnock here in the Boston area has been a terrific resource. He’s proactive in the TPM community and responsive to email. If you’re outside New England, ask a local TPM therapist about what Larry “Thejocdoc” Warnock calls a “pelvic unwind.” My insurance doesn’t cover massage, but the cost is reasonable and not prohibitive.

Cold-laser light therapy. Plan C? Proactive and responsive to email also describes acupuncturist Craig Armine. He’s based in Phoenix, AZ and tells me that it’s important for cold laser administrators, typically chiropractors and acupuncturists, to use 500 milliwatt lasers in a cluster formation at a wavelength of 810 nm.

Magnetic Resonance Neurography. Partly because MRN is a relatively new procedure, it’s much more expensive than an MRI. I’m not sure if insurance would cover it. And I hear that the MRN may not define the problem.

I’ll let you know more in August, after I visit with a pelvic floor specialist.

Please email with any questions. I’m happy to help. 

Continued here.

Sunday, May 12, 2013

Charles Bradley: Pucks, Pets and CAN-AM Camaraderie, Part I

May 11, 2013
Saturday morning
West Concord, MA

The AMHL Photographer and I sit at our usual table at Dunkin’ Donuts, discussing an upcoming doctor appointment to address my Humpty Dumpty Groin.

She notices a familiar face entering the place, and I look left to watch Charles Bradley, an AMHLer, a veterinarian and one fine Canadian, approach. Wearing a solid bold blue short-sleeved shirt and smiling, he extends his right hand to meet mine.

Half of his left thumbnail is black and blue. Looks like a hockey injury to me. Charlie raises his hands, like a begging beagle, to reenact his awkward attempt to block a shot during a 3–1 loss on Tuesday morning. He laughs at himself.

Despite his Avalanche losing to the Leafs and his bruised lunula, Charlie seems happy, like the same fellow I got to know ten years ago, when he shared his hockey (and donut) story with me.

I asked him on that Tuesday morning in March, 2003, “Given your preference, Tim Hortons or Dunkin’ Donuts?”

Just then someone opened the fire escape door, not because of an emergency but because the door was closer to his car. This triggered a fire alarm bell.

“Tim Hortons,” Charlie said.

Tim Hortons, I say, OK.

“Definitely.”

I had a feeling, but there was a pause

“Because of the bell,” he says.

I switch from donuts to hockey and learn that Charlie was born and raised in Montreal (pronounced MUN–tree–all) and started playing hockey when he was four or five years old. 

“Our grade school was in Loyola Park, and we had four hockey rinks and one skating rink right behind us. The City maintained it.” Charlie said. “And in those days (1960s), we didn’t have really artificial ice, except for the (Verdun Auditorium) and Montreal Forum. Well, we played hockey every day; we played because the rinks were maintained by the City.”

These were outdoor rinks?

Charlie said, “Outdoor ice, yeah. And the guys would come out, the municipal workers would come out and flood every night. They were illuminated, and we could play all the time unless there was a thaw. It was great. That’s where we learned our skills.”

As we chat after his Tuesday morning game, comedian and AMHL mainstay Chris Howell interrupts us. “I just want to say that Charles Bradley is probably the biggest liar I’ve ever met.”

“Thanks a lot, Donut Boy,” Charlie replied, enjoying the friendly exchange.

After Donut Boy exited, I asked Bradley if he had aspirations of playing junior hockey.

Loyola High School, he said. "Pretty high-level hockey.”

The Jesuit-run school, created for English-speaking Catholics in the Côte-Des-Neiges—Notre-Dame-De-Grâce neighborhood of Montreal, resides on Rue Sherbrooke and is contained by Concordia University, a few blocks west of Parc Loyola.

Charlie wore the school’s maroon and white sweater.

“We did tournaments, and we were usually the champions or near the top in the Montreal league,” he said as the Zamboni did its thing around the Valley Sports rink. “And we had our rink, so that helped a lot. We skated every day. We skated probably about seven to ten hours a week. It was good for skills as well.”

After high school, though, hockey took a back seat to professional studies. He graduated from The University of Guelph Ontario Veterinary College and then worked at dozens of practices in the next almost twenty years, travelling from Ontario to New Hampshire and Massachusetts.

He found his way back to hockey, though. In 2000 or 2001, Charlie says that after learning of the AMHL at a Valley Sports Stick Time session on a Friday afternoon, he registered to play.

“I was really surprised at the level of hockey,” he said. “This is a nice league because, the difference to me, other than the time, is that everyone plays hockey for the fun of it. They don’t take it too seriously. That was a real put-off for me when guys were getting really really serious, competitive, and angry at each other, smashing each other and holding grudges. We don’t see that in this league. And the idea of rotating the teams through is really good. Having the time after for the CAM-uh-rah-duh-rie and fellowship, that makes it really good.”

But financial struggles—tough to earn find stability in a veterinary market where clinic ownership can change hands— took him away from his passions: taking care of cats and dogs and playing hockey. He dabbled in local home renovation, but that endeavor never took off. He and his family decided to move to Ontario in 2009.

Upon learning of the move across the 49th Parallel, AMHLers expressed their respect for Charlie by email.

“On behalf of all the AMHL officials, we would like to extend our best wishes to Charlie and his family as they go back to the mother country. Bradley was a great competitor and statesman from Canada and will be missed,” wrote Referee Peter Bagley.

Terry Loebs: “I will remember Charles Bradley as the most accomplished backchecking defenseman in AMHL history, and the all-time leader in evoking the same question ("Is that guy playing 'D' or forward?") among AMHL newbies. Good luck, Charles (eh?)”

Mike Schneider wrote, “Nicest guy off the ice. On the ice? Tenacious, quick, strong. A beast on defense. The kind of guy you fear going towards or fear may be on your heels. If you beat Charles, you know you played your best.”


Now, Bradley is back in business and back in the game. At the Dunkin’ Donuts in West Concord, he’s his same old amiable self as he sits at the table next to my wife and me. Caring to the core about pets and humans alike, Charles Bradley listens to my wife describe my ongoing injury saga and makes a suggestion or two from his own experience as a hockey player and animal doctor. (You’ve probably seen the bumper sticker, “Be kind to animals. Hug a hockey player.” Right?)

Stop by Domino Veterinary Hospital (DVH), Charlie says, I’ll give you a brochure for the doctor that fixed my wrist.

He stands up to get in line for his coffee as my wife and I prepare to leave. 

Sunday, July 25, 2010

Hockey and Hernias, Part II: Clarification and Recommendations

(Continued from Part I)

“Groin injuries are like a box of chocolates: You never know what you’re gonna get.” -Forrest Ghimp ("h" is for hockey and hernia)

Many a hockey player—whether you’re a professional like Andrew Ference or an amateur like me—has done the hockey hobble. Most of us are familiar with groin injuries, incurred or witnessed, but far fewer are unfamiliar with or confused by terms such as sports hernia, athletic pubalgia, and Gilmore’s Groin. These conditions are discussed on the Web, but the data can be overwhelming, and in some cases conflicting, so my purpose here is to condense and categorize, to sift and to simplify. Coupling what I’ve learned from my experience with this kind of injury with the comprehensive Internet research, I hope to help those who are hindered by groin injuries.

Let’s start, then, with the general terms and drill down to the more specific:

Groin: For purposes of these posts, I’ll distinguish between lower groin (below the crease formed by the leg and abdomen; the femoral region) and upper groin (region between the abdomen and the aforementioned crease; the inguinal region). I can’t speak to lower groin injuries as my injuries were upper groin problems—except to say that abdominal muscles and corresponding nerves are connected to the lower span the two regions.

Hernia: This condition is most often caused by a weakening in the wall of a muscle. Hernias are more common in men than in women, can occur at a variety of locations, and vary in origin and cause.

Inguinal hernia: The abdominal wall was weak at birth (a.k.a. congenital hernia) or weakened later on in life (a.k.a. hernia), the latter sometimes a result of repeated pressure in sports like hockey and soccer. Two types of inguinal hernias are the direct and indirect.

Indirect hernia (a.k.a. congenital hernia, true hernia): This is the most common hernia, where the protrusion or bulge of intestines has breached the abdominal wall.

Direct hernia (a.k.a. acquired hernia): This one can often go undetected by MRIs and/or x-rays and thus is more difficult to diagnose. The fascial tissue (more on that in a future post) of the inguinal floor and/or abdominal wall is weakened. The destabilized abdominal wall may not break, however, and thus not become an indirect hernia.

The definitions above are widely accepted in the medical community, but terms such as sports hernia, Gilmore’s groin, slapshot gut, and athletic pubalgia are sometimes used interchangeably even though some believe sports hernia and athletic pubalgia, for example, are different injuries.

Despite the disagreement on definitions, the doctors who diagnose and treat these injuries have come to the same conclusion: Time does not tend to heal hernias; in most, if not all, cases no amount of rest, ice, heat, elevation or Ibuprofen will fix these conditions. Surgery is often the only solution.

The remaining question, then, is which procedure to perform. Here again, as with the symptoms and diagnoses, surgeons don’t agree on a standard procedure. A common consideration is whether or not to use mesh: Is laparoscopic (a minimally invasive procedure) surgery the solution or is a deeper trip down the inguinal canal required? And when does removing mesh make sense?

As I suggested in the disclaimer, I don’t have all the answers and can only focus on my own experience. The most important thing, for me, was to find a doctor that would understand the complexities of the diagnosis and treatment. Thus, I needed someone familiar with my symptoms and who has treated other adult hockey players.

Although my doctors, Brian Busconi and Demetrius Litwin were right for me for a variety of reasons—they both have played hockey, are well-regarded in treating groin injuries (yet perform different procedures), and they collaborated before deciding which surgery was best for me—they may not be right for you. If you’re not in New England, for example, you might want to consider other doctors. With than in mind, I suggest you at least consider the following professionals, even though a thorough Internet suggest of  each may reveal unhappy clients:

California
Dr. William Brown: I’ve never contacted his office, but Dr. Brown’s client list includes the San Jose Sharks.

Georgia
Dr. Jeffrey Hoadley: I’ve never contacted his office, but Dr. Brown’s client list includes the Atlanta Thrashers.

Massachusetts
Dr. Brian Busconi and Dr. Demetrius Litwin: Busconi is a pioneer in this field, and his initial studies more than ten years ago were met with incredulity and criticism from those who are now believers. Litwin, who hails from Saskatchewan, sports an impressive resume and has a terrific bedside manner. That the two collaborate should quell any qualms about inflated egos.

Dr. Scott Martin: Direct and decisive, he recommended my arthrogram, a procedure that fixed the first injury. He’s also a consultant to the NHL.

Dr. John Stevenson: He’s not a surgeon, but his specialty is his unique commitment to spending as much time as necessary finding the right surgeon, as he did for me.

Dr. David Berger: I’ve never talked to him, but he has treated NHL players such as Penguin defenseman Brooks Orpik and Bruin defenseman Andrew Ference

Pennsylvania
Dr. William Meyers: I’ve never spoken to anyone in his office, but Dr. Meyers, who works on Hahnemann University Hospital staff, has treated professionals and amateurs in many sports. Philadelphia magazine also listed him as one of the region’s Top Doctors.

Germany
Dr. Ulrike Muschaweck: I’ve never contacted her office, but she founded the Munich Hernia Center and gets rave reviews from professional and amateur athletes.

Helpful links: A short list of sites I’ve visited

http://www.aafp.org/afp/2001/1015/p1405.html
http://www.sportsmd.com/SportsMD_Articles/id/287.aspx
http://sportsherniablog.blogspot.com/2008/03/sports-hernia-surgeons.html
http://www.sportshernia.com/sports-hernia-approach/sports-hernia-options.php
http://www.thegroinpaincenter.blogspot.com/
http://sports-hernia.net/
http://www.lloydrelease.com/

Stay tuned for my findings on stretching and nutrition as a means for injury prevention. See Part III.

Saturday, July 17, 2010

Hockey and Hernias, Part I: Disquietude and the Disclaimer

The purpose for this post is to help hockey players (and other athletes, as well as those who live with them) who are enduring or susceptible to incurring a common, yet confusing condition: the hernia.

The first in a series, which will include topics such as treatments, nutrition, and prevention, this piece is related strictly to the symptoms and diagnosis.

Disclaimer: I am not a doctor and in no way suggest that you should take any of the information below as the truth for your situation. I can only relay what I’ve learned from my own experience:

In September 2008, during an AMHL game, I was skating backward. I didn’t step on a puck or stick, and I don’t recall over-extending my left leg—when piercing pain in my left groin felled me. I couldn’t rise or skate toward the locker room on my own power, but half an hour later I could walk out of the arena, hefting my hockey bag on my shoulder. Within three or four days, blood had drained down the length of my inner thigh, all the way to my knee. The picture reminded me of a map of Argentina. I was able to ride the stationary bike (not a wise move) without much discomfort, but I quit doing that when my primary care physician told me that I had torn a groin muscle and then recommended rest followed by physical therapy.

Six weeks later, I was back on the ice, only for a few laps of light skating. No pain—at least when I was on the ice. But three days later, the pain returned for no apparent reason.

So, two rounds of PT, an MRI, a pick-up game, seven doctors, one arthrogram, one doozy of a sneeze, and one surgery later, here I am.

Courtesy of Physiqz
I believe I incurred two injuries, which is not unique for those of us who repeatedly and forcefully stride, to the groin: The first was what one orthopedic specialist termed, after analyzing the MRI, a grade one tear that also likely entailed a minor stress fracture as muscle pulled muscle away from the pubic bone. This type of injury, he said, only needed time to heal. But I still had inexplicable onset (delayed) pain, so another orthopedic specialist recommended an x-ray arthrogram, which revealed no major damage, and cortisone, which alleviated the first injury but not the second. The more formidable irritant, what Doctor Number Six (with an assist from Doctor Number Seven) would diagnose as something akin to a direct hernia, required surgery to repair what he would say was “a very large hole” in the inguinal floor (more on that later).

I’m immersed in physical therapy and hopefully on my way to returning to playing hockey. I’m behind schedule yet realize not every patient is on the same recovery timeline. So that gets me back to the crux of the disclaimer: The information below is culled from what I’ve learned in conversations with doctors, comprehensive Internet research, and the day-to-day disquietude of recovery.

If you’re a hockey player or enthusiast, you’re likely familiar with general terms such as groin and hernia. Perhaps, however, you (like me, when I first sought diagnosis and subsequent treatment) are confused by words like athletic pubalgia, inguinal canal, and sports hernia. The information on the Internet can be overwhelming, and in some cases conflicting. Feel free to research these terms on your own, or wait until the next segment, where I’ll post my research results.

Sunday, February 28, 2010

Doozies, Don’ts, and Donuts

The 2010 Olympic Games in Vancouver—and Canada itself—have owned the international spotlight, so I’ve been spying on our northerly neighbor and posting my observations—from Eh to Zed—about this Olympiad at Canadianspy.blogspot.com.

Back here in Boston, I haven’t lost sight of our Bruins. While many citizens of Bruins Nation were clamoring for Ilya Kovalchuk, I anointed myself to special advisor status and posted my plea for patience—don’t sell the farm—at Hockeybarn.com.

From the Olympics and the NHL to the AMHL …A stick salute to Mike “the Eagle” Chase. February 9th marked the one-year anniversary of our AMHL friend’s death. Mikey has surely graduated from our dimly-lit arena to the bright lights of heaven, where you can play hockey whenever you want and nobody nabs the last Boston Kreme.

Happy 60th birthday to Dunkin’ Donuts. To celebrate the accomplishment, Dunkin’ Donuts has resurrected its Donut Contest. Last year’s winning entry, “Coffee for Your Toffee”, will be succeeded by…well, maybe this is the year for the Sour Cream Sunrise. Rather thin pin my hopes to one donut entry, I’m diversifying my donut portfolio and will soon divulge the names of the half dozen doozies I’m developing. Deadline for throwing my donuts into the ring is March 8th, so stay tuned for details.

For those of you who’ve followed the Humpty Dumpty (Sports) Hernia saga, I have an update: Sports hernias don’t appear on MRIs. This I learned from Dr. Brian Busconi, a former Harvard hockey player and a pioneer in diagnosing and treating what he referred to as injuries more commonly found in “mature athletes” like me. Surgery (not yet sure if it will be a deep dive or laparoscopy) is in my near future, but I hope to return to AMHL ice this summer.

Meanwhile, our little donut league is going strong. “Mighty Mike” Edwards has returned from knee surgery, and his Leafs are 6–2. On Wednesdays, Port Huron’s pride and joy, Mike Seeley—who was last seen pushing pedals in Portugal—has returned to the AMHL; the nimble defenseman took a turn in nets and earned a shutout (or so it was recorded at AMHL.com, but Seeley says by e-mail, “Someone thumbed a key when entering stats...I ain't never been between da pipes.”

Not ready for nets to not ready for the AMHL…These bears are probably not ready for the AMHL, but you don’t want to miss this grizzly spectacle.

And now back to the Olympics… I tossed my first few stones. That’s right, I curled for the first time. It was online, of course, (Bostonians who want the real deal: Visit Broomstones.com) but I still got to use a broom. I started off strong, but in the end (I only played one), I lost 0–3.

Finally, I know some readers are wondering who I’m rooting for in today’s gold medal hockey game. I can’t tell you because I don’t know. Not yet. More on that later.

Monday, April 27, 2009

Off the Shelf, Part II: The Hockey Gods Must Be Crazy

Continued from Part I

Wednesday April 22, 2009

The hockey gods must be crazy because they’ve interfered with my plan to play this morning.

After solid and encouraging outings last Wednesday and Friday, I felt strong and sturdy on Saturday and Sunday. But then on Monday and Tuesday, misery and tenuousness reigned supreme in Groinland. And the hockey gods allowed this.

I’ve placed several calls to Puck Paradise but have not yet received a response. Well, that’s not entirely true. In the past seven-plus months, they’ve answered my questions about why I have this pain and discomfort (so that I can learn patience and acceptance and maybe a thing or two more about coaching). But I’m still waiting for a response about the whats and whens. What exactly is the problem? What will it take to fix it? And most importantly, when will I play again?

Despite my residual doubts—maybe I pushed recovery too hard?—I have faith that the hockey halos are pleased with the AMHL Wednesday Sharks.

My oversized Mites, all eight of them on this Spring Break week, don’t need me on the ice this morning against the Canadiens.

The deities are delighted with Kate “Two Cups” Fallon’s timely saves, Greg Longtine’s two goals, and Mike Seeley’s inspired defensive display. And the hockey gods seem to have abandoned Wednesday’s points leader Tim Donahue, who misfires on three golden opportunities. The Sharks end the regular season with another win (14–1–0–1) over Donahue and Les Glorieux (7–7–0–2).

The Canadiens, or whoever next faces the Sharks, may need divine intervention or another plan (or both) to win.

Same goes for me and my groin. Plan B is acupuncture. If that doesn’t work, then the hockey gods must be crazy. Or maybe it’s just me.

Either way, I'm back on the shelf.

Monday, April 20, 2009

Off the Shelf, Part I: No Crying in Hockey

“There’s no crying in hockey,” the AMHL Photographer (also my wife), says to me as the AMHL Canadiens and Rangers play on Rink One.

She’s glad I’m coaching the Sharks—who sunk the Sabres in this morning’s first game—but is tired of me whining and pining to play again. It pains her to watch me nurse a groin injury that has kept me "On the Shelf" since early September.

Next week is Spring Break, so the Sharks will be short-handed. Instead of eleven skaters, we’ll have six or seven. So my "Over-sized Mites" are all but begging me to play the Canadiens next week.

The AMHL Photographer, who hasn’t taken an action picture of me since the second game of last season, likes me more as a player than a coach. (She jokes that she’s like Ricky Bobby’s wife, who, in Talladega Nights, deserts her husband because he’s lost his mojo as a NASCAR driver). Although she’d love it if I were playing, she doesn’t want to hear me boo-hooing if I hoick my groin again.

Adductor longus and its afflicted neighbors: this region of my left leg and abdomen is my Middle East. Just when I think peace might have a chance, hostilities flare. I have more questions than answers, too. What about acupuncture? How long is this going to take? Should I wait until I’m 100% pain-free before skating? I’ve heard everything from “don’t aggravate it” to “skate it off, wussy.”

An orthopedic surgeon has advised me to risk minor setbacks. I won’t know if the injury is healing until press the boundaries. He suggested I start skating before games again, and then go from there.

He didn’t clear me to play but didn’t forbid it either. So I’m taking it day by day.


By Friday morning, the discomfort prompted by Wednesday morning’s pre-game skate has dissipated but has not vanished. Shake and bake, baby; I’m going to give pick-up hockey a go.

Paul “Cadillac”Anastas drives me to the rink, where I reacquaint myself with playing hockey. I forgot my gloves at home, so I borrow his two-tone black and blue backup pair.

An hour later—after all the welcome-backs, a goal, a giveaway in my own zone—sweat drips from my hair and stings my eyes. I love it. I missed it.

“How’s it feel?” my hockey brethren ask about the groin.

Tender, I say as I ice the Gaza Strip. But I m more concerned about how I’ll feel in a day or two. Will this morning’s workout catch up with me this weekend?

Back at home, I call the AMHL Photographer, who made a surprise visit to the rink to watch for a few minutes and is now at work. I tell her how happy I am to be back in the game—at least for today, anyway—and am overcome with gratefulness. I thank her for her patience. “I’m moisting up, gotta go,” I conclude.

Who says there’s no crying in hockey?

Stay tuned for Part II, when—hockey gods willing—I transform my title of coach to player/coach.