Common Ice Hockey Injuries: Treatment and Prevention

May 6, 2022 | Brenn Bolding, PA-C
Orthopedic Knee Recovery

Medically Reviewed by Brenn Bolding, PA-C

Ice hockey is a fast-paced, high-contact sport that demands agility, strength, and resilience. But with its speed and intensity comes a high risk of injury. At Raleigh Orthopaedic, we’re committed to helping athletes stay on the ice and perform at their best—safely. Whether you’re a seasoned player, a young athlete, or a sports enthusiast, understanding common ice hockey injuries and how to manage and prevent them is key to long-term performance and health.

1. Shoulder Injuries

Common injuries: Shoulder separations (AC joint sprains), dislocations, and labral tears.

Causes: Direct impact with the boards, collisions with other players, or falling on the shoulder.

Treatment:

  • Mild injuries may be treated with rest, ice, and physical therapy.
  • Severe injuries might require surgery to repair torn ligaments or the labrum.
  • Our orthopedic specialists may recommend MRI imaging to assess soft tissue damage.

Prevention Tips:

  • Wear properly fitted shoulder pads.
  • Strengthen rotator cuff and upper body muscles.
  • Practice proper checking techniques.

2. Knee Injuries

Common injuries: Medial Collateral Ligament (MCL) sprains, meniscus tears, and anterior cruciate ligament (ACL) injuries.

Causes: Twisting motions during sharp turns or collisions, falls on a flexed knee.

Treatment:

  • Mild ligament sprains may improve with bracing and rehab.
  • Meniscus or ACL injuries often require surgical intervention, including arthroscopy or ligament reconstruction.
  • Our knee specialists provide both surgical and non-surgical options tailored to the injury and athlete’s goals.

Prevention Tips:

  • Strengthen hamstrings and quadriceps.
  • Improve balance and agility through targeted training.
  • Use knee braces when returning from previous injury (as recommended by a physician).

3. Concussions

Common injuries: Mild traumatic brain injuries resulting from falls, hits to the head, or collisions.

Symptoms: Headache, confusion, dizziness, nausea, sensitivity to light/noise, memory issues.

Treatment:

  • Immediate removal from play and medical evaluation.
  • Gradual return to play following a concussion protocol under the supervision of healthcare providers.
  • Persistent symptoms may require advanced imaging and neurocognitive therapy.

Prevention Tips:

  • Always wear a certified, well-fitted helmet.
  • Encourage safe play and discourage head-first contact.
  • Promote awareness and reporting of symptoms.

4. Wrist and Hand Injuries

Common injuries: Fractures, sprains, and tendon injuries.

Causes: Falls onto outstretched hands, contact with sticks or pucks.

Treatment:

  • Splinting or casting for minor fractures.
  • Surgery may be necessary for displaced fractures or tendon injuries.
  • Hand therapy can be critical to restoring function.

Prevention Tips:

  • Wear protective gloves with reinforced padding.
  • Practice falling techniques to avoid landing on the hands.
  • Maintain stick control to minimize risky impacts.

Hockey Injury Treatment in NC

Depending on the level of the injury and the treatment options, the player can return to hockey anywhere between 24 hours and 6 weeks after injury. In very severe injuries, the athlete may not be able to return for the entire season. Most injuries can be treated with rest, ice, and immobilization and do not require surgery.

How to Prevent Hockey Injuries

Wearing appropriate protective equipment can substantially reduce the risk of injury. Proper warm up, particularly stretching, can help prevent muscle strains of the hip. 

You don’t have to be a Carolina Hurricanes player to receive professional care at Raleigh Orthopaedic Clinic. Learn more about sports medicine treatment at Raleigh Orthopaedic and contact us to get started with a sports medicine specialist in Wake County today!

Schedule an Appointment with Raleigh Orthopaedic

If you’re dealing with pain, discomfort, or an injury, don’t wait to get the care you need. Our expert team at Raleigh Orthopaedic is here to help you feel better, move better, and get back to doing what you love. Schedule an appointment online or call us at 919-781-5600 to be seen—often within 48 hours. For immediate care, we offer walk-in orthopedic urgent care services. Click here for hours and locations.

Disclaimer: The information on this site is for general informational purposes only and is not intended as medical advice. It should not be used as a substitute for professional diagnosis, treatment, or medical judgment. Always consult a physician or qualified healthcare provider with any questions you may have about a medical condition or treatment.

Brenn Bolding, PA-C

Brenn Bolding is a physician assistant. Brenn has been a PA with Raleigh Orthopaedic Clinic since 2024.