When somebody is suffering from neck pain, their choice of treatment can make a huge difference in their comfort, their recovery, and their ability to function at their former levels. For a professional athlete, that difference can dictate how fast they’re able to return to their career, the extent to which they’re able to recapture their former skills, and even whether they’re forced into early retirement. In 2021, National Hockey League player Jack Eichel fought for his right to have the surgical procedure he preferred—artificial disc replacement (ADR)—and prevailed against the reluctance of the league. His experience paved the way for other professional athletes to get ADR and illustrates potential advantages of the procedure over spinal fusion.
Jack Eichel suffered a herniated disc during a game with the New York Islanders while he was playing as center for the Buffalo Sabres. Eichel wanted to undergo ADR to treat the injury to both shorten the recovery time he would need to get back on the ice and to preserve range of motion in his neck. Buffalo team physicians balked, however, over concerns that the artificial disc would not hold up to the rigors of professional hockey. The team insisted that he have a spinal fusion surgery instead.
Eichel held firm on his preference, which led to him being traded to the Las Vegas Golden Knights. His new team acquiesced to his preference, and he had the ADR procedure only eight days after joining them. He skated for the first time with the Golden Knights three months after that against the Colorado Avalanche. By contrast, recovery from fusion surgery, which permanently fuses two or more vertebrae together, can require an absence of six months or more from competition as the bones heal.
His former team’s hesitancy is understandable—while ADR has been around for decades, it had not previously been tested in NHL hockey, which is a notoriously physical sport. Now, several seasons later, it is clear Eichel’s choice has served him well. In the 2023 Stanley Cup playoffs, his six goals and twenty assists over twenty-two games helped Las Vegas win the Stanley Cup, and in the current season he is on pace to have the best individual season of his career. His successful experience also opened up the option for other NHL players to undergo ADR in lieu of spinal fusion, including Chicago’s Tyler Johnson and Philadelphia’s Joel Farabee.
Professional athletes in the prime years of their careers are acutely aware that an injury robs them of time they can’t get back again. ADR replaces a damaged disc with a synthetic prosthesis that is designed to function like a normal spinal disc in a minimally invasive procedure, which both reduces the time a patient must spend in the hospital and speeds up their overall recovery. For individuals who rely on their physical ability to perform well in their chosen sport and whose window of opportunity to excel is short, being able to preserve their range of motion and get back to full activity faster are powerful incentives to consider ADR as a treatment option. It is also less likely to lead to future surgeries than spinal fusion, as preserving natural motion reduces the risk of developing adjacent segment disease (ASD).
For nonathletes and those whose interest in sport is only recreational, and who are still in pain despite receiving conservative care such as physical therapy, ADR can also be a beneficial alternative to major surgery. While not every neck or back problem can be solved through ADR, it is an effective treatment for many painful, debilitating conditions. Consulting a spine specialist experienced in both ADR and spinal fusion can help you evaluate your options and determine which treatment is right for your case.
You don’t have to be a professional hockey player to have your life derailed by neck pain. Dr. Tiffany Rogers, a board-certified orthopedist with a background in physical therapy, specializes in spine care and can help you find the least invasive option to effectively treat the cause of your pain. To find out more about ADR, contact us here to schedule your appointment.