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  • Common Golf Injuries and Prevention Strategies


    GolfSpy_KFT

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    Common Golf Injuries and Prevention Strategies

    Photo Credit: The Central Orthopedic Group

    As with any sport, injuries are bound to appear in the game of golf. Injuries not only impact us at home and at work but also hinder the progress we are able to make with our game. If you’re injured, you’re losing valuable time to practice, play and improve. The majority of injuries golfers will face in a lifetime are the result of overuse or the frequent, repetitive motion and posture used for the golf swing. In this article, we will discuss some of the most common golf injuries and strategies we can take to prevent them. 

    Why Injuries Occur

    How to prevent golf-related injuries begins with understanding why and how they occur. Injuries in sport occur due to an amount of pressure or force that is applied on the body that exceeds its tolerance threshold. A good example of this is an ACL tear in a basketball or football player. A sudden change of direction or awkward landing imparts force the ligament cannot withstand, causing it to tear. 

    In the golf swing, strong, repetitive rotational forces are being placed on the body each time we swing. Impact with the ground applies additional force, and stress, that our body needs to be able to tolerate and withstand over many repetitions. Our swing mechanics will also play a role in potential risk for injury. Physical fitness has  become a priority in today’s professional golf landscape and is a key to injury prevention. 

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    Photo Credit: Rochester Regional Health

    Common Golf Injuries

    Outlined below are some of the most common injuries that will occur over a golfer’s lifespan. Consider yourself lucky if you’re able to avoid all of these completely. The common theme you will see with these is they are predominantly overuse injuries. 

    Back Pain

    • The golf posture lends itself to a predisposition for lower back pain. You spend hours on the course for an 18-hole round repeatedly addressing the ball to take a swing. As “back pain” is quite a general term, we can take a look at three predominant categories of golf-related back injuries.
      • Lumbar strains. Essentially another way to describe back pain, this muscle pain is caused from excessive strain. These will typically be diagnosed as soft tissue injuries.
      • Disc herniations. These occur when the padding between your vertebrae move out of place.
      • Spondylosis or osteoarthritis of the spine. This occurs when the cartilage in a golfer’s spine breaks down over time and is typically found in older individuals.

    Rotator Cuff Injuries

    The rotator cuff, which is made up of four individual muscles, provides stabilization and support to the shoulder joint. Golfers will often experience a muscle strain or complete tear of one or more of the muscles of the rotator cuff when this type of injury occurs. Golfers may also experience rotator cuff tendinitis, swelling of the cuff tendons.

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    Photo Credit: Back in Balance Wellness Center

    Golfer’s Elbow

    Golfer’s elbow causes pain where the tendons of your forearm attach to the bony bump on the inside of your elbow. This injury may cause inflammation and radiating pain that spreads throughout your forearm muscles and into your wrist. This is a very similar injury to tennis elbow and typically occurs due to excess or repetitive stress through forceful wrist and finger movements.

    Wrist Injuries

    • The most common wrist-related injury in golf is a sprain. Wrist sprains could be the cause of poor swing mechanics (think a fat shot that you don't get the clubhead through the turf smoothly) or the abrupt stoppage of the clubhead at impact due to striking a rock or tree root.
    • Tendinitis, an inflammation of the tendons of the wrist, is another common overuse injury among golfers.
    • Carpal tunnel syndrome occurs when the nerves in the wrist are compressed. The result of this overuse injury may lead to temporary numbness and tingling in the hands. 

    Hip Injuries

    Some common injuries to the hip can include general pain, muscle strains and hip instability. Hip pain most commonly stems from general wear and tear of the joint as we age. However, hip pain can also be the result of overuse and poor mechanics, which impact the swing and power we are able to generate. Muscle strains, as discussed previously, occur when fibers of the muscle are damaged. Instability of the hip arises from too much motion within the joint of the hip itself.

    Prevention Strategies

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    Photo Credit: Blog by golfballs.com

    Now that we've discussed a multitude of potential injuries a golfer may face over the course of their playing life, let's take a look at some prevention strategies to help mitigate the risk of injury. Just like the golf swing, injury prevention is not a "one size fits all" strategy or solution. Finding a routine that works best for you is key not only to reducing your risk of sustaining an injury, but also your ability to perform it consistently. We will discuss a variety of things you can incorporate into your daily routine to help you reduce the likelihood of an injury and make you feel better and stronger physically. 

    The Warm-Up

    This one may seem like common sense, but if you polled 10 golfers and asked them whether they perform a proper warm-up (raking balls on the range doesn't count), I'd venture to guess that three or four (tops!) would say yes. I want you to think back to your high school years. Whether you played football, basketball, baseball, soccer, volleyball or softball (you get the idea), odds are you performed a warm-up of some sort before the game. Warm-ups allow us to prime our body for movement. We are able to target a specific group of muscles through these activities that are relative to our sport. Some great dynamic stretches you can perform on the range before your round include:

    • Standing Core Rotations
    • Wide Stance Crossing Toe Touches
    • Shoulder Dislocate Mobility Stretch
    • Lateral Arm Swings

    You could also look to add something like Therabody's Theragun, a portable percussive massage device, to your warm-up routine. Percussive massage can help to alleviate aches and pains while providing relief for sore muscles. 

    Strength Training

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    Photo Credit: TRX Training

    I am a firm believer that a healthy body is a strong body and, regardless of your age, you can and will benefit from adding strength training to your weekly routine. Again, a “one size fits all” approach to strength training does not work, as each individual is unique and has different limitations to what they are able to perform physically. 

    If you currently do not have any strength training in your routine, start slowly by adding some bodyweight exercises like squats, lunges, push-ups and planks. Aim to perform two to three sets and 10 to 15 repetitions of each exercise. You can modify these exercises to fit your current fitness level as well. For example, if you cannot perform a standard push-up, modify it so your knees, not your feet, are on the floor. If that is still too challenging, brace yourself against a table or wall to perform them. For planks, set a time goal you'd like to hold the position for and work your way up to it. 

    If you're short on space or don't like going to the gym, check out the PRO4 System suspension Trainer from TRX. You could also add their Rip Trainer to incorporate some golf-specific training into your routine. TRX uses your body weight as resistance to perform a multitude of exercises and is a great training tool that accommodates all levels of fitness.

    Mobility Exercises

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    Increasing your mobility, or the range of motion through which you can move, will also help to reduce the likelihood of sustaining an injury. If you're looking to increase your mobility and feel better physically in general, make sure you check out this article on some exercises you can add to your routine today.

    Recovery Techniques

    Equally as important as the warm-up, recovery techniques like static stretching allow us to lengthen our muscles after repetitively shortening them through activity. Ice and heat therapy can also relieve sore muscles and help speed up the recovery process. The RecoveryTherm Cube from Therabody provides hot and cold therapy in one compact package. Use heat to relieve sore muscles and stiffness and help with muscle spasms. Heat therapy has also been shown to improve blood circulation, getting more red blood cells to the target site to aid in increasing recovery. Cold therapy can help to relieve pain, inflammation and swelling in joint, muscle and soft tissue injuries.

    Conclusion

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    Photo Credit: OrthoVirginia

    With any and all injuries, I cannot overstate the importance of scheduling an appointment with your primary care provider if you feel you may have sustained an injury beyond general stiffness or soreness. I get it, this means more time away from the course, which is not what any of us wants. However, the timely diagnosis of an injury may be treated through physical therapy without surgery. By ignoring the nagging or lingering pain you are experiencing, you run the risk of exposing yourself to significant injury and even more time away from the game.

    We hope now you have a better understanding of the most common golf injuries and are now better equipped with prevention strategies to keep you playing your best golf all of the time.


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    Recommended Comments

    Great article and some truly key items to remember.  ANY physical activity no matter how simple or extreme requires some modicum of fitness awareness! Even a simple friction blister between 2 fingers can create enough discomfort to disrupt your swing,  grip, pressure, etc.

    If you do nothing, do this, stretch! Do it daily for even 10 minutes. 

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    4 minutes ago, StrokerAce said:

    Great stuff!

    For those that walk, don't forget about stretching your legs as well! 

    I am curious @GolfSpy_KFT - what are your thoughts on using devices like the Orange Whip or SKLZ Gold Flex before a round? Sufficient? Use these along with some pre-round stretches? 

    I don't have any direct experience with either product, but in my opinion, anything you can do/enjoy doing to prepare your body for a round is going to be beneficial. Adding some static/dynamic stretching beforehand would still be my preference, but it is different for everyone. Both great for getting your core and trunk warmed up for the rotational aspect of the golf swing, though! 

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    15 minutes ago, Owengeorge13 said:

    The article is great.  The random photos of people being hurt or stretching are awesome, I love that sort of stuff.

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    There's absolutely an element of comedy in all of the stock style photos of someone showing an "injury" and I think makes it so relatable to readers. There's nearly always some sort of physical kink/discomfort I am trying to work out before/during/after a round!

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    20 minutes ago, GolfSpy_KFT said:

    I don't have any direct experience with either product, but in my opinion, anything you can do/enjoy doing to prepare your body for a round is going to be beneficial. Adding some static/dynamic stretching beforehand would still be my preference, but it is different for everyone. Both great for getting your core and trunk warmed up for the rotational aspect of the golf swing, though! 

    @StrokerAce my wording wasn't great in the bolded section. I'd add the stretching before using a product like the orange whip or gold flex, not in place of. I think that would create a really well rounded warm up routine.

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    Absolutely keen on stretching after my outing this past Sunday. I took a buddy out for night golf on his birthday. While I stretched, he swung the club at least 10 times at the tee box. By the back nine, he had slowed down a lot as his back and knee were killing him. He pulled through but the audible groans were not the most pleasant sound. Definitely going to take your advice on the therapeutic gun and work on strengthening my shoulder. A blown rotator cuff sounds atrocious.

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    13 minutes ago, Michael.Sandoval33 said:

    Absolutely keen on stretching after my outing this past Sunday. I took a buddy out for night golf on his birthday. While I stretched, he swung the club at least 10 times at the tee box. By the back nine, he had slowed down a lot as his back and knee were killing him. He pulled through but the audible groans were not the most pleasant sound. Definitely going to take your advice on the therapeutic gun and work on strengthening my shoulder. A blown rotator cuff sounds atrocious.

    Shoulder injuries are no joke. I've dealt with issues with my left shoulder from years of baseball (was a pitcher and played some college ball). Thankfully never a rotator cuff, but strengthening and stabilizing the shoulder joint is super important!

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    I attended a week long golf school in Tucson 25ish years ago and every day started with a series of stretching exercises from head to toe. I have religiously followed this exercise routine before I play ever since and have successfully avoided injury. Arriving at the course with enough time to complete this series of stretches before teeing off really helps physically and mentally prepare me for the round. No running from the parking lot to the 1st tee just in time for me!

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    On 2/23/2024 at 10:10 AM, StrokerAce said:

    Great stuff!

    For those that walk, don't forget about stretching your legs as well! 

    I am curious @GolfSpy_KFT - what are your thoughts on using devices like the Orange Whip or SKLZ Gold Flex before a round? Sufficient? Use these along with some pre-round stretches? 

    Great article, and I agree that stretching is important.  As I age (I'm 78), I realize just HOW vital it is to maintaining even just normal functions.   I have an Orange Whip, and have used it fairly regularly for 3 years, but I suspect that it has caused me problems with my left shoulder (I'm right handed).  Last season I began noticing daily soreness with that shoulder.   It did not keep me from playing....in fact the soreness would go away while playing or hitting balls.... but the rest of the time I felt the soreness.   I began wondering if the super flexibility of the shaft of the Orange Whip was multiplying the weight at the end and putting an excessive amount of torque which strained the shoulder.....

    MAYBE I was swinging it too hard (I was swinging it at my normal tempo and speed), but I have noticed that over the winter, since I'm not playing or swinging the OW, that my shoulder soreness has gradually declined.   I still feel it, but not nearly as much as it was while using the OW.   So, even though I think it's a GREAT practice device for tempo, feeling the clubhead lag, etc. I think I'm going to stop using it and just swing a weighted club.....or maybe even nothing at all except for  stretching.  Of course, maybe it's just an age thing too....I know I'm getting up there and with age comes "aches and pains."                  Just my .02 cents worth.....

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    Great article, and I have only one thing to add. 

    Strength training is a must. Especially if injured. In my right shoulder I have suffered a medial rotator cuff tear, repair, tear off, and a severely damaging bicycle crash.  Then I had my right knee replaced last year.

    The physical therapist in both the knee and shoulder insisted that strength training (never ending) was the key to a pain free damaged/repair zone.   Stretching and warm up are a must (do them both ), but if your lats aren't strong enough to pull your club head through that heavy wet sand out of a fairway bunker or quads and low back aren't strong enough to support and turn your torso on that awful side hill lie where the ball is 12 inches below your feet and the grass is wet you are going to hurt at the end of the day. 

     

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    1 hour ago, EnderinAZ said:

    Great article, and I have only one thing to add. 

    Strength training is a must. Especially if injured. In my right shoulder I have suffered a medial rotator cuff tear, repair, tear off, and a severely damaging bicycle crash.  Then I had my right knee replaced last year.

    The physical therapist in both the knee and shoulder insisted that strength training (never ending) was the key to a pain free damaged/repair zone.   Stretching and warm up are a must (do them both ), but if your lats aren't strong enough to pull your club head through that heavy wet sand out of a fairway bunker or quads and low back aren't strong enough to support and turn your torso on that awful side hill lie where the ball is 12 inches below your feet and the grass is wet you are going to hurt at the end of the day. 

     

    Absolutely agree with you. My background is in sports performance training and I agree that it is an essential part of overall sustained health. There will be more articles to come that highlight strength training specifically.

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    3 hours ago, EnderinAZ said:

    Great article, and I have only one thing to add. 

    Strength training is a must. Especially if injured. In my right shoulder I have suffered a medial rotator cuff tear, repair, tear off, and a severely damaging bicycle crash.  Then I had my right knee replaced last year.

    The physical therapist in both the knee and shoulder insisted that strength training (never ending) was the key to a pain free damaged/repair zone.   Stretching and warm up are a must (do them both ), but if your lats aren't strong enough to pull your club head through that heavy wet sand out of a fairway bunker or quads and low back aren't strong enough to support and turn your torso on that awful side hill lie where the ball is 12 inches below your feet and the grass is wet you are going to hurt at the end of the day. 

     

    1000 percent agree - and what I might add is that it doesn't have to be muscle building i.e. getting larger; using weights to train is just as important as cardio and flexibility training. you will feel better and perform better.

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    Disagree the golf posture has any influence on back issues. If that was the case every pro would Have back issues. It’s improper setup at address and improper sequencing and tilting in the swing that causes issues for most people. Things like too much trail side bend (see zalatoris and his issues) also something couples has done as a compensation in his swing which led to issues.

    some injuries come from areas that aren’t the exact location of the pain. Poor shoulder mobility can lead to elbow issues as can how the forearms and wrists are working. 

     

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    1 hour ago, RickyBobby_PR said:

    Disagree the golf posture has any influence on back issues. If that was the case every pro would Have back issues. It’s improper setup at address and improper sequencing and tilting in the swing that causes issues for most people. Things like too much trail side bend (see zalatoris and his issues) also something couples has done as a compensation in his swing which led to issues.

    some injuries come from areas that aren’t the exact location of the pain. Poor shoulder mobility can lead to elbow issues as can how the forearms and wrists are working. 

     

    If someone has limited mobility or ROM in the lumbar spine, for example, that could in turn lead to an increased risk of injury directly related to the golf posture. It's not necessarily a black and white statement. Movements a golfer makes throughout the swing will certainly play role in the risk of injury, but to completely dismiss the golf posture as a potential cause is incorrect IMO. 

    When speaking about compensations, that also plays into the golf posture lending itself to injury. Someone who lacks core strength to stabilize the trunk during a golf swing may put too much reliance on the muscles of the lower back, which could lead to an increased risk of injury.

    Again, it is not a black and white statement or definitive statement to me, so if reads as that way, it was not the intention.

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    3 minutes ago, GolfSpy_KFT said:

    If someone has limited mobility or ROM in the lumbar spine, for example, that could in turn lead to an increased risk of injury directly related to the golf posture. It's not necessarily a black and white statement. Movements a golfer makes throughout the swing will certainly play role in the risk of injury, but to completely dismiss the golf posture as a potential cause is incorrect IMO. 

    I didn’t dismiss golf posture I stated improper posture can lead to issues, good golf posture will be less likely to unless for example there’s someone like Jason day, zalatoris, at some point Niemann and others who have bad swing movements like too much side bend or restricted hip turn. I agree to claims I was disagreeing with this statement. This is nearly a back and white statement. Good golf posture and good swing mechanics will very rarely cause any back pain issues. 

    Back Pain

    The golf posture lends itself to a predisposition for lower back pain.

    Limited range of motion in of itself won’t cause back pain, it’s when the golfer with limited rom tries to do things they plysicslly can’t do and then have to make compensations for it that lead to issues. I played a lot of golf with 70+ aged golfers with limited range of motion. None of them had back issue because they never did anything that they weren’t physically capable of.

    9 minutes ago, GolfSpy_KFT said:

    When speaking about compensations, that also plays into the golf posture lending itself to injury. Someone who lacks core strength to stabilize the trunk during a golf swing may put too much reliance on the muscles of the lower back, which could lead to an increased risk of injury.

    I doubt that zalatoris or day lack core strength and they both had back issues caused by bad swing mechanics. So has most everyone else who practiced the hip restriction trend of the early 2000s.

    Compensations don’t always come from lack of physically strength or core strmfhr. Most people’s compensations come from improper sequencing of the swing and improper mechanics which causes the club to be out of position and thus things like dumping the trail shoulders and trail side bend to shallow the shaft and then having to early extend to get to the ball. I’ve seen this move from guys that are physically fit and resistance train and have strong cores.

     

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    I am 73, had a spinal fusion 3 years ago due to a plasmacytoma of the L4. 1 ½ years later I developed full blown Multiple Myeloma -- a blood cancer. Underwent chemo for 4 months and then had an autologous Bone Marrow Transplant in March of 2023. I am now in Complete Remission -- but the way back has been tough. Several years ago I tore the Rotator Cuff in both shoulders -- about 8 months apart. 

    Needless to say my body was a weak wreck for golf. In January I added lifting light weights to my daily stretching routine. I now work out at least 6 days per week -- and the difference is amazing. Being stronger has made all the difference in my ability to control the swing, etc. I've lost 20 lbs and picked up muscle as well. 

    It is never too late...I went from being on the verge of giving up golf to being stronger and more flexible than I was 5 years ago.  Get off the sofa and out of the recliner and start exercising!!

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