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Golfing Wrist Injuries

Golfing Wrist Injuries

Golfing wrist injuries are common with treatment requiring 1-3 months of rest and immobilization and if tears are present surgery. Can chiropractic treatment help avoid surgery, expedite recovery, and rehabilitation?

Golfing Wrist Injuries

Golfing Wrist Injuries

Golfing Wrist Injuries: According to a study, there are over 30,000 golf-related injuries treated in American emergency rooms every year. (Walsh, B. A. et al, 2017) Nearly a third are related to a strain, sprain, or stress fracture.

  • One of the most common causes of wrist pain is overuse. (Moon, H. W. et al, 2023)
  • Repeated swinging generates added stress on the tendons and muscles, leading to inflammation and pain.
  • Improper swing techniques can cause the wrists to twist uncomfortably, resulting in inflammation, soreness, and injuries.
  • Golfers who grip the club too tightly can add unnecessary strain on their wrists, leading to pain and weakened grip.

Wrist Tendonitis

  • The most common wrist injury is an inflammation of the tendons. (Ray, G. et al, 2023)
  • This condition is often caused by overuse or repetitive motion.
  • It usually develops in the leading hand from bending the wrist forward on the backswing and then extends backward at the finish.

Wrist Sprains

  • These can occur when the golf club hits an object, like a tree root, and makes the wrist bend and/or twist awkwardly. (Zouzias et al., 2018)

Hamate Bone Fractures

  • When the club hits the ground abnormally it can compress the handle against the bony hooks at the end of the smaller hamate/carpal bones.

Ulnar Tunnel Syndrome

  • This can cause inflammation, and numbness, and is usually caused by an improper or loose grip.
  • It causes nerve damage to the wrist from repeated bumping of the golf club handle against the palm.

de Quervain’s Tenosynovitis

  • This is a repetitive motion injury below the thumb at the wrist. (Tan, H. K. et al, 2014)
  • This causes pain and inflammation and is usually accompanied by a grinding sensation when moving the thumb and wrist.

Chiropractic Treatment

Given the nature of these injuries, medical attention should be sought out for image scans to look at any damage and properly immobilize the wrist. Once a fracture has been ruled out or healed, golfing wrist injuries can benefit from chiropractic and physical therapy(Hulbert, J. R. et al, 2005) A typical treatment may involve a multifaceted approach involving various therapies including:

  • Active release therapy, myofascial release, athletic taping, corrective exercise, and stretching. 
  • A chiropractor will examine the wrist and its functioning to determine the nature of the injury.
  • A chiropractor may recommend using a splint to immobilize the wrist, particularly in cases of overuse.
  • They will relieve pain and swelling first, then focus on strengthening the joint.
  • They may recommend a regimen of icing the hand.
  • Adjustments and manipulations will relieve pressure on the nerves to reduce swelling and restore mobility.

Peripheral Neuropathy Successful Recovery


References

Walsh, B. A., Chounthirath, T., Friedenberg, L., & Smith, G. A. (2017). Golf-related injuries treated in United States emergency departments. The American journal of emergency medicine, 35(11), 1666–1671. https://doi.org/10.1016/j.ajem.2017.05.035

Moon, H. W., & Kim, J. S. (2023). Golf-related sports injuries of the musculoskeletal system. Journal of exercise rehabilitation, 19(2), 134–138. https://doi.org/10.12965/jer.2346128.064

Ray, G., Sandean, D. P., & Tall, M. A. (2023). Tenosynovitis. In StatPearls. StatPearls Publishing.

Zouzias, I. C., Hendra, J., Stodelle, J., & Limpisvasti, O. (2018). Golf Injuries: Epidemiology, Pathophysiology, and Treatment. The Journal of the American Academy of Orthopaedic Surgeons, 26(4), 116–123. https://doi.org/10.5435/JAAOS-D-15-00433

Tan, H. K., Chew, N., Chew, K. T., & Peh, W. C. (2014). Clinics in diagnostic imaging (156). Golf-induced hamate hook fracture. Singapore medical journal, 55(10), 517–521. https://doi.org/10.11622/smedj.2014133

Hulbert, J. R., Printon, R., Osterbauer, P., Davis, P. T., & Lamaack, R. (2005). Chiropractic treatment of hand and wrist pain in older people: systematic protocol development. Part 1: informant interviews. Journal of chiropractic medicine, 4(3), 144–151. https://doi.org/10.1016/S0899-3467(07)60123-2

Golfing Back Injuries Non-Surgical Spinal Decompression

Golfing Back Injuries Non-Surgical Spinal Decompression

Golfing Back Injuries: Golf is an enjoyable game that can be played at all ages. It involves the foundation of the body’s range of motion, the spine. Because of the repetitive nature of a golfer’s unique swing, the repetitive rotating/twisting of the spine slowly degrades the integrity of the spinal discs causing them to bulge, herniate, or rupture. The slightest shift causing misalignment can leave the spine vulnerable to further injury. Non-surgical motorized decompression combined with chiropractic musculoskeletal adjustments can restore and maintain optimal health.

Golfing Back Injuries Non-Surgical Spinal Decompression

Golfing Back Injuries

Golfing involves muscle memory. Going through the walk, bending to tee the ball, recoiling for the swing, swinging and following through, walking to the hole, and bending down to retrieve the ball are all repetitive motions that can lead to:

  • Soreness
  • Inflammation
  • Back, hip, leg, and foot pain.
  • Strains
  • Other injuries to the muscles and discs.

The bending and twisting are the least tolerated motions by the spine. More than half of injuries sustained involve the back and/or neck. Having the spine correctly aligned is vital to retaining accuracy, power, and injury prevention. Common injuries include:

Sacroiliac Joint/SI Joint Dysfunction

The sacroiliac joint is located between the spine and the hip. Symptoms of sacroiliac joint pain include:

  • Low back pain.
  • Hip pain
  • Pain in the buttocks.
  • Pain radiating down the legs.
  • Groin pain
  • Pelvis pain
  • Burning sensation in the pelvis.
  • Numbness and weakness in the pelvis and legs.

SI Joint Pain Causes

  • The sacroiliac joint requires supported stability when transferring a load from the torso to the legs, specifically during the swing.
  • If there is compression, misalignment, or weakness, the motion will begin to wear away this stability and leave the sacroiliac joint open to further injury.
  • Sacroiliac joint injuries often occur from minor multi-incidents and not one major trauma.
  • With time the SI joint becomes misaligned, exposing the cartilage between joints, causing inflammation known as Sacroiliitis.

Facet Joint Syndrome

  • The facet joints are located between two vertebrae, allowing the ability to bend and twist.
  • Healthy facet joints have cartilage all around them, allowing the vertebrae to move smoothly in all directions.
  • Facet joint syndrome causes pain between the vertebrae.

Facet Joint Syndrome Causes

  • The leading cause of facet joint syndrome is excessive and repetitive swing movement.
  • Misalignment can expose and irritate the joints, causing pain, swelling, and inflammation.
  • Multi-micro-traumas and not one major trauma are often the cause of injury/s.
  • Muscle spasms are common.

Symptoms

  • Highly reduced range of motion
  • Muscle pain
  • Numbness
  • Weakness
  • Cervical Facet Syndrome affects the neck, shoulders, arms, and hands.
  • Lumbar Facet Syndrome affects the buttocks, legs, and feet.

Spinal Decompression

Spinal decompression provides relief for golfing back injuries.

  • Decompression treatment varies from case to case.
  • The treatment is computer-controlled to provide gentle and painless decompression.
  • The therapist enters the program cycle.
  • The decompression table goes through brief moments of pulling and relaxing.
  • The spine’s bones are stretched slowly and methodically.
  • As the vertebrae are separated, a vacuum is formed, pulling the gel-cushion center of the disc back inside, removing the pressure on the spinal nerves and alleviating pain and disability.
  • The vacuum also draws oxygen and nutrients into the injured and degenerated discs to optimize healing.

DRX 9000


Long Term Success


References

Cole, Michael H, and Paul N Grimshaw. “The Biomechanics of the Modern Golf Swing: Implications for Lower Back Injuries.” Sports medicine (Auckland, N.Z.) vol. 46,3 (2016): 339-51. doi:10.1007/s40279-015-0429-1

Dydyk, Alexander M., et al. “Sacroiliac Joint Injury.” StatPearls, StatPearls Publishing, 4 August 2021.

Hosea, T M, and C J Gatt Jr. “Back pain in golf.” Clinics in sports medicine vol. 15,1 (1996): 37-53.

Lindsay, David M, and Anthony A Vandervoort. “Golf-related low back pain: a review of causative factors and prevention strategies.” Asian journal of sports medicine vol. 5,4 (2014): e24289. doi:10.5812/asjsm.24289

Smith, Jo Armour, et al. “Risk Factors Associated With Low Back Pain in Golfers: A Systematic Review and Meta-analysis.” Sports health vol. 10,6 (2018): 538-546. doi:10.1177/1941738118795425

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