Nutritional Counseling

Sport Psychology Coaching  
Exercise Classes for Seniors  
sign Pilates by Tara!  
Acupuncture  
Massage Therapy  
EXACT Sports Performance Program for Student Athletes  
Fitness Programs  
PMR Expands Hand Therapy Program  
Northern Valley Rehabilitation Society is created
PMR Center doctors author chapter for Primary Care doctors  
Dr. Terri Katz of PMR named Medical Director at The Center for Healthy Living  
Career Opportunities  
newsletters&publications
POTPOURRI OF COMMON GOLF INJURIES
Page 2 of 2
by Howard Liss, MD and Donald Liss, MD

Shoulder pain is less frequent, but not uncommonly seen in the leading arm. This may be associated with arthritic degeneration, or with impingement or partial rotator cuff tear. Again, proper attention to mechanics should prevent serious shoulder injuries from developing.

Although the elbows may be injured in golfers, these injuries are more often the result of overuse than an acute episode. Medical epicondylitis has been named "golfer’s elbow", since this condition rarely occurs, for example, in tennis. However, interestingly, tennis elbow, or lateral epicondylitis, is still more common. Lateral epicondylitis occurs in the nondominant leading elbow. This is the arm which does the bulk of the work, the dominant arm acting more as a guide. As a result, the dominant guiding arm will develop medial epicondylitis less frequently, and usually as a result of poor mechanics.

Although rarely purely the result of golf, patients with arthritis of the neck can exacerbate their symptoms through repetitive neck rotation and rotation/hyperextension on follow-through when golfing. In its worst presentation, this can lead to cervical radiculopathy, usually in the nondominant leading arm. This is because the cervical rotation is, unlike the torso motion, confined to the latter half of the golf swing. The patient addresses the ball looking down, the neck doesn’t truly begin to rotate and extend until ball contact and follow-through.

Knee injuries are relatively uncommon in golf, and are probably the result of exacerbating pre-existing conditions. Because of the relatively older age of golfers, there are often underlying osteoarthritis or meniscus pathology involving the knees. These may be exacerbated by weight shifting or rotation during follow-through. It is unusual for a patient to present with an acute knee disorder.

Wrist injuries are also usually due to overuse. These can vary from DeQuervain’s syndrome to tendinitis involving the forearm exterior and flexor muscles. Often, adequate rest followed by a change of grip or modification will result in resolution of this problem.

One must have a basic understanding of the mechanics of golfing in order to fully appreciate the patient’s clinical presentation. Most golf injuries are easy to resolve with avoidance of golf. However, golfers are often avid about their sport and are either zealous in continuing despite symptoms or at the least, anxious to return as soon as possible. Only by working closely with golf instructors, and by understanding the underlying mechanics which led to the injury, will the patient’s problem be successfully treated, including prevention of recurrence.


Page 1 2
back | more
 
500 GRAND AVENUE | ENGLEWOOD, NEW JERSEY 07631 | PHONE 201-567-2277 | FAX 201-567-7506
365 ROUTE 304 | SUITE 102 | BARDONIA, NEW YORK 10954 | PHONE 845-624-2182 | FAX 845-624-2188