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Avoiding Golf Injuries and When to Get Physical Therapy

by | Mar 10, 2025 | Sports Injuries

lady swinging a golf club with sunset in the background

Golf, often perceived as a leisurely pastime, presents a surprising risk of injury. While it may seem like a simple game of walking and swinging, a proper golf swing is a strenuous and forceful movement that places significant stress on the body. Understanding the physical demands and taking preventive measures are crucial to enjoying the sport without pain.

The Injurious Reality of Golf

Contrary to popular belief, golf is not just an “old man’s game.” The sport demands brains, muscles, and stamina, making it a demanding physical activity. The repetitive and forceful nature of a golf swing can lead to a variety of injuries, ranging from ankle and foot problems to back pain, knee pain, and shoulder issues.

Common Golf-Related Injuries

Golfers frequently experience:

  • Low back pain and tightness: This is the most common complaint, often exacerbated by the rotational forces of the swing.
  • Knee pain: Twisting and leaning during the swing can strain the knee joint.
  • Wrist and elbow pain (tennis elbow): Repetitive swings can lead to tendonitis and inflammation.
  • Shoulder and neck pain: Repeated swings and uneven surfaces can strain these areas.
  • Ankle and foot problems: Walking and swinging on uneven terrain can cause discomfort.

The Anatomy of Golf Injuries

golfer laying on his back in pain due to golf injuries

Understanding the biomechanics of a golf swing is essential for injury prevention. The rotational forces involved place significant stress on the spine, knees, and wrists.

  • Spine: The “hip turn” during the backswing rotates the spine, and the subsequent acceleration places significant force on the back. If the back is not strong enough, injuries can occur.
  • Knees: Leaning and twisting on the knees during the swing can lead to excessive strain and chronic pain.
  • Wrists: Repetitive swings can strain the tendons in the wrists, leading to inflammation and pain.

Understanding the Swing: Modern vs. Classic

The modern golf swing, with its greater separation between hip and shoulder rotation, generates more torque on the low back compared to the classic swing. This increased torque, while potentially leading to greater power, also increases the risk of injury, especially for those with less trunk flexibility and core strength.

Preventing Golf-Related Injuries

Prevention is key to avoiding golf injuries. Here’s how:

  • Strengthen Your Core: A strong core is essential for supporting the spine during the golf swing. Core muscles help stabilize the body, maintain balance, and allow for efficient transfer of power. Incorporate exercises like planks, side planks, and rotational core exercises into your routine.
  • Improve Hip Mobility: Flexibility in the hips allows for a smoother and more efficient swing, reducing stress on the lower back. Focus on exercises that improve hip internal and external rotation.
  • Lower Body Strengthening: Strong lower body muscles help stabilize the body and generate power during the swing. Include exercises like bridges, single-leg exercises, and hip strengthening exercises.
  • Proper Warm-up and Stretching: Before each round, perform a thorough warm-up and stretching routine, focusing on the hamstrings, shoulders, and hips.
  • Swing Mechanics: Poor swing mechanics are a major cause of golf injuries. Consider working with a golf professional to improve your technique.
  • Progressive Overload: When strengthening your core and lower body, progressively increase the challenge to your muscles over time.
  • Avoid Overuse: Limit the number of swings you take during practice and rounds to prevent overuse injuries.

When to Seek Physical Therapy

Despite taking precautions, injuries can still occur. If you experience persistent pain after golfing, consult a physical therapist.

Physical therapy can help:

  • Reduce pain and inflammation.
  • Improve flexibility and range of motion.
  • Strengthen muscles and improve stability.
  • Correct swing mechanics and prevent future injuries.
  • Provide personalized treatment plans.

If you are experiencing back pain, knee pain, wrist pain, elbow pain, or shoulder and neck pain after golfing, do not hesitate to seek professional help. Early intervention can help you return to the course faster and prevent chronic pain.

Key Strengthening Exercises:

  • Bridge: Double leg, single leg, bridge walkouts, cook hip lift.
  • Anti-Rotation Core Strength: Pallof press, Pallof press step outs, plank with arm and leg lifts, birddogs, birddog rows.
  • Rotational Core: cable/band lifts, cable/band chops, Pallof press rotations.

Key Mobility Exercises:

  • Internal Rotation: hip switches, 9090 lift offs, 9090 banded internal rotation with a foam roller.
  • External Rotation: pigeon/modified pigeon, lateral banded distraction.

While golf offers numerous physical and mental benefits, it’s crucial to acknowledge and mitigate the risk of injury. By understanding the biomechanics of the swing, prioritizing core strength and flexibility, and practicing proper warm-up techniques, golfers can significantly reduce their chances of experiencing pain. However, should injuries occur, remember that professional help is available. 

At PRO Therapy, our physical therapists specialize in treating golf-related injuries, providing personalized treatment plans to get you back on the course, stronger and more resilient than before. Don’t let pain keep you from the sport you love – reach out to PRO Therapy and take the first step towards a healthier, more enjoyable golfing experience.

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