Category Archives for "Shoulder Injury"

Shoulder Pain

Shoulder Injury in Golf and Tennis – Rotator Cuff

Shoulder Pain, Rotator Cuff Injury

A rotator cuff injury, shoulder pain is when you have inflammation or a tear in the muscles or tendons (connecting tissue)or ligaments in your shoulder. It is a common cause of shoulder Pain and can be caused by sudden impact or trauma, or wear and tear with repetitive movements. This injury is common in Golfers during back swing or tennis and badminton with general racket play and overhead shots. Cricket bowlers are also susceptible due to rotational forces with bowling delivery. A rotator cuff injury can make it difficult and painful to do everyday tasks, such as brushing your hair and getting dressed.

Rotator cuff

Your rotator cuff is the group of muscles and tendons that surround your shoulder joint. They work together to keep your shoulder stable and working well. Along with the ligaments that connect the bones in your shoulder together and the capsule that covers your shoulder joint, the rotator cuff helps to keep your shoulder joint in its socket.

Rotator cuff tear

 This is when one or more of the muscles and tendons that make up your rotator cuff tear. You can have a partial tear or a full-thickness tear. Tears can develop after an injury, such as a fall or a dislocated shoulder, or contact in sports like rugby. Small tears can also develop in the tendon after general wear and tear with repetitive sports movements like a golf swing or a serve in tennis

Tendinopathy

This is when the tendons of your rotator cuff are no longer able to repair themselves properly, causing pain in and around them. It’s usually because of wear and tear of your rotator cuff over time and repeated specific sporting movements like a golf swing or a serve in tennis.

Have you got a Rotator Cuff Injury

Common symptoms are degrees of pain with certain movements from a dull ache to severe, overhead movements tend to be difficult, and the pain is usually worse at night especially if you try to sleep on the injured shoulder.

A loss of physical power in the shoulder along with compensation  movements to aid the injury. This is highlighted in sporting movements as you can only adapt a small amount before performance drops. In everyday movements you start to use other arms and elbows more and not do certain tasks. You may also have excessive clicking in the shoulder.

How can InterX Treatment help?

Standard treatment is medication for pain, rest, physiotherapy, steroid Injection, surgery, physiotherapy and if problem linked to sport stop playing.

Stephen at InterX Pain Clinic takes a different approach. Firstly after movement analysis and any links to sporting or work movements specific rehabilitation movements are undertaken. The InterX Treatment will reduce pain and inflammation and the mobility work will help restore movement.

One of the challenges of this type of injury is its complexity and deep tissue. As a result the larger muscles of the shoulder contract and over fire to protect the joint and stop it moving. The InterX treatment can relax these muscles and allow for increased movement resulting in aiding the recovery of the smaller muscles, ligaments and tendons of the rotator cuff. A course of treatment will be required and a staged recovery for sporting movement is needed but great success in treating this injury!

Top Five Golf Injuries

Top Five Injuries In Golf

1. Back Pain, Particularly lower back
2. Shoulder Pain, Particularly Rotator Cuff
3. Golfers Elbow
4. Knee Pain
5. Wrist Pain, Tendonitis

Research indicates that Golf injuries affect up to 20% of players each year. The majority of injuries are a result of overuse and repetitive strain in nature. Due to the complex swing and body position in golf along with the explosive action more traumatic injuries can occur, but are uncommon.

Lower back pain is the most common Golf injury, followed by shoulder and elbow pain. Research evidence indicates that recreational golfers are more likely to sustain and injury than golfers at a professional level. As a golfers handicapp lowers the skill level improves and most importantly consistency in the swing. So even with swing errors injuries are less as the body adapts.

Recreational golfers also have played or play other sports and other injuries impact on their golf. Age is also a factor as we get older our bodies take longer to adapt, are not as flexible, and take longer to recover so the chances of injury are increased.

Back Pain

Lower back pain is the number 1 injury in golf! The repetitive action and the rotation of the spine during the golf swing are the primary cause of pain. The complex swing movement needs correction by a golf professional and structured practice by the Golfer. A variety of structures of the lower back can be affected – the discs, ligaments, muscles or facet joints – but with golfers it tends to be related to discs. A herniated disc or more commonly known as a slipped disc is when gel like material moves from inside the disc and is very painful. Alignment is also critical as this more painful when bending forwards and can cause the muscle at the back to spasm leading to sciatica.

What can you do to prevent back pain?

A golf swing review would be essential with a focus on body movement through all swings from driver to wedge and chipping and putting. Core strength helps and stability exercises are good in back support during the golf swing but will be strengthened with good golf swing technique. Swing within yourself and slow movement down so you have time to execute the swing. Some general physical conditioning, using a trolley instead of carrying a bag and when practising take time and play different shots.

What should you do if you suffer Lower Back Pain?

Rest in the first instance, and if symptoms persist seek medical help. Pain relief medication is usually prescribed post diagnosis and in the form of painkillers and anti-inflammatory medication.

Call Stephen at InterX Pain Clinic 01564 638049

At interX Pain Clinic we have treated many Golfers with lower back pain and enabled them to play golf and not hurt themselves again. We also work out a care package to suit each individual to help with focused mobility plan to help prevent the issue occurring.

Shoulder Pain

Shoulder Pain tends to be linked to the rotator cuff muscles of the shoulder in Golfers. The rotator cuff muscles (subscapularis, supraspinatus, infraspinatus and teres minor) are small muscles that hold the shoulder in place. Due to compression of the joint in back-swing and extension in follow through these muscles can become damaged due to repetitive use. The pain is usually minor initially and can only be felt on extreme points of the swing and begins as inflammation and tendonitis. Excessive use can lead to tears and more pain if not treated in the early stages.

What can you do to prevent Shoulder Pain?

Golfers have to warm up prior to playing and particularly practice with some specific shoulder stretches and slow deliberate swing practice. Stephen can show some shoulder stabilisation exercises and your golf pro can help significantly with technique.

What should you do if you suffer Shoulder Pain?

As stated earlier the pain tends to increase over time, and early intervention is best with some over the counter pain medication and a swing assessment to correct errors. If problems persist call Stephen at InterX Pain Clinic 01564 638049 and he will be able to help.

Golfers’ Elbow 

Golfer’s elbow is inflammation and pain on the inside of the elbow where the tendons inset into the upper and lower arm. This is caused by griping movements and forceful impact on the arm such as swinging and gripping a golf club. Pain is in the inner part of the elbow when it is bent and as the forearm rotates and moves the arm straight in the swing at impact. If you have excessive wrist action in the swing this can also aggravate the elbow. When it is painful picking up bags, and doing simple gripping and carrying activities can be very painful.

What can you do to prevent Golfer’s Elbow?

Gripping the golf club too hard and trying to “hit the ball” rather than swing can cause elbow problems. Warm up the arms and swing with relaxed half and three quarter swings and focus the power in swing from the body. Temporary relief can be had from wearing a golfers elbow compression strap which work by reducing wrist ex tensor muscles from contracting fully so taking the pressure off the elbow, this will alter your swing.

What should you do if you suffer Golfers’ Elbow?

Initial treatment should be cold compression or ice therapy with a few days rest and some over the counter pain and inflammation medication. Extensive use of compression straps and medication should be avoided as this will not aid the tissue healing. As there is not much tissue on the elbow, InterX Treatment is extremely effective in treating the pain and promoting accelerated healing, see client testimonials

In addition Stephen has a system of physical rehabilitation exercises that accelerate the elbow to a full recovery.

Knee Pain

Knee Pain is common in golfers, rotational forces on the lead leg and weight transfer in the golf swing, along with standing and walking during play can all contribute. Often an injury from a different sport is aggrevated by golf movements and past injuries to cartilage and or cruciate ligaments along with arthritis can all contribute. 

More detail on knee injuries HERE

How can you prevent knee pain?

Pain in the knee leads to subconsciously less movement and in turn leads to muscle wastage of the quadriceps (Thigh) muscles. This process leads to more joint instability and less movement so a downward cycle. Leg strengthening exercise and increased walking and stair climbing can make a huge difference and Stephen can advise on specific exercises if required.

Footwear on the golf course can help along with a trolley to help with the bag. Brisk walking between shots will also help and strengthen muscles.

What should you do if you suffer knee pain?

Initially rest and over the counter medication as previously discussed. If it is painful during the swing a visit to the golf professional will help with mechanics, if its walking a GP will assess and refer as required. In both instances Stephen at InterX Pain Clinic can help more detail on knee injuries HERE

Wrist Pain and Tendonitis

Wrist Pain is linked to Golfers elbow and tend to happen at the same time in extreme cases. The wrists can be damaged at impact particularly with grounding the club and taking a large divot. Grounding can also affect wrists with different club positions for instance rough or playing from a bunker. Wrist issues tend to occur when other elements of the swing are not coordinated so the wrist action tries to catch up and correct mistakes. The prevention and treatment is similar to Golfers Elbow

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