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Chiropractic Care, Golf and Back Injury

January 21, 2011 by drburt

GOLF AND BACK PAINMost everyone who plays golf has a greater chance of low back injury. Recent study shows that about 35% of amateur and 22-24% of professional golfers susceptible to lumbar spine injuries. Collectively, the incidence of lower back pain in the male golfer is 25% to 36% and 22% to 27% in the female golfer. Many just want to learn how to hit the ball as far as possible and forgetting the basics of soft tissue trauma prevention. Below is the list of the risk factors that could cause lower back pain:

  • Arthritis, disc injuries or stress fractures
  • Weak abdominal musculature
  • Poor muscle trunk stabilization and strength
  • Poor warm up and flexibility
  • Overuse or repetitive stress from technique
  • Improper swing or technique
  • Poor posture or scoliosis
  • Age
  • Overweight and general poor health
  • Previous history of back pain or injury

What Is the Mechanism Injury of Lower Back While Playing Golf

Lumbar Spine consists of the following structures: vertebral bodies, IVD – Inter Vertebral Disc, Ligaments, Muscles and Tendons. Lower back injuries are the most common golf related injuries followed by, elbow, wrist and shoulder injuries.  Occasionally golfers suffer from hip and knee pain as well. The most common mechanism of injury is the twisting and pulling that takes place during the golf swing against a spine that is not moving through its full range of motion. During golf swing the spine is exposed to extra load and tensile movement. It is estimated that during the swing phase the soft tissue of the lumbar spine is exposed to a force eight times of the body weight. Prolonger standing, twisting, and bending are the contributing factors for stress accumulation on the supporting structures of the lumbar spine. When the force dissipates through the vertebral body, muscles, discs and ligaments can be damaged and be the cause of low back injury.

Preventing Low Back Injuries from Golfing

  • Less than 5% of amateur golfers fail to adequately stretch or warm up before the game. A proper warm up will provide the following benefits to the spine:
  • Increasing circulation
  • Increasing the range of motion
  • Preparing for increased loading and stress
  • Below is an example of good warm up activities:
  • light jog or brisk walk, stretching the larger muscles or major muscle groups, swinging a club in both directions to mobilize the trunk muscles and increase circulation, Fluid, gentle practice swings preparing the relevant structures of the spine and muscles groups for the activity.

Improve Muscle Strength and Tone and Flexibility

Strengthening the abdominal and lower back muscles will help to stabilize the spine during the swing phase and in turn produce more powerful, longer shots. Strong quadriceps, buttock and hamstring muscles are another important key factor that should not be neglected. Here is link to a “Two Stretching Exercises for Golf Back Pain.”  Pilates for Golfers (affiliate link) has been a very popular technique in preventing back injuries and elbow injuries while golfing. Pilates for Golfers is a step-by-step guide to identify and correct golf swing faults using the Pilates Method.

Consult Your Personal Chiropractor or Medical Professional

If you injured yourself while golfing, you must do the following in order to prevent farther injury:

  1. Discontinue any activities that aggravates the pain
  2. Apply ice to injured area ASAP – 15 minutes on and 45 minutes off
  3. After 72 hours you can switch to heating moist pads for increased blood flow
  4. Do not lye in bed for a prolonged period of time
  5. Force yourself for light activity
  6. Avoid Heavy Lifting
  7. Avoid Prolonged Sitting
  8. Avoid Prolonged Bending
  9. Suspend Golfing Activities

A visit to your local chiropractor would be a great benefit to your lower back pain. Make sure that your local chiropractor has physical therapy modalities such as, electric stimulation, moist heat, ultrasound, cold laser and certified massage therapist as a staff member. Spinal Chiropractic Adjustment can do wonders to your spine and overall well being.

Filed Under: Chiropractic, Sports Tagged With: back injury, chiropractic, Chiropractic Care, disc injuries, Golf, golf injuries, golf injury, golf swings, injuries, lumbar spine, lumbar spine injuries, play golf, professional golfers, shoulder injuries, spine

Patient’s Questions Dr. Burt’s Answers #6-#13

September 13, 2010 by drburt

Does sitting up straight really help you?

If you sit straight (back straight, legs in front of you, shoulders back) does it help you in later life? Or will you get a hunch back?

Answer:

Please read these articles. These two posts describe everything you need to know about the posture.

Why is Posture So Important and 96 Tips for a Perfect Posture

Back Pain/Lower back joint grinding?

Hello, I have a curve in my spine, and also have arthritis in my lower spine. For the last year or so I have been having really bad grinding noises in my lower back when I move my hips back and forth—if I lay on my side and stretch and move you can feel this as well. It’s kind of painful with a lot of grinding and popping. I have posted this before with no success only scams–so please any help would be great as I don’t have any medical insurance and I don’t want to go to M.D. if this is something everyone feels?!

Answer:

The symptoms you are experiencing correlate with symptoms of someone having osteoarthritis in the spine. The presence of scoliosis (curve in my spine) is most likely a contributing factor over a long period of time. I don’t know your age but is sounds that you have had it for a very long time. Lack of proper biomechanics in your lower back (lumbar spine) took its toll on your vertebral joints and proper articulations of each vertebrae. I would suggest for you to go see a specialist in your area ASAP. Doctor of Chiropractic would be the first choice – he/she has X Ray machine in the office and will be able to determine how advanced is the stage of osteoarthritis. If things went beyond the point where chiropractor can’t help your next choice should be an Orthopedist.  My advise was given on a description of the problem that was provided in your question. I hope you feel better.

Leg pain after soccer practice?

My friend has bad leg pains. In her soccer practice she kicked the soccer ball full power at the same time as someone else did (and they are the best on the team btw…) and now when she steps with it she feels a rush of pain. But when she stretches like by pulling it towards her it does not hurt as much. Do you know what the problem is??? Is it serious?!?!?

Answer:

It sounds like your friend has sprain/strain in her leg. Since you do not provides specific region of the leg I will use general terms. When she applied a weight load on her leg injured muscles and tendons react to the load by sending painful signals to the brain. Basically pain is the way your body communicates with your brain by letting you know that something is wrong and you should do something about it. When your friend is stretching she does not feel as much pain and probably she feels better after the stretch. I would have your friend to see a local Certified Massage Therapist and get several session of deep tissue massage around painful area. Massage will help to repair soft tissue fibrosis and will enhance the healing process. The sooner she does it the easier it is going to be to fix the problem. Hope your friend feels better.

Is my sprained ankle good to go?

I sprained my ankle a little over a month ago and it has been starting to feel better. It now has a full range of motion and everything but when I run and jump around on it, it still feels a little sore. The pain is definitely tolerable but I’m worried I could be making things worse. Is this normal or do I still need to give it more time?

Answer:

Hello. The last sentence of your question tells me that you did not have any rehabilitation done to your ankle after you have injured it. That is basically the cause of your pain. During sprain injury your ligaments and tendons are being over stretched. During the passive healing process the soft tissue fibrosis is forming. In basic English that means that scar tissues around injured ligaments and tendons are being formed. These fibrotic tissue is very painful and will not go away on its own without proper rehabilitation. You could see your local Chiropractor, Massage Therapist or Acupuncturist with combination of Physical Therapy modalities. Please read more here

My ankle has been swollen for months?

I suffered an inversion sprain in March and it is now 5 months later but it still looks fat. I can run, sprint, jump and all that good stuff no problem, its just the physical appearance of the ankle that confuses me. Why is it still fat?? What can I do to get rid of it?

Answer:

Most likely you have fluid retention or there is still an inflammation after your injury. I would suggest for you to go see your Family Doctor and have him/her order X Rays and  MRI of your ankle. This will help to figure what is going on with your ankle.

Another option is to try rehabilitation process. Please see an answer above with some additional information. I hope this helped to answer your question. Have a great day.

Is my hand fractured?

So earlier today I was taking my curtain down and I guess my hand came to close to my ceiling fan and the back of it got hit. It hurt so bad and now I am left with a few scars, a swollen hand and moving my fingers isn’t to easy. The one that hurts the most to bend is the middle finger. Should I go to the doctor or just keep icing it?

Answer:

Most definitely please go see a Doctor ASAP. The fact that you have difficulties moving your fingers is not a very good sign. The presence of a fracture is possible. Please see your PCP and have hand X Rayed. If you have a fracture your doc will cast it for however long is necessary. If it is not fractured please get some rehabilitation of your hand from a Certified Massage Therapist, Chiropractor or Acupunturist.

Hip pain/Lower back pain after running, playing basketball, weight training?

So last year I was playing basketball, and another teammate jumped and his butt landed on my hip/lower back. After that I could barely play. Pain went away after a few days. So I kept playing all last year and pain would come and go.

This year in another basketball tournament, after not playing for months, I played and pain was killing me, I played through pain for a game but I couldn’t handle it anymore.

Now every time I run at gym or lift some heavy weights, hip/lower back starts hurting for a couple of days. Went to Back to a Doctor. He gave me none inflammatory pills but didn’t really help.

I constantly feel a pinch in right hip after seating at work for 8 hours.

What could it be? I will be starting Police Academy in the next 6 months or so. I don’t want this to be a problem.

Answer:

Sorry about your agonizing pain. I am pretty sure you are tired of taking anti inflammatory pills as by now most likely they stopped working anyway and your pain level has gone up. It is very common to have lower back and Sacroilliac Joint being injured during sport acitivies. The fact that you teammate landed on your hip tells me that excessive force was used to misaligned your Lumbosacral and Sacroilliac Joints. You MUST go see your local Chiropractor ASAP. Have him/her adjust your entire spine, use some PT modalities and get deep tissue massage. Make sure that Chiropractor that you choose has everything in the office – I mean PT modalities and Certified Massage Therapist. Please read more about lower back pain here.

Filed Under: Questions/Answers Tagged With: answering, back, blog, leg pain, low back pain, lower spine, lumbar spine, manipulative therapy, massage, medical insurance, medicine, orthopedic surgery, pain, question answer, questions, questions answers, san leandro chiropractor, spine, symptoms

Healthy Hints For a Healthy Back

September 1, 2010 by drburt

Standing and Walking:

Try to toe straight ahead when walking; put most of your weight on your heels; hold your chest forward and elevate the front of the pelvis as if walking up an incline. Avoid wearing high heels. Stand as if you are trying to touch the ceiling with the top of yur head, eyes straight ahead. All the elements of good posture will flow from these simple maneuvers.

Sitting:

Sit on a hard-back chair with spine pushed back; try to eliminate the hollow in the lower back. If possible, elevate the knees higher than hips while in an automobile. Secretaries should adjust posture chairs accordingly. Sit all the way back in the chair with your back erect.

Lifting:

Bend your knees; squat and lift with your thigh muscles, not your back. Never bend over with your knees straight and lift with the upper torso. Move slowly and avoid sudden movements. Try to avoid lifting loads in front of you above the waste line. Avoid bending over to lift heavy objects from car trunks, as this places a strain on low back muscles

Sleeping:

Sleep on a firm mattress; a ¾ inch plywood bed board is helpful and should be used with all but a very firm orthopedic mattress. With acute back pain, sleep with a pillow or blanket rolled under the knees and a pillow under the head. Keep your knees and hips bent when sleeping on your side.

Driving:

Use a firm seat with a padded plywood or special seal support. Sit close to the wheel with knees bent. On long trips, stop every one to tow hours and walk to relieve tensions and relax muscles

                                                                                                                                                                                                                                                                                                                                                                                                    Working:

Try to avoid fatigue caused by work requiring long standing. Flex hips and knees by occasionally placing a foot on a stool or bench. Take exercises breaks from desk work by getting up, moving around and performing a few back exercises in the standing position.

Question: Did you try these exercises? Were these exercises helpful?

Filed Under: Exercises, Low Back Pain Tagged With: low back exercises, low back pain prevention, low back strengthening, low back support exercises., lumbar exercises, lumbar spine, lumbar spine strengthening, rehabilitation exercises for low back

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15200 Hesperian Blvd #104

San Leandro, CA. 94578

(510) 481-2225

drburt@burtchiropractic.com

 

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