Tag Archives: pain management

Common Golfing Injuries

By  aenriquez  published  November 8, 2019

The game of golf has a reputation for being slow, deliberately careful and so non-violent. But many injuries occur when playing golf. Generally, these are repetitive use injuries that occur by repeating the same motion over and over until wear and tear gradually result in some type of injury.


Here is a list of three common injuries that golfers sustain playing the grand old game and some reasons that they occur.


  • Rotator cuff tear
  • Golfer’s elbow
  • Hook of hamate fracture


Golfer’s elbow is not restricted to golfers and maybe more commonly known as tennis elbow

Rotator Cuff Tear


The rotator cuff is the name given to a group of muscles and tendons that support the shoulder, basically holding the joint into place. The reason this is necessary is that the socket of the shoulder joint is not an all-encompassing structure; it is a shallow dish-shaped bone that has evolved because the shoulder is given a wide range of motion. The knee or the elbow (and many other joints) bend in only one direction, while the shoulder is relatively freewheeling owing to the structure of the joint.


A rotator cuff tear can be debilitating, causing severe pain when you try to lift your arm, especially if you try to lift your arm above your head. That is where the problem begins. A rotator cuff tear, it follows, mostly afflicts people who work repetitively above their heads, such as painters, sheet-rock installers, or carpenters. It is also common among baseball players, tennis players and swimmers.




Once diagnosed, treatment usually starts with rest, putting ice or heat compresses on the shoulder and physical therapy designed to stretch the tendons and get them to relax. More involved treatment includes injections to help mitigate pain.


There are also a variety of surgical options for severe rotator cuff injuries, including arthroscopic tendon repair and open tendon repair, which is more invasive, requiring a longer surgical opening.


Golfer’s Elbow


Golfer’s elbow is not restricted to golfers and maybe more commonly known as tennis elbow. But it’s not restricted to just golfers and tennis players. It is associated with any activity that includes repeated striking of something by extending your forearm. As such, you can develop tennis elbow while roofing a house, as the many hammering motions can bring on this condition.


Golfer’s elbow is an affliction of a tendon but is mostly felt on the bony protrusion of your elbow or this area plus the upper portion of your forearm. While the injury is sustained by many relatively mild concussive strikes with the forearm (a golf ball or a tennis ball is not very heavy, after all), it can be very painful once you reach the threshold, and the injury develops.



Treatment of golfer’s elbow includes taking time off from golf for a while to allow the tendon to heal. Frequently, ice compacts are used to reduce pain.


A conveniently placed brace – a band – is often deployed. This is positioned just under the elbow, and it re-positions the tendon, so it no longer sustains impact when you use it. This can be very effective.


Also, physical therapy, pain management, and other techniques are used. Rarely does this condition require surgery to correct, in part because it becomes too painful to repeat the motion and forces people to stop the painful activity and to give the area time to heal.


Hook of Hamate Fracture


The hook of hamate is a bone. It is the carpal bone at the base of the pinky or little finger on the outside portion of your wrist. A fracture of this bone can be defined as a broken wrist.


The fracture can develop from a sudden trauma or from repeatedly striking an object, such as a golf ball, with the same motion over and over. The pain can come on suddenly and result in the inability to grip tightly to an object.




Once diagnosed with an X-ray or a CT Scan, a fractured wrist is often treated with a brace or a cast to restrict or stabilize movement. Pain management may also be required when the injury first occurs. Surgery is usually not needed.

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Physical Therapy and Rehabilitation

By  aenriquez  published  May 18, 2018

Physical therapy involves the use of certain maneuvers and exercises to restore your strength, activity, and motion following an injury, illness, or surgery. Physical therapists are trained professionals who identify deficiencies in the biomechanics of the body, they and teach stretches and techniques to address problems that can be managed. Physical therapists also use specialized equipment to address your condition and injury.

dealing with pain with Physical Therapy

Stretching Tight Joints and Muscles

A portion of physical therapy deals with stretching muscles and joints. Stretching is vital in maintaining good range of motion with the joints and for flexibility of muscles. If you suffer from tight muscles and/or stiff joints, normal activities can be affected. This includes climbing stairs, reaching overhead for items, and going through usual daily living. With proper stretching, these functions are preserved. After surgery, scar tissue forms and soft tissue will contract. To ensure that scar formation does not affect rehabilitation, it is important to go through regular stretching routines.

Strengthening the Body with Exercises

Exercises are used for strengthening, which helps with rehabilitation to improve muscle function and joint stability. The goal of improving strength aids in improved range of motion and increased endurance. Post-operative exercises should be guided by the physical therapist to ensure you do not injure the surgical area. These exercises are used in back, neck, knee, and shoulder injuries.

Core Strengthening and Stability

One of the most recent physical therapy developments involve the emphasis on core stability and strengthening. The core of the body should be solid and strong. A weak core puts you at risk for injury and chronic overuse syndromes. Core strengthening emphasizes the muscles of the pelvis and back. Some exercises programs are great for core stability, especially Pilates.

Application of Ice and Heat

Ice and heat are used for cooling down and warming up joints and muscles. Warmth also increases blood flow to the injured or healing region, and ice will decrease swelling through vasoconstriction. These mechanisms are very important for the therapeutic process.


Using high-frequency sound waves, ultrasound therapy is used to stimulate the deep tissues in the body. The ultrasound probe is passed over your body, and deep tissues are stimulated by the vibration of a sound wave. Ultrasound will lead to warming and increased blood flow to the afflicted body tissues.

Electrical Stimulation

Electrical stimulation is a type of therapy used to pass electric current over an affected area. Nerve condition within a region can be altered which affects muscle contractility. Blood flow to the deep tissues is increased through electrical stimulation, and patients experience diminished pain after this treatment.

Reasons for Physical Therapy

The main reasons you should have physical therapy include:

To promote healing – This is used to minimized scar tissue of the knee or shoulder following surgery, and to improve blood flow to the injured area.

To regain mobility – Physical therapy is particularly important for the knees, hips, and upper extremities. It will help prevent joint stiffening and get you moving quicker.

To enjoy a faster recovery – Rehabilitation is used to help your body recover more quickly that if you do not receive physical therapy.

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