Chiromed Clinic @ Ekamai
Tel 02-713-6745-6
3rd Floor, Bangkok Mediplex Ekamai, Sukhumvit 42 Road, Phra-Khanong, Klongtoey, Bangkok 10110
What is Low Back Pain?
Low back pain is the most common golf injury. The repetitive action of the golf swing the number one cause of low back pain in golfers, so golf swing faults should be corrected by a professional. A ‘Reverse Angel’ swing fault is common cause of back pain the Occurs when the spine deviates from the vertical during the swing.
Numerous structure of the lower back can be affected – the discs, ligaments, muscles or Facet joints – but in golfers, particularly older ones, the disc are most commonly affected. A herniated disc or ‘slipped disc’ refers to a protrusion of gel material from inside the disc. This can cause back pain and /or Sciatica, particularly when bending forwards.
What is Golfer’s Elbow?
Golfer’s elbow is inflammation of the tendons of the forearm at the point where they insert into the Humerus (upper arm) bone on inner side of the elbow. This inflammation is caused by forceful gripping activities such as when gripping the golf club, particularly if you have a ‘wristy’ technique.
Golfer’s elbow causes pain when the inner part of the elbow (Medial Epicondyle) is touched, and also if the elbow is straight and the hand is moved forward and back at the wrist. Typically the pain is made worse by gripping activities and in some cases simple things like picking up a bag or briefcase can cause intense pain.
What is Plantar Fasciitis?
Plantar Fasciitis is inflammation of the plantar fascia (a fibrous sheath under the sole of the foot), at its attachment to the heel bone. It is a common cause of heel pain of golfers that typically comes on when walking round the golf course. Plantar Fasciitis is particularly prevalent in those golfers with poor foot wear. Pain is common on the underside of the heel and the sole of the foot. A common sign of Plantar Fasciitis is heel pain upon waking in the morning when taking the first steps of the day.
What is Knee Pain?
Knee pain is fairly common is golfers. Weight bearing and rotation forces on the knee during the golf swing, in addition to prolonged walking can aggravate existing knee injuries and lead to knee pain, particularly in the leading knee. Often the original knee injury is sustained doing a different activity or sport, but later in life golf becomes the activity that cause knee swelling and pain. Previous injuries to the meniscus (cartilage) or cruciate ligament can predispose the knee join to Arthritis that can flare up due to the stresses placed on the knee during golf.
What is a Shoulder Pain?
Shoulder pain can occur in golfers due to damage to the Rotator Cuff muscle. The Rotator Cuff muscles (Subscapularis, Supraspinatus, Infraspinatus and Teres Minor) are small muscles situated around the shoulder joint, which can become damage during the repeated stresses of the golf swing, particularly if there is a swing fault such as ‘Chicken Winging’ (bent elbows at ball contact) or a ‘C-Shaped Pasture’ (rounded lower back) that can put too much stress on the shoulders.
Rotator Cuff injuries usually begin as inflammation (Tendinitis) caused by small but repeated irritation. If the cause of the inflammation is not addressed, and continues over a long period of time, partial tears may develop in the cuff that could eventually become a tear all the way through one or more of the Rotator Cuff muscles.
What is a Hamstring Strain?
During sprinting activities in football the Hamstring muscles can be forcibly stretched beyond their limits and the muscle tissue can be torn. A tear in a muscle is referred to as a strain and, depending on its severity, it is classified as a first, second or third degree strain.
Hamstring muscle strains accounted for almost 40% of Premiership injuries in the 2004/2005 PhysioRoom.com Analysis of injuries. The Hamstring muscles work over both the hip and knee joint and can become susceptible to injury due to fatigue.
What is a Sprained Ankle?
A Sprained ankle is one of the most common injuries in football. It refers to soft tissue damage (mainly ligaments) around the ankle, usually caused when the ankle is twisted inwards.
As well as damage to the ligaments, the capsule which surrounds the ankle joint can also be damaged. The damage causes bleeding within the tissue, which produces a swollen ankle and ankle pain.
What is a Knee Cartilage Tear?
A torn cartilage occurs fairly frequently in football. Cartilage tears accounted for 12% of all premiership injuries in the PhysioRoom.com 2004/2005 Analysis injuries. The term cartilage tear is slightly misleading, sine it is the meniscus within the knee that is actually damaged. There are two menisci within each knee joint that are made from tough fibro cartilage – hence the use of the term cartilage for this injury.
As the knee joint bends the thigh bone usually rolls, spine and glides on the top surface of the shin bone. However, if there is Rotation caused by a twist whilst the joint is bearing weight, the menisci can get jammed and nipped in between the two bones. If the force is sufficient, a tear of the meniscus will occur.
Cartilage tears are usually accompanied by pain and knee swelling. If it a small tear if mat simply settle down. However, with larger cartilage tears, the flap of torn cartilage may interfere with joint movement and cause the knee point to lock or give way.
What is a Hernia?
Hernia and groin problems are common in sports, particularly in football where the pelvic region is subject to large stresses during kicking, sprinting and turning. Two common conditions that affect footballers are an inguinal Hernia and Gilmore’s Groin (also known as a Sport Hernia).
Following sporting activities the person with a sport hernia will be stiff and sore in the groin region. The day after a football match, getting out of bed or a car will be difficult. In the early stages, the person may be able to continue playing their sport, but the problem usually gets progressively worse.
What is an Anterior Cruciate Ligament (ACL) Injury?
The Anterior Cruciate Ligament (ACL) lies deep within the knee joint, connecting the thigh bone with the shin bone. It’s function is to prevent excessive forward movement on the shin in relation to the thigh and also to prevent excessive rotation at the knee joint. The ALC can be injured in several different ways during football, notably by landing from a jump onto a bent knee then twisting, or landing on a knee that is over-extended. Direct contact on the knee from opponents can also cause damage to the ALC.
What is a Sprained Ankle?
Sprained Ankles are relatively common in tennis player. Roger Federer, Andy Roddick and Andrew Murray have all suffered sprained ankles. The sudden sideways movements that are required during tennis can cause the ankle to twist, particularly if the surface is slippery or the player is fatigued.
A twisted ankle causes damage to ligaments and other soft tissues around the ankles. This is call a Sprained Ankle. The damage causes bleeding within the tissues, which produces a swollen ankle that can be extremely painful.
What is Shoulder Pain?
Shoulder Pain can occur in tennis players because there are repeated stresses during tennis strokes, particularly the serve. There are several sources of shoulder pain in tennis players, but one the most common causes is Shoulder bursitis. Bursitis is inflammation of a sac of fluid called a Bursa.
In the shoulder frequent overuse of the Rotator Cuff muscles (a group of small muscles, situated close to the ball-and-socket joint of the shoulder, that provide stability to the ball and socket) can cause the Bursa to get “impinged” between the muscles and the bony prominence of the shoulder, leading to inflammation. This causes pain whenever the arm is raised.
What is Calf Strain?
The calf muscle group consists of the Gastrocnemius, Soleus and Plantaris is muscles, situated at the back of the lower leg. Their function is to pull up on the heal bone and these muscles are most active during the push-off when a tennis player has to move quickly to reach to an opponent’s shot. A strain occurs when the muscle is forcibly stretched beyond its limits and the muscle tissue becomes torn.
What is a Stress Fracture of the Back?
A Stress Fracture of the Back, or lumbar spine, is one of the most common bone injuries in young tennis players. Lower back stress fractures are usually characterized by an ache in the lower which is exacerbated by sporting activities and eased by rest, although a small percentage of people with a stress fracture can be pain free. Typically it is sore when patient bends backwards, particularly if standing on one leg. If a lower back stress fracture is suspected, a doctor may decide to refer the patient for a scan to confirm the diagnosis.
What is Tennis Elbow?
Tennis Elbow is the inflammation of the muscles and tendons of the forearms as they attach to the humerus (upper arm) bone. This inflammation is caused by prolonged gripping activities such as hammering, driving screws, weight lifting, playing certain musical instruments, canoeing, digging in the garden, driving and, of course racquet sports.
Tennis elbow causes pain when the lateral epicondyle (outermost part of the elbow) is touched and also if the elbow is straight and the hand is moved forward and back at the wrist. The pain is exacerbated by gripping activities and in some cases simple things like turning a door handle can cause intense pain.
24 August 2010
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