Golfers guide to lower back pain
Dr Richard Parkinson is a highly trained neurosurgeon who has performed ground breaking and complex surgery on some of Australia's elite sportspeople and recognised as a leading expert in sports injuries.
Golf is a great sport for general fitness, including muscular endurance and cardiovascular wellbeing. However, it’s time we talked about golf back pain, which is a fairly common affliction, exacerbated by the more advanced age of the average amateur golfer. Fortunately, the pros of getting out there on the green outweigh the cons.
Lower back pain in golfers is common, as are a range of other injuries to areas including the neck, shoulders, elbows, head and eyes. Interestingly enough, injuries to the knees are pretty rare. Golf back pain and neck pain are usually related to bending or twisting injury and both are, in turn, often related to current swinging of the club. Golf is, unfortunately, a fairly asymmetric sport.
The price of the swing
The problem is that the swinging action causing the pain is unavoidable in golf. You can't hold your back completely still while you swing. Having said that, though, it's not a tremendously high impact sport by any reach of the imagination, and the exercise you get from being outdoors and getting some gentle exercise is very beneficial.
So for people who are a bit older, golf remains an excellent way to get some exercise and have some fun. Equally, however, that twisting can increase the problem with lower back pain and really the only thing you can do is, if you're hurting, work on your short game and minimise your swing. Other solutions might be to work on your putt and to try to improve your score by avoiding the big screen with the three wood. Most people can do a short swing with an iron and get three quarters of the way.
The core of the problem
When I discover lower back pain in golfers, I usually tell them to go and see a physio and get some work done on their core. In the meantime, they can still work on their short game while they gradually find their way back to full strength with the assistance of a physio. Core strength is the key to avoiding golf back pain. Golfers need to learn how to turn their core on—to engage it, in other words—when they swing, and to start approaching their game in a physiological way with a bit of knowledge about how their body works.
There are a lot of golfers out there, and it is, generally speaking, a low-risk game for injuries—but what if you have an established back problem or disc herniation, what should you do about your golf? After I perform disc surgery, I usually tell patients to have three months off golf, because the twisting can predispose you to golf back pain.
Your first step
If you do have an injury, it's always worthwhile giving it some physiotherapy and, as a Sydney neurosurgeon, I can definitely refer my patients to a physio with an interest in golfing injuries.
There are physios out there that specialise in asymmetric sports; then there are those that specialise in over-arm sports − and there are those physios that specialise in bending and twisting type sports.
Images: Getty