Tag Archives: golf

Medial epicondylitis golfer's elbow

Golfer’s Elbow (Medial Epicondylitis)

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Medial epicondylitis is most commonly referred to as Golfer’s Elbow and is a painful condition where the tendons that attach to the inside of the elbow become inflamed due to repetitive use of the hand, wrist, forearm and elbow. It often occurs with repetitive activities such as, swinging a golf club or tennis racket, work or leisure activities requiring twisting and gripping such as shoveling, gardening and swinging a hammer. It can also appear in other sports-related activities such as throwing and swimming. Medial epicondylitis is most commonly seen in men over the age of 35, but can be seen in any population.

Medial epicondylitis affects the group of muscles that are responsible for bending the wrist, fingers and thumb and that rotate the wrist and forearm. The tendons that connect those muscles to the medial epicondyle (bump on inside of elbow). Tendons are made up of collagen fibers that are lined up next to each other. The repetitive forces pull on those tendons creating pain and tenderness. Without treatment those tendons can eventually pull away from the bone. Acute injuries to your elbow can create an inflammatory response which can cause redness, warmth and stiffness in your elbow.

Medial epicondylitis is most often caused by an abnormal arrangement of collagen fibers. This condition is called tendinosis. During tendinosis the body doesn’t create inflammatory cells as it does during an acute injury. Instead, fibroblasts are created which help make up scar tissue to fill in the spaces between the collagen fibers. This increase in scar tissue can lead to increased pain and weakness in the tissues. Physical therapy is the most common non surgical treatment for medial epicondylitis. Your therapist will perform an evaluation where he/she will ask you several questions about your condition, pain level and other symptoms you may be experiencing. He/she will perform motion and strength testingon your entire upper extremity. Your physical therapist will also palpate your arm to determine which tendon(s) may be inflamed. He/she will use special tests designed to differentially diagnose your condition from others that may have similar presentations, such as Cubital Tunnel Syndrome.

golf ball on tee

After you have been evaluated by your physical therapist, he/she will formulate an individualized treatment plan that can include any of the following:

1. Pain Management: this can include Mechanical Diagnosis & Therapy, ice, ice massage, moist heat, electrical stimulation and ultrasound.
2. Range-of-Motion Exercises: stretches and mobility exercises to help maintain proper movement in your elbow, forearm, wrist and hand.
3. Strengthening Exercises: progressive resistive exercises to help build strength in your arm, elbow, forearm, wrist and hand. These can include weights, medicine balls and/or resistance bands. This will also include your Home Exercise Program.
4. Manual Therapy: used to ensure full, pain-free movement is achieved and can include joint mobilizations, manual muscle stretches and soft tissue massage.
5. Neuromuscular Re-education (Functional Training): used to help you return to your prior level of function for both home and work activities. Will include retraining proper movement patterns with necessary modifications based on current level of function and patient limitations.
6. Patient Education: used to help retrain patient on proper postural control during everyday activities including dressing, self-care, work and sports activities. This can include helping return a patient to their specific sport, such as making adjustments to their golf swing or throwing technique.

Once you’ve completed your care under the direct supervision of a physical therapist you’ll want to do everything you can to prevent this from reoccurring. This can occur by maintaining proper awareness of your risk for injury during your daily movements. Key things to keep in mind:

1. Maintain proper form during all repetitive movements both at work and home.
2. Continue your Home Exercise Program in order to maintain proper strength in your shoulder, elbow, forearm, wrist and hand.
3. Use proper posture and body mechanics with lifting or carrying to avoid any undue stress on your joints and tendons.

This information was written by Plymouth Physical Therapy Specialists, an outpatient physical therapy group with fourteen locations in the surrounding Plymouth, Michigan area. At Plymouth Physical Therapy Specialists, they are committed to using evidence-based treatments in their practice. This means that their therapists utilize the most current and clinically relevant treatments in their approach to rehabilitation. For more information click here.

PT News

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This Month in PT News. Featuring articles from PTandMe partnering clinics!

old man tennis

1. Tennis and Golf: Keep Swinging as You Age
Written by the Therapy Team at the Jackson Clinics Physical Therapy – Middleburg, VA

It’s a hard fact to swallow: Age eventually catches up with all of us, no matter how active we may be. Unless we work to maintain strength and flexibility, we slowly lose both as we age. Read more

track girl

2. Bridging the Gap
Written by Jess VandenBerg MS, AT, ATC, CSCS at the Center for Physical Rehabilitation – Grand Rapids, MI

If you have ever rehabilitated an athletic injury, you know there is a big difference between completing your rehab, and returning to competition. You are pain free, have full range of motion, and are completely functional, but are you prepared for the true demands of your sport, both mentally and physically? Read more

spine

3. Is There an Association Between Radiological Severity of Lumbar Spinal Stenosis and Disability, Pain, or Surgical Outcome?
Written by the Therapy Team at Oregon Spine and Physical Therapy – Eugene, OR

Last week I wrote a blog about a new research article about the shoulder and MRI. It helps us better understand the role of an MRI when trying to figure out the best plan to deal with a painful or injured body part. The old belief that an MRI is the “gold standard” is rapidly dying when it comes to understanding what to do with muscle and joint pain. Read more

golf stretches

Dynamic Golf Stretches

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Golf requires strength, flexibility, endurance and power to create pain free movement and improve your game. The most common golf injury is low back pain followed by shoulder pain and knee pain. A physical therapist can assist you in improving your pain and correct your body’s deficits.  These golf stretches will make your golf game less painful and reduce those extra strokes:

hamstring stretch

Hamstring Stretch
(move from upright into stretched position 10x)

back extension stretch

Back Extension Stretch
(hold club backwards overhead, repeat 10x)

hip back shoulder rotation

Hip/Back/Shoulder Rotation Stretch
(hold club behind back and rotate torso to each side 10x)

calf stretch

Calf Stretch
(move from upright into stretched position 10x)

lumbar rotation 1

lumbar rotation 2

Lumbar Spine Rotation
(hold club, plant feet as shown, rotate to each side 10x)

forearm rotation 1

forearm rotation 2

forearm rotation 3

Forearm Rotation
(hold club straight up, then rotate to each side 10x)

This information was written by Mishock Physical Therapy and Associates, a privately-owned, outpatient physical therapy practice operating 6 clinics in 2 counties located in southeast Pennsylvania. They actively participate in the community by providing services to schools, retirement communities and local businesses. Their mission is to provide the most efficacious, state-of-the-art physical therapy services to relieve pain, restore function and return you to the highest quality of life possible. For more information click here.

July 2016 Events

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Check out our Physical Therapy Monthly Events Calendar!  Focusing on events from PTandMe.com participating physical and occupational therapy clinics. Read more to find out what’s happening in your community in July 2016!

INDIANA PHYSICAL THERAPY EVENTS

JEFFERSONVILLE, IN
DATE: July 15th, 2016 7:00AM – NOON
Steel Dynamics Health & Safety Fair
CLINIC: New Horizons Physical Therapy – Jeffersonville
New Horizons Physical Therapy will be participating in Steel Dynamics – Jeffersonville location’s Health and Safety Fair. The fair is open to Steel Dynamics employees and their families and they look forward to seeing you there! For more information about New Horizons Physical Therapy, visit them online at www.newhorizonsphysicaltherapy.com.

MICHIGAN PHYSICAL THERAPY EVENTS

MONROE, MI
DATE: July 5th, 2016
Clinic Relocation
CLINIC: Advanced Physical Therapy – Monroe
Advanced Physical Therapy is the leading provider of physical therapy, spine care and sports medicine in Southeast, MI. They are proud to be part of the Monroe community, and are committed to helping you, their friends and neighbors, get through your pain and on with life. Visit them at their new location: Hampton Plaza 1291 N. Telegraph Rd., Monroe, MI 48162 www.advphysicaltherapy.com.

SOUTHGATE, MI
DATE: July 18th, 2016 7:30PM
Building Better Runners Series (FREE)
CLINIC: Advanced Physical Therapy – Southgate
Join Advanced Physical Therapy at their Southgate location for a FREE talk focused on the Runner’s Core Routine. Come and learn a step-wise approach to strengthening the lower extremity, specific for runners. This “learn by doing” presentation will build on our Glute Activation talk. Come dressed and ready to participate. Coaches are always welcome, as are your athletes. To sign up please call 734-284-6582 to reserve your spot. More info on Advanced PT at www.advphysicaltherapy.com.

TENNESSEE PHYSICAL THERAPY EVENTS

PULASKI, TN
DATE: July 23rd, 2016
Registration Due for 2nd Annual Golf Scramble
CLINIC: STAR Physical Therapy – Pulaski
STAR Physical Therapy – Pulaski is raising money for The American Heart Association through a fun Golf Tournament. The event will be held August 6th but registration for teams is due on July 23rd. For more information or to register call STAR Physical Therapy at 931-292-6311. For more info about STAR Physical Therapy you can visit them online at www.starpt.com.

MT. JULIET, TN
DATE: July 21st 2016, 2:00PM – 3:00PM
Back Pain Talk
CLINIC: STAR Physical Therapy – Mt. Juliet
STAR Physical Therapy – Mt. Juliet South is hosting a FREE talk about back pain and how physical therapy can help at the Del Webb Country Club. Anyone in the Del Webb community is welcome to attend. A question and answer section will be held at the end. For more info about STAR Physical Therapy you can visit them online at www.starpt.com.

VIRGINIA PHYSICAL THERAPY EVENTS

BLACKSBURG, VA
DATE: July 29th, 2016, 2:00PM
Dizziness/ Vestibular Rehabilitation Talk
CLINIC: University Physical Therapy – Blacksburg
Kelly Wilson, PT, DPT from University Physical Therapy – West Blacksburg is hosting a FREE talk at the Blacksburg Public Library to discuss dizziness, vertigo and vestibular issues and how physical therapy can help. For more information about University Physical Therapy visit them online at www.universityptonline.com.

BRAMBLETON, VA
DATE: July 2016
New Clinic Opening
CLINIC: The Jackson Clinics – Brambleton
The Jackson Clinics are happy the announce the opening of their newest location in Brambleton, VA – located at 42365 Soave Dr. Bramleton, VA 20148. For more information about the Jackson Clinics visit them online at www.thejacksonclinics.com.

WISCONSIN PHYSICAL THERAPY EVENTS

PLOVER, WI
DATE: July 18th, 2016
New Clinic Opening
CLINIC: Sport and Spine Physical Therapy – Plover
Sport and Spine Physical Therapy is proud the announce the opening of it’s newest location in Plover! Located at 1767 Park Avenue, Suite 200, Plover, Wisconsin. Caitlyn Barr, DPT, will be the physical therapist on site. For more information about Sport and Spine physical therapy visit them online at www.sportspinewi.com.

WAUSAU, WI
DATE: July 19th, 2016, 6:00PM – 8:00PM
WVAM Sports Physical Event
CLINIC: Sport and Spine Physical Therapy – Wausau
Sport and Spine Physical Therapy along with other members of the WVAM are providing physicals for athletic students at the Bone and Joint Clinic at 5200 Hummingbird Road. The Cost for a physical is $25. $20 from each physical will be donated back to the athlete’s athletic department. For more information about Sport and Spine physical therapy visit them online at www.sportspinewi.com.

Click here to print a downloadable events flyer.