Latest / The Driven Athlete / Golf Pain Fixes That Actually Work | Ep 145
Transcript
- 0:00SPEAKER_00: If you're a driven, active person who wants to reach and pursue a higher quality life with some ambition, then guess what?
- 0:06SPEAKER_00: This podcast is for you.
- 0:08SPEAKER_00: This is the Driven Athlete Podcast.
- 0:12SPEAKER_00: What's up, y'all?
- 0:14SPEAKER_00: Got golf, mechanics, and mobility on the podcast today for the Driven Athlete.
- 0:18SPEAKER_00: And really common things that we see, like in the lens that we see it, and then what our role is, right?
- 0:24SPEAKER_00: Because we're not swing, we're not pros.
- 0:26SPEAKER_00: We're not swing coaches, we're not swing pros, but we are biomechanics and pain.
- 0:30SPEAKER_00: As like if somebody has pain when they come in to see us, that that's what we do.
- 0:34SPEAKER_00: We help reduce discomfort to solve the pain problem and then increase their functionality so they can do the thing they want to do, which is golf activity, exercise, strengthening, running, all that stuff.
- 0:44SPEAKER_00: Golf being the focus with this of like the mechanics, right?
- 0:46SPEAKER_00: So, like, why do people have pain?
- 0:49SPEAKER_00: And what are the faulty things that we see the most commonly that lead to pain?
- 0:54SPEAKER_00: And then, like, how do you fix it?
- 0:55SPEAKER_00: And then what are the some of the focuses that we would do for like strengthening exercises and stability?
- 1:01SPEAKER_00: All right.
- 1:01SPEAKER_00: So one of the first things that we usually find and and and and see as issues is core and pelvic stability.
- 1:10SPEAKER_00: All right.
- 1:11SPEAKER_00: So core weakness.
- 1:12SPEAKER_00: It's not like, well, it's not a weakness problem.
- 1:15SPEAKER_00: It's usually a recruitment problem.
- 1:17SPEAKER_00: All right.
- 1:18SPEAKER_00: So if something is under-recruited and not utilized um well enough and and used and recruited for the function they're trying to do, like rotational swing, um, something else is going to overcompensate.
- 1:30SPEAKER_00: So the thought would be like, if there's all these a large collection of muscles that produce, they all work together to produce the rotational movement with golf, um, or lacrosse or tennis or pickleball, whatever.
- 1:42SPEAKER_00: Um, if some muscles, they're all working in concert together, the question would be like, which muscles are overworking and over blaring, and then other ones aren't really contributing or helping enough, right?
- 1:51SPEAKER_00: So like if some are under or more dormant and under-recrutable, uh, it's more of a neuromuscular lack of recruitment.
- 1:58SPEAKER_00: Um, whereas other ones um are overly dominant and they're just on they're blasting all the time, and they're the first things to be recruited and used to make a hard, um, forceful movement happen, right?
- 2:11SPEAKER_00: Um, and that disparity in muscle recruitment um for golf is very commonly like the low back muscles, the erector spinae group, the QL, um, and then usually the glutamid and men, like the TFL, those, the psoas, those muscles are usually the ones that are over-recruited.
- 2:29SPEAKER_00: And um, to prove that, to like further that point, uh we also do a lot of manual therapy.
- 2:35SPEAKER_00: We focus on the muscles that are overly guarded and painful and like stiff.
- 2:40SPEAKER_00: All right.
- 2:41SPEAKER_00: And that would represent that the muscles that are stiff and over-guarded and hypertonic and really protective all the time.
- 2:48SPEAKER_00: It's because those are the ones that are always being used.
- 2:50SPEAKER_00: All right.
- 2:51SPEAKER_00: And that would be like the low back muscles, the erector spinae group, the ones that railroad your spine.
- 2:55SPEAKER_00: And then the one just to like to the side of that in your low back that connects to your pelvis, and that'd be your QL.
- 3:00SPEAKER_00: That's a it's just really common muscle, musculature that we find are sites of tightness and pain and guarding.
- 3:07SPEAKER_00: All right.
- 3:07SPEAKER_00: So we spend a lot of our time doing manual therapy on those particular spots, which represents because they're they're being overused way too much all the time.
- 3:15SPEAKER_00: So that's that's a recruitment problem.
- 3:16SPEAKER_00: All right.
- 3:17SPEAKER_00: So which ones instead do we want to recruit?
- 3:19SPEAKER_00: Well, we need to get the abdominals to be more, more utilized and more recruitable and found.
- 3:23SPEAKER_00: We need to find your abdominals to be able to be used and recruited with a golf swing and the rotational torque and strength produced like for the rotational component of the swing.
- 3:34SPEAKER_00: Um, and that would be like your rectus abdominis, your internal obliques, your external obliques, and your transverse abdominis.
- 3:40SPEAKER_00: And then the other ones would be like your diaphragm.
- 3:42SPEAKER_00: All right.
- 3:42SPEAKER_00: So those abdominal muscles, what I'm talking about.
- 3:45SPEAKER_00: We have to find them.
- 3:46SPEAKER_00: And then can we utilize them with like a functional movement that might not be specifically targeted for like a core exercise?
- 3:53SPEAKER_00: Can they still be used?
- 3:54SPEAKER_00: As in, like, if we did like um, if we did like a walking lunge, a unilateral dumbbell hold, like one dumbbell in one hand.
- 4:03SPEAKER_00: So you're being tugged down one side and do a walking lunge.
- 4:07SPEAKER_00: Can you, can a person purposefully recruit and access their abdominals, their their core while doing that?
- 4:15SPEAKER_00: It's not like a sit-up or like a crunch where it's like, oh, I can easily find my abs doing that, right?
- 4:20SPEAKER_00: Got it.
- 4:20SPEAKER_00: But like, can you still access them and keep it braced while doing this unilaterally loaded walking lunge?
- 4:27SPEAKER_00: Then the next step would be like, can you utilize that and find them with a golf swing?
- 4:31SPEAKER_00: Like, can you use your abs on purpose to produce the force required to do the torque and the rotation for the golf swing?
- 4:38SPEAKER_00: So that would be like the core.
- 4:39SPEAKER_00: And the other part is the glutes.
- 4:40SPEAKER_00: So this is a glute recruitment.
- 4:42SPEAKER_00: Um, the things that usually overcompensate.
- 4:44SPEAKER_00: And when I say glutes, um, there's a lot of glutes.
- 4:46SPEAKER_00: And same kind of question, like which ones are being overused and utilized and overly recruited and dominant, and which ones are not really easily found.
- 4:53SPEAKER_00: The ones that are usually not easily found is the glute max, all right?
- 4:58SPEAKER_00: Um, and the the external rotators underneath the glute max.
- 5:01SPEAKER_00: And there's like there's a handful of those little guys.
- 5:04SPEAKER_00: They're just for the they're just there for stability.
- 5:06SPEAKER_00: And the ones that over-recruit usually is the ones that people usually have a lot of tightness and stiffness and tenderness with and because they're being used all the time, right?
- 5:15SPEAKER_00: We have to give those guys a break.
- 5:16SPEAKER_00: They're not the problem.
- 5:18SPEAKER_00: They're just the victim because they're just overworked.
- 5:21SPEAKER_00: You know, like who's gonna get who's gonna get fatigued out and and pissed off more and and um working too much?
- 5:28SPEAKER_00: The overtime workers are the ones collecting welfare, right?
- 5:31SPEAKER_00: The overtime workers.
- 5:32SPEAKER_00: And the overtime workers are your rector spinae group, your QL, your psoas, the gluteus medius is an extremely common sight, and also the TFL, the tensor fasciulata.
- 5:42SPEAKER_00: That's the one that that's the muscle that connects to your IT band and goes down your knee, the lateral thigh and attaches to your knee at the bottom.
- 5:48SPEAKER_00: Um, those are the ones that are we always find are like really tight and guarded when we like do manual therapy on people like, oh my gosh, that's so sore.
- 5:56SPEAKER_00: Those are also the ones that get crampy and sp and spastic.
- 5:59SPEAKER_00: Like, have you ever heard somebody have a back spasm before?
- 6:02SPEAKER_00: Extremely common.
- 6:03SPEAKER_00: That's extremely common.
- 6:04SPEAKER_00: Have you ever heard somebody have an ab spasm before?
- 6:06SPEAKER_00: That just represents that they're not really being utilized very much.
- 6:09SPEAKER_00: So people will go through the same recruitment patterns over and over and over again forever.
- 6:14SPEAKER_00: That's just their normalized recruitment, neuromuscular recruitment patterns of what muscles in this whole concert are being utilized first for this hard thing, this hard movement, this hard rotation.
- 6:26SPEAKER_00: So we have to really make it fail-proof and super easy at the beginning to um recruit and access the muscles we're trying to find.
- 6:33SPEAKER_00: Because if it's too challenging of an exercise at the beginning, what do you think is gonna kick in first to help?
- 6:38SPEAKER_00: The strong dominant ones or the ones that are like dormant and not really found easily?
- 6:42SPEAKER_00: The strong dominant ones, they're gonna be the first ones being used and like recruited first.
- 6:46SPEAKER_00: So we have to make something so easy that the strong dominant ones aren't gonna kick in right away.
- 6:51SPEAKER_00: We're gonna have the small little guys or small, more uh weaker, but less recruitable muscles, the weaker ones, to not get over dominated with a super fail-proof, simple, uh, easy exercise where like, oh, I can feel that, and I don't feel my other muscles, my back, tightening up and guarding.
- 7:09SPEAKER_00: Otherwise, they're just recruiting, you're facilitating the same patterns over and over again, the same recruitment and movement patterns.
- 7:16SPEAKER_00: And that's just making things worse, you know, like as in like trying to solve a problem, it's really not helping.
- 7:21SPEAKER_00: It's actually making things worse because it's reinforcing more strength of the strong guys.
- 7:26SPEAKER_00: Um, so anyway, it it for um pelvic and core stability, first problem we see with golf, um, and that's a lack of core recruitment and stability, and a lack of glute recruitment and stability.
- 7:38SPEAKER_00: And it's the glute max and the small external rotators underneath for just pelvic and hip stability.
- 7:42SPEAKER_00: And the research is finding that a combination of better core abdominal muscle recruitment with glute max and external rotator recruitment simultaneously, that's the best recipe for spinal stability and pelvic stability, especially with rotation, where you're getting shearing and rotational forces through the spine and the pelvis.
- 8:03SPEAKER_00: So that's what that's what a lot of recreative exercises focus on is just working on those um recruitment patterns, right?
- 8:10SPEAKER_00: Um next problem we see a lot um is lead hip internal rotation, either range of motion or stability in the into the motion.
- 8:20SPEAKER_00: All right.
- 8:21SPEAKER_00: So lead hip internal rotation.
- 8:23SPEAKER_00: They're either lacking enough internal rotation to be able to rotate and post up through the front leg as they go through the impact and follow through, um, or a lack of stability in the glutes, the same ones, to stabilize the hip and the pelvis when following through through impact and follow through with enough stability to handle the force being placed when passing through the impact and follow-through.
- 8:46SPEAKER_00: So hip, a lack of hip internal rotation, stability, or range of motion.
- 8:51SPEAKER_00: It's not uncommon, it's both.
- 8:53SPEAKER_00: I mean, imagine classic profile, a 53-year-old male who's stiff, um, a little bit overweight, but not like bad overweight, but just like they're just, you know, they, they, they're not like ripped, right?
- 9:05SPEAKER_00: Um, they're not like super lean.
- 9:08SPEAKER_00: Um, and they're gonna be stiff.
- 9:10SPEAKER_00: All right.
- 9:10SPEAKER_00: Dudes are more stiff than women.
- 9:12SPEAKER_00: That's the bottom line, right?
- 9:13SPEAKER_00: Women are usually, they're built for more mobility and flexibility and fluidity.
- 9:17SPEAKER_00: That's why yoga is their forte.
- 9:19SPEAKER_00: Whereas like yoga and mobility and stretching is not gonna be like a guy in their 50s is strength.
- 9:25SPEAKER_00: It's not their forte.
- 9:26SPEAKER_00: They're stiff, all right.
- 9:27SPEAKER_00: They're stiff, they don't really move well, they don't have good hip separation or pelvic separation, pelvic mobility, spinal mobility, um, and their hips are stiff, all right.
- 9:37SPEAKER_00: So they're gonna lack hip internal rotation on their front leg.
- 9:41SPEAKER_00: Um, and then the stability to be able to have the confidence to post up through that front leg into the internal rotation position with the impact and follow-through.
- 9:50SPEAKER_00: All right, so that's gonna be the same external rotator glutes.
- 9:53SPEAKER_00: It's an eccentric stability strength of the external rotators of the lead hip glute, all right.
- 10:02SPEAKER_00: Um, and then uh the glute max plays a roll with that too.
- 10:05SPEAKER_00: Okay.
- 10:06SPEAKER_00: Um you have to be able to hit the brakes going into an internal rotation.
- 10:10SPEAKER_00: So it's an eccentric lengthening of the external rotators of the lead hip.
- 10:14SPEAKER_00: That's what I mean.
- 10:14SPEAKER_00: All right.
- 10:15SPEAKER_00: So it's a lack of hip rotation mobility or stability and strength.
- 10:18SPEAKER_00: A lack thereof is gonna cause early lumbar extension, early extension of the back, all right, the reverse C curve, um, and then like early, and then also excessive lateral sway, like excessive lateral hip sway uh going through the impact and follow-through because they can't rotate through their hip because they're just not confident doing it, they don't know how to do it, they're not they're really they don't know they're not doing it, um, or they don't have the stability or strength to be able to do it.
- 10:44SPEAKER_00: They're lacking the range of motion, all those things combined, like I said.
- 10:48SPEAKER_00: So that's another really common thing.
- 10:49SPEAKER_00: So solution for that is we have to work on hip mobility, of course, posterior hip capsule mobility.
- 10:55SPEAKER_00: Um, make sure the psoas is not super guarded intense that can limit mobility and then also just cause more guarding.
- 11:01SPEAKER_00: Um, and then glute recruitment exercises.
- 11:03SPEAKER_00: All right, we're gonna work on some variations of clamshell, like wall clamshell sliders is one of our go-to's because it gets the external rotators and the glute max at the same time.
- 11:12SPEAKER_00: So your butt should be burning, is with the bottom line.
- 11:14SPEAKER_00: And then can you recruit and find those same glute muscles with this like single leg balance exercise and a reach or um a payload press resistance or a single leg or a Bulgarian split squat, step up, reverse lunges, stuff like that, so that it reinforces those movement patterns with more strengthening functional movements.
- 11:34SPEAKER_00: And then we're gonna work on hip separation, like rotation and finding the glutes and the core with this like other more complex rotation-based exercise.
- 11:44SPEAKER_00: And what's the result after all that?
- 11:46SPEAKER_00: People get more power.
- 11:48SPEAKER_00: They get more power and more velocity, more exit velocity, um, more clubhead speed.
- 11:53SPEAKER_00: Um, they usually get more consistent because they're not hurting while they're playing.
- 11:56SPEAKER_00: Um, and like I said, we're not swing coaches, not golf pros, but we are biomechanics and pain.
- 12:01SPEAKER_00: And that is usually a strong recipe to help with that.
- 12:04SPEAKER_00: And people usually come out with like better, better um speed and power.
- 12:09SPEAKER_00: They play better, right?
- 12:10SPEAKER_00: It's pretty cool.
- 12:10SPEAKER_00: Like the performance is enhanced.
- 12:12SPEAKER_00: So it's like we're reducing pain.
- 12:14SPEAKER_00: We find out what the pain is, reducing pain, and then also like getting things stronger and elevating performance.
- 12:19SPEAKER_00: It's awesome.
- 12:20SPEAKER_00: It's pretty cool.
- 12:20SPEAKER_00: So when that light bulb happens, it takes a couple weeks.
- 12:23SPEAKER_00: We have to we have to work on stuff and they have to do their homework and apply it and experiment with their golf swing and their golf coach and their pro, right?
- 12:29SPEAKER_00: Their swing coach.
- 12:31SPEAKER_00: Um, it's when that light bulb happens, it's pretty awesome, right?
- 12:34SPEAKER_00: I had this D1 golfer that I was working with that we're working on stuff like that.
- 12:37SPEAKER_00: He had classic um lead hip SIJ pain, all right, sicker iliac joint, lower back pain.
- 12:44SPEAKER_00: So cleaned it up, like was feeling better.
- 12:45SPEAKER_00: His SIJ was feeling his pain was gone, and we were working on recruitment strengthening stuff.
- 12:50SPEAKER_00: He's like, Man, I've never done any of this before.
- 12:51SPEAKER_00: Like, I this feels way different.
- 12:53SPEAKER_00: And I feel stay more stable.
- 12:55SPEAKER_00: It feels great.
- 12:56SPEAKER_00: I was like, perfect.
- 12:57SPEAKER_00: Keep working on this.
- 12:58SPEAKER_00: He's like, should I be like thinking about this recruitment pattern, like these mismuscle memory with my swing during my swing?
- 13:06SPEAKER_00: I was like, absolutely, yeah, totally.
- 13:08SPEAKER_00: I'm not a swing coach, but if it's not conflicting with anything else you're already working on and you're consulting with your swing coach, and you know your body better than anybody else, or you're an extremely talented golfer, you know the nuances, all this stuff.
- 13:19SPEAKER_00: Like, absolutely, dude.
- 13:20SPEAKER_00: Apply this stuff with your golf swing.
- 13:22SPEAKER_00: So he was working on it.
- 13:23SPEAKER_00: He was, he was like, I'm gonna smooth some shots and work on this recruitment and some sequencing and like just feeling what I'm supposed to be feeling muscle-wise to produce the force, to produce the strength.
- 13:34SPEAKER_00: Um, anyway, he came back like two weeks later.
- 13:36SPEAKER_00: He was like, I won the long drive contest.
- 13:38SPEAKER_00: That was awesome.
- 13:39SPEAKER_00: I was like, high fives all around.
- 13:40SPEAKER_00: Like, this is six.
- 13:41SPEAKER_00: So you're having no pain and you're hitting the ball further.
- 13:44SPEAKER_00: So your performance is improving.
- 13:45SPEAKER_00: I was like, this is a win-win-win.
- 13:47SPEAKER_00: This is awesome.
- 13:48SPEAKER_00: Like, let's go.
- 13:49SPEAKER_00: So that's a common thing that that's another.
- 13:51SPEAKER_00: So the hip internal rotation, lack of core, lack of glute, pelvic and lumbar stability.
- 13:57SPEAKER_00: Um, another classic one that's extremely common is just they're just lacking thoracic spine rotation mobility.
- 14:03SPEAKER_00: They're lacking spinal rotation range of motion, or they're stiff in their spine.
- 14:08SPEAKER_00: The same thing.
- 14:08SPEAKER_00: Imagine like a 50-year-old golfer, they're gonna be stiff and they're gonna lack the twisting range of motion.
- 14:13SPEAKER_00: All right.
- 14:14SPEAKER_00: Most of that comes from your thoracic spine.
- 14:16SPEAKER_00: So if somebody's lacking thoracic spine rotation for either the backswing or the follow-through at end range, they're gonna extend through the lumbar spine.
- 14:25SPEAKER_00: So maybe the early extension again.
- 14:26SPEAKER_00: Um, or the hip sway again, lateral hip sway.
- 14:29SPEAKER_00: So that's like um a classic recipe again.
- 14:32SPEAKER_00: So exercises we're gonna work on manual therapy.
- 14:34SPEAKER_00: We're gonna work on rotational segmental rotation mobility on the T spine, um, also the lumbar spine, like some opening of the lumbar spine, um, and then T spine, thoracic spine rotation mobility exercises.
- 14:50SPEAKER_00: And then some stability at the end range of that rotation mobility.
- 14:54SPEAKER_00: All right.
- 14:55SPEAKER_00: So like stabilizing through the motion totally, but also stabilizing at end range.
- 15:00SPEAKER_00: And that's a cool thing too when that clicks.
- 15:02SPEAKER_00: So it's that's a lot of core again.
- 15:04SPEAKER_00: It's good, it's oblique, is really what it is.
- 15:05SPEAKER_00: Is stabilizing at the end range rotation, it's oblique stability.
- 15:09SPEAKER_00: Where if those aren't really kicking in, what do people usually have pain with at end range rotation?
- 15:15SPEAKER_00: Their back hurts.
- 15:16SPEAKER_00: It's because like their back is guarded and those back muscles are being chronically used and ready to like kick in and guard and like grab and spasm.
- 15:23SPEAKER_00: There's having these also this is just low-level spasms, is what's going on.
- 15:27SPEAKER_00: So that chronic guarding is because of just chronic over-recruitment.
- 15:30SPEAKER_00: All right.
- 15:31SPEAKER_00: Um, next a really common thing that we have come across um is um uh a lack of like shoulder external rotation range of motion.
- 15:40SPEAKER_00: So the lack, the lag arm, the the back arm, okay, um external rotation, shoulder range of motion.
- 15:49SPEAKER_00: All right.
- 15:49SPEAKER_00: And that lack uh having enough of that allows the club head lag.
- 15:53SPEAKER_00: All right.
- 15:54SPEAKER_00: So if you have appropriate sequencing of pelvic rotation and trunk rotation, then shoulder, then arm rotation um uh through the golf swing from the end of backswing through impact and fall through, is what I'm talking about.
- 16:10SPEAKER_00: If they're lacking shoulder external rotation, they're not gonna be able to produce the lag that they need to.
- 16:14SPEAKER_00: Um, so that's a that then what a common strategy for that compensation is scooping, whether like scoop the club under the other under the ball, and that's gonna be a high, a high traject ball flight trajectory, and then also more thin shots um or shanking.
- 16:29SPEAKER_00: So, or like blading a shot.
- 16:31SPEAKER_00: So that's those that's a common recipe of why that that could like a culprit we're gonna investigate.
- 16:35SPEAKER_00: All right.
- 16:36SPEAKER_00: Um, but um shoulder external rotation range of motion, all right.
- 16:41SPEAKER_00: Um, and then just in general, the last thing, oh sorry, no more thing, neck rotation range of motion.
- 16:48SPEAKER_00: So if they're lacking cervical neck rotation range of motion at the end range of backswing and at the end range of follow-through, it's usually the backswing, they have to have like a pretty significant, almost 90 degrees of like neck rotation to be able to keep your eyes and head on the ball as your body rotates underneath your head.
- 17:07SPEAKER_00: All right.
- 17:07SPEAKER_00: So like it's relative um for a variety left, relative left rotation of the neck.
- 17:13SPEAKER_00: So they have to have enough um an adequate neck rotation mobility.
- 17:16SPEAKER_00: So if they're lacking that, um, they're gonna pull their head off.
- 17:20SPEAKER_00: Like they're gonna pull their eyes off the ball, and then they can't really keep it, which means that they're gonna they can't rotate as far.
- 17:25SPEAKER_00: So they're gonna extend through the lumbar spine again.
- 17:27SPEAKER_00: So early extension um or just excessive extension through the lumbar spine.
- 17:31SPEAKER_00: Um, yeah.
- 17:33SPEAKER_00: So we're looking at we're gonna investigate the neck rotation range of motion too.
- 17:37SPEAKER_00: And then last thing, just in general, just better and more efficient and improved swing mechanics.
- 17:43SPEAKER_00: Like they have to be able to swing better, as in like have the right mechanics.
- 17:47SPEAKER_00: Um, if they're casting or and they're scooping early, they're dumping the club early.
- 17:52SPEAKER_00: Um, that's just they're not getting enough lag in their in their club, the club head.
- 17:56SPEAKER_00: Um, it's it's usually a sequencing problem.
- 17:58SPEAKER_00: It's a it's just just it's a recruitment coordination problem.
- 18:02SPEAKER_00: So just actually work on the coordination of the swing.
- 18:05SPEAKER_00: Um, and usually what they recommend is like the sequencing training.
- 18:07SPEAKER_00: So it'll be like in this golf stance, can your hips fire, rotate first your pelvis?
- 18:13SPEAKER_00: It's pelvic rotation, is what it is.
- 18:15SPEAKER_00: And a lack thereof, if they don't do that, they're gonna sway, they're gonna lean forward too much.
- 18:19SPEAKER_00: So they have to turn, that's the turn.
- 18:21SPEAKER_00: They have to turn through their hips, their pelvis, then they have to rotate through their trunk, and then their arms follow, and then their hands are last.
- 18:28SPEAKER_00: So that um sequence of like boom, boom, boom, boom, hips, trunk, uh, shoulders, hands, that has to be um that correct sequence.
- 18:36SPEAKER_00: And that um can be worked on.
- 18:39SPEAKER_00: You have to work with a pro totally, like a golf, like we said, we're not golf swing pros, but we are biomechanics and pain.
- 18:44SPEAKER_00: And um, if somebody has like chronic elbow issues, like tennis, golfer or tennis elbow, like lateral epicondylopathy or epicondylitis, or medial epicondylitis, epicondylopathy, um, the elbow pain on the inside or outside, it's usually because they're too wristy.
- 18:59SPEAKER_00: They're trying to slap the ball or hit it.
- 19:01SPEAKER_00: They're scoopy and they're dumping the club or casting.
- 19:04SPEAKER_00: They're trying to like hit the ball with their wrist.
- 19:06SPEAKER_00: Um, and we are gonna investigate shoulder blade stability, scapular stability, trunk rotation, strength, and stability, and then sequencing.
- 19:14SPEAKER_00: We also can't neglect the front hip, the lead hip rotate, internal rotation, either range of motion or stability.
- 19:19SPEAKER_00: Those are all the recipe, the things that all contribute to that.
- 19:24SPEAKER_00: So those are the most common golf mechanic issues that we come across with people and the pain sites, their compensations, and then things that we would work on.
- 19:32SPEAKER_00: All right.
- 19:33SPEAKER_00: That's like that's a pretty comprehensive list.
- 19:35SPEAKER_00: You know, like that's a pretty good list.
- 19:36SPEAKER_00: That's that's a very common that's a that's the most common things we see.
- 19:40SPEAKER_00: And that's why the people's back hurts when they play um golf a lot or their or like a hip impingement type mechanism, like symptoms.
- 19:47SPEAKER_00: So if any questions on that, don't hesitate to reach out.
- 19:50SPEAKER_00: Or we can at least chat on the phone, see what we've going on, and how we'll be able to help you.
- 19:53SPEAKER_00: And uh the best way to reach us is uh probably our phone number at 561 899 8725, and we'll catch you all next time.