28-year old male professional golfer on DP world tour, thumb and wrist pain
Left thumb and wrist pain for over a year having hit more off matts whilst practicing in the Winter. He’d only had injection therapy leading up to our first appointment.
We tested his wrist and grip strength using hand-held dynamometry to give us objective numbers to work towards. He was 20-30% weaker on his injured wrist and thumb. Having liaised with his swing coach/ S&C coach and the medical team on the DP World Tour, we made a plan as a team and started a thorough rehabilitation program for him as well as using taping, dry needling and manual therapy to accelerate his progress.
He was back in Q-school hitting balls pain-free within 3 months of us beginning treatment.
34-year old female golfer (11 HCP), elbow fracture
Left forearm bone fracture. I saw her 2 weeks after the fracture whilst she was still in the sling. We started very basic movement and strength exercises initially to accelerate the tissue healing alongside hands-on treatment. Once the 6-week bone healing process had finished, we were able to plan and progress her movement and strengthening targets with day-day demands and eventually the golf swing in mind. We progressed her rehabilitation using strength measurements to check her tolerance.
She returned to golf in 3 months and is still playing pain-free!
38-year old runner with knee pain
2 weeks history of swelling and pain to the front of her left knee having increased her running frequency over the last 2 months. The patient was limping into the appointment. She had obvious swelling around her knee cap and pain with squatting on assessment. She was under-powered on assessment through her calf, knee and hip muscles on testing. We started with taping and hands-on treatment to settle her acute pain which had immediate effect. We tailored a graded exercise program for her to do at home 2-3x per week. We met weekly for 4 weeks progressing the difficulty of the exercise and building back to running tolerance.
She was back running with no pain in 4 weeks.
62-year old male golfer (17 HCP), lower back pain
3-month history of lower back pain. Had had a lower back operation 3 years ago with sciatica. Main pain playing golf with pain into his lower back and left bum cheek. After a taking a thorough history of his injury, and assessing his movement and strength capabilities in our first appointment, it was obvious this golfer had some spinal and hip movement restrictions due to pain as well as strength deficits around his hips and pelvis. I corresponded with his swing coach who sent me videos of his swing. We made some swing adjustments together to offset the demand through the lower back. This immediately helped his pain so he could return to a modified amount of golf initially. We constructed a strength and movement rehabilitation exercise program which he did diligently a few times a week. Alongside this, we used hands-on treatment techniques in session to reduce his pain.
He would return to full golf with no pain in 2-months.
68-year old tennis player with shoulder pain
3-month history of right shoulder pain whilst playing tennis, particularly with serving and his backhands. The cause was likely due to a slight change in grip on his racquet placing more demand on his shoulder to produce force. We changed his grip back, and adjusted the volume/ type of shots he could play whilst still allowing some aspect of tennis. We identified strength deficits in the shoulder using handheld dynamometry and built an exercise program based on these deficits. We used hands-on treatment in session to improve movement restrictions. For clarity of diagnosis we organised an Ultrasound scan with a colleague and discussed injection therapy as an option to accelerate his progress.
SIn the end he didn’t need this and managed ot get back to tennis pain-free in 4-months.