Your Pain Pattern,
What Aggravates It,
The Underlying Anatomy
How to Get Relief,
How People Describe This Pain Pattern
Patients complain about pain in the shoulder occurring at the end of their golf swing. When I ask them to demonstrate, they slowly go through the golf swing taking time to press a little extra at the end to produce the pain. Sometimes they will not get the pain unless they do the motion fairly quickly.
This pain is usually illustrated as happening in the front but feels like it is in the joint or in the back of the shoulder at the end of the golf swing.
When acutely aggravated, the pain extends down the arm and can weaken the grip. This can cause the club to fly out of the hand at the end of the swing. These people may also fumble their coffee cup or cocktail at the clubhouse.
When asked, there is usually a complaint of tension in the top of the neck but then the patient will dismiss this as the sort of normal pain that people have. Also, they commonly have some stiffness in their back that limits the golf swing and forces them to extend the shoulder around a little more at the end.
Some complain of pain in the shoulder when starting their swing but it isn’t as common. They have typically learned to slow their wind up, especially at the beginning of their game. Many of them have a set of exercises that their therapist gave them to warm up for golf. These exercises offer temporary relief but don’t fix the shoulder.
By the way, this is a rotator cuff problem, and you should get some bodywork. Don’t just stretch it out before every game or “tough it out.” This usually gets more disabling and expensive to handle. An experienced massage therapist or physical therapist can help you.
How You Activate and Intensify This Pain Pattern
The patient might additionally complain about pain in the shoulder while sleeping. Much of the time, if the person is complaining about the golf swing, then we’ll find that their sleeping position has been adjusted to avoid the shoulder pain created by this trigger point.
The situation may also be aggravated by reaching to the back seat to tend to a child or to retrieve a bag from the floorboard. Reaching back to tuck in the shirt or fasten a bra usually hurts as well. We then learn to put on a shirt or jacket without reaching back too far.
The self-care post has more ideas on what you should do to care for this.
The Musculoskeletal Anatomy Behind Your Pain
Getting Relief on Your Own
This one of several problems created by trigger points in the infraspinatus. So, this post covers self-care for your golf-swing and a few others.
It has strategies for getting relief on your own. Explore how to change your activities, stretch, and other strategies that relieve the pain associated with this trigger point.
Treatment Notes for Massage and Bodywork
Through Shared Expertise.
This post has techniques, tips, treatment routines, and anatomy illustrations to improve the bodyworker’s approach.
This site is undergoing changes. Starting in early 2020, we began improving the format. We are also adding more extensive self-care, illustrations, therapist notes, anatomy, and protocols. We appreciate your input and feedback. You will see us adding posts and updating older posts as time permits.
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This patient had recovered from a frozen shoulder but developed shoulder pain at the end of his golf swing. More traditional neuromuscular techniques weren’t working. Chiropractic wasn’t working. Integrative Craniosacral was the right solution for lasting relief.
Tony Preston has a practice in Atlanta, Georgia where he sees clients. He has written and taught about anatomy, trigger points, and cranial therapies since the mid-90s.
*This site is undergoing major changes. We are reformatting and expanding the posts to make them easier to read. The result will also be more accessible and will include more patterns with better self-care. In the meanwhile, there may be inconsistency in formatting, content presentation, and readability. Until we get older posts updated, please excuse our mess.