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June 18, 2025 14 mins

Swing into better golf performance with this eye-opening conversation featuring physical therapist John Braswell from Functionize Health and Physical Therapy in Dunwoody. Ever wondered why your back aches after a round or why that nagging elbow pain won't go away? This episode delivers practical insights into the physical demands of golf and how to protect yourself from common injuries.

John breaks down the five most prevalent golf-related injuries – from low back pain and golfer's elbow to rotator cuff, knee, and wrist injuries – explaining their causes and prevention strategies. You'll discover why traditional static stretching falls short and how dynamic warm-ups that mimic actual golf movements can dramatically reduce your injury risk. Perhaps most surprising is John's revelation that golf can be "a game of opposites" where swinging harder often produces worse results than focusing on proper technique and muscle engagement.

The conversation dives deeper into three common swing faults that plague many golfers: early extension at impact, reverse spine angle, and over-the-top downswing. For each fault, John provides actionable solutions involving mobility work, strength training, and balance exercises. He also explains how the Titleist Performance Institute assessment protocol can identify your unique physical limitations and how targeted physical therapy can transform your game by addressing these issues at their source. Whether you're fighting through pain on the course or simply looking to improve your performance, this conversation offers valuable insights for golfers at every level. Ready to take your game to the next level while protecting your body for years of enjoyment on the course? This episode is your first step.

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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
This is the Good Neighbor Podcast, north Atlanta,
where local businesses andneighbors come together.
Here's your host.

Speaker 2 (00:08):
Stacey Risley.
Hello friends and neighbors,Welcome to North Atlanta's Good
Neighbor Podcast.
Today we're here with JohnBraswell.
He is a physical therapist withFunctionize Health and Physical
Therapy here in Dunwoody and isone of our expert contributors
to Dunwoody Neighbors Magazine.
So he is here to help usunderstand a little bit more
about golf and golf injuries andhow to prevent them.

(00:30):
And so welcome, John, we are sohappy to have you on.

Speaker 3 (00:34):
Well, thanks for having me.
I appreciate being on.

Speaker 2 (00:37):
Well, so the title of the article is Golf in Georgia
it's kind of a thing and ittalks mostly about how to
prevent some golf injuries andimprove, and how physical
therapy can help improve yourgolf game.
So really, if we can, we'd loveto start with some of the
common injuries that you see andtheir causes in golf.

Speaker 3 (01:00):
Yeah.
So I'll just give a briefsynopsis of each and then go
into details of each one.
So when you're looking atgolfing injuries, for the most
part you're either going to beseeing people coming in with low
back pain Another one's calledgolfer's elbow, similar to
tennis elbow, like you'veprobably heard before rotator
cuff injuries, knee pain andthen wrist and hand injuries.

(01:23):
So if we go back to low backpain, and what you normally see
when it comes to golf relatedinjuries is golf does require a
lot of rotational force and itcan strain the lower back and
that can lead to stiffness andchronic pain, and so we see a
lot of people like that.
When it comes to those kinds ofissues, golfer's elbow is

(01:43):
probably the most common one, atleast that I see.
So it really has to do withrepetitive stress on your
forearm muscles from grippingthe golf glove a lot and it can
actually cause a lot ofinflammation on the inside of
your elbow, because that's whereyour gripping muscles start,
and so then you get a lot ofpain and inflammation on the
inside of your elbow.
Rotator cuff injuries, sothat's going to be near your

(02:03):
shoulder, more on the back ofyour shoulder, so things like
shoulder instability orimpingement, or even tears, if
it's bad enough, can result fromthe high demands that placed on
your upper body.
And then knee pain, not ascommon because golf is more of a
stationary sport.
Because golf is more of astationary sport, but you can

(02:27):
get knee injuries that way dueto the twisting motions,
especially when you're usinghigher clubs, like off the tee
box, using a driver or somethinglike that, and so that you
shift your weight a lot more andso as a result, it's going to
blow out stress on the knees andit is worse for those with
preexisting knee conditions.
So if you already have one,you're more likely to get in the
injury in some way, shape orform.

(02:49):
And then lastly and this kind ofgoes hand-in-hand with golfer's
elbow is wrist and handinjuries.
So I mentioned before gripping.
You know gripping a golf clubIf you grip it too hard or if
you just play a lot of golf,you're going to, you know, can
lead to a lot of tendonitis andtendinopathy and sprains, even
fractures in your hand and wristif you're not careful.
Plus, also, if you have thingslike a desk job where you're

(03:11):
using your hands a lot andthings like that, or you have a
job, just in general, where youuse your hands a lot, you're
more likely to maybe get aninjury to one of these areas.

Speaker 2 (03:20):
So prevention for these.
The main part of the article istalking about how physical
therapy can help you withprevention and with your golf
game in general.
So, with physical therapy, whatare some ways that you guys
would help prevent theseinjuries?

Speaker 3 (03:36):
Yeah, so we really do put a big emphasis on warming
up, but not just static likestretching and and then going on
your way, but more of a dynamictype of warm-up is good.
Strength training is alsohelpful.
We're at where we, where ourclinic is.
We do place a big emphasis onstrength training and how
beneficial it can be across alot of different um systems,

(03:58):
including golf, but not just uhto golf alone.
Um, it's also.
Maybe you do need some mobilitywork, so maybe stretching is
what you need, so stuff likethat.
But those are kind of the bigtopics, you know.
So if it is mobility, you knowyou're going to be able to have.
If you have the right mobility,you can have increased

(04:20):
flexibility in your hips or yourback or your shoulders, and if
you don't have that fullmobility, it's going to limit
your ability to swing as much asyou need to and to have the
best swing that you can have.
And then strength, like Imentioned before, golf.
I will say it's not all aboutstrength, though, because what I

(04:40):
found is golf can be a game ofopposites.
You swing too hard if you swingas hard as you can, or if you
just use everything that's inyou and you tense up.
It doesn't always work to thebest of your abilities, but
strengthening if you know whichmuscles to use at the right time
, it can help you really bestable and have a smooth and

(05:01):
effective golf swing.
And then I say this to prettymuch anybody, including myself
is warming up before you play.
So some sort of dynamic warm-up.
But also warming up shouldmimic what you're about to do.
So if you're about to play golf, your warm-up should look like

(05:22):
you're golfing.
You shouldn't do somethingthat's not going to help you
with your golf swing.
And so it's just good becauseit primes your muscles and your
joints for the demands of it andit just can help reduce risk of
injury.
And so things dynamic stretches, body weight exercises like
squats or, you know, low backrotations or something like that
, can be really helpful.
And then, like I mentionedbefore, you can always practice

(05:46):
right Go into the driving rangeor, you know, you know, go into
the putting green before a round, and really improving your
skills before can really helpyou when you actually go play a
round of golf.

Speaker 2 (05:58):
Well, I love what you said, that you know warming up
should mimic the activity youknow, and that makes a lot of
sense.
Yep, exactly For sure.
Common sense advice, I love ityeah.
That is helpful.
The next portion of the articleand I'd love to hit on these if
you're into that but it talksabout, you know, three common

(06:19):
swing faults and what is tocorrect those and fix them.
So so you want to touch onthose for us.

Speaker 3 (06:25):
Sure, yeah, yeah.
So three that we really see,and just meaning this is the
most common kinds of faults thatwe see in golfers.
And so the three are earlyextension and impact, reverse
spine angle and then over thetop on the downswing.
And I am guilty of the thirdone.
I'll just preface with that,over the top on the downswing.

(06:47):
But to go back to the first one, early extension at impact,
I'll talk with all these.
I'll talk about what the causeis, most likely cause is, and
then the best way to fix it.
So for early extension at impact, usually the cause is due to
limited hip rotation.
So, like I was saying before,stretching would probably be

(07:09):
helpful in improving this.
If you don't have the goodamount of hip rotation when you
go to swing, it's just not gonna.
You're just going to use yourback a lot more, hence low back
injuries, and that's gonna causea lot of stress in your low
back as opposed to using yourhips, and then, on top of that,
again going back to pain in yourlow back.

(07:32):
If you have weak glutes or themuscles around your pelvis, your
back is going to take the bruntof that and your hips and your
glutes aren't going to help andso you're going to hurt yourself
.
So strengthening your glutes,and so this is where the
strength training comes intoplay, and getting people to get
on a good strengthening programfor their glutes and hips to

(07:52):
help with that kind of thing.
Um second point was reverse uh,reverse spine angle and so the
with this it's usually going alittle bit higher up.
So when we talked about likerotator cuff injuries and things
like that, um, and it's stillin your back, I would say too,
but the cause can be either ifyou have tight lat muscles, so I
call those the Michael Phelpsmuscles, the V muscles that

(08:15):
Michael Phelps used to have umlimited trunk and hip rotation.
So, again, you know, not beingable to move your back like you
should.
And then poor core control, andso stretching of your lat
muscles, which I will say is abig factor for a lot of
functional movement.
A lot of people do have tightlats and so they compensate with

(08:36):
other areas and so, um,stretching those is helpful.
Getting on a good low back andmid back mobility routine that
you can do, before which you canuse your golf clubs, you can
use nothing whatever.
You have to really get yourspine moving.
But then, at the same time, ifyou have too much rotation, if
you have instability, thenyou're also at risk for hurting

(08:57):
yourself.
So that's where the corecontrol comes into play, and
there's a whole plethora of coreexercises we could go into.
And I don't really meanstrengthening your core like
doing sit-ups and crunches andthings like that, but it's more
things, more like planks orfarmer's carries or suitcase
carries, where you're really,you know, aware of where your
core muscles are and how theycan help with stabilizing your

(09:18):
back.
And then, lastly, as far as themost common of the most common
faults we see would be over thetop and the downswing, so if you
have weak core stability.
So this is what I was kind oftalking about before If you have
too much stability rotation inyour lower back, you don't have
enough core stability to controlyour downswing, and so you're

(09:39):
going to come over the top ofthe ball and you're just not
going to hit it very high and so, as a result, you need to work
on your core stability and corecontrol to help you on the when
your club is coming down tostrike the ball and then, at the
same token you know this is whybalance is is also important
going down, you know, to yourlower body.

(09:59):
Maybe it's not your core, maybeit's a balance issue.
So single leg balance work andthings like that could be
helpful.
And then something we talkedabout before another contributor
to this could be limited hipand trunk rotation.
So again, same thing Kind ofdoing some mobility work for
your hips and low back could behelpful.
And so, in order to fix this,we would strengthen your core

(10:20):
hip muscles, work on your singleleg balance, of course, and
then kind of increase yourrotational mobility.
And so there's more kind offaults, and everybody's
individualized and has their ownlittle things that we can
tailor just to them, but for themost part, these are the kinds
of things that you're mostlikely going to see.

Speaker 2 (10:39):
And it talks about at the end of the article.
You mentioned that you couldcontact you guys for a free
assessment and what?
What does a golf assessmententail?

Speaker 3 (10:49):
So what it usually is is Titleist, which is a very
popular golf brand, and golfballs and all the things and
hats and all this stuff.
So they have an Institutecalled Titleist Performance
Institute and basically theyhave this whole big screen.
Think of it kind of like if yougo to the doctor and you get a

(11:10):
physical right and they gothrough a bunch of different
checklists right To check off,like oh you're good here, you're
good here, or oh, maybe youshould work on stretching your
whatever or whatever, or maybeyou should eat, drink more water
, right?
And so it's a step-by-stepprocess where they look at these
things like are your lats tight?
Is your low back tight?

(11:30):
Do you have, you know, poorcore stability?
Is your balance bad?
Do you have good strength inyour hips and core?
And it tests all these things.
And then you get a score andthen it kind of lays out you
know what you're, what's goodand what's not, and so then you
can design, you know, a programfor somebody based on their

(11:51):
limitations, to help their golfswing.
So, and that's what it is andfor the part because I'll tell
you this, I'm still learning mygolf swing per se, but from a
physical therapy perspective, wecan really help those.
You know these folks be like,hey, why don't, why don't we
help you with your strengths andyour, your mobility and your

(12:12):
core control?
And you go to your golf coachto help on your actual golf
swing, but then it's a comp.
Then it's the thing.
Maybe we we get in touch withthe golf coach and say, hey,
we're going to work on hipstrength with this guy, but I
need you to work on whatever youare seeing with him when it
comes to his actual swing, andthen it allows us to help them
overall, so then they can playbetter.

Speaker 2 (12:34):
Yeah, so you can collaborate with them.

Speaker 3 (12:36):
Exactly, yeah, for sure.

Speaker 2 (12:39):
Come up with a plan.

Speaker 3 (12:42):
That's right.

Speaker 2 (12:42):
Yeah, you're not training their golf swing,
that's right Healthier and beable to prevent some of these
injuries that you commonly see.

Speaker 3 (12:50):
Yes, yes, yes yes.

Speaker 2 (12:52):
Well, and so it says also in the article that if you
mention this podcast, or if youmention this Dunwoody Neighbors,
then you can get a golfassessment for just ninety nine
dollars.

Speaker 3 (13:03):
So yeah, that's fantastic.
We run promotionals for sure,and so you know, if they call
our, the office, and tell usthat we can get them on the
schedule, you know, usually thesame week, which is good, and
get them in, you know, based onour availability and stuff like
that.

Speaker 2 (13:19):
So that's wonderful, and father's day is coming up.

Speaker 3 (13:21):
I know yeah.

Speaker 2 (13:22):
That's a really nice father's day gift.

Speaker 3 (13:24):
I don't know if my dad would want me to tell him
about his golf swing, though youknow maybe somebody else that
may be a little too close tohome there, that's right, that's
right.
Maybe somebody else, but yeah,that's right.

Speaker 1 (13:38):
Like one of the other physical therapists, that's
right.

Speaker 2 (13:41):
Well, I really appreciate you coming on today.
It's been a pleasure.

Speaker 3 (13:45):
For sure.
Thank you so much.
I appreciate it, Stacey.

Speaker 2 (13:48):
Absolutely Well.
That's all for today's episode.
Lana, I'm Stacey Risley withthe Good Neighbor Podcast.
Thanks for listening and forsupporting the local businesses
and nonprofits of our greatcommunity.

Speaker 1 (13:59):
Thanks for listening and for supporting the local
businesses and nonprofits of ourgreat community.
Thanks for listening to theGood Neighbor Podcast North
Atlanta.
To nominate your favorite localbusinesses, visit
GNPNorthAtlantacom.
That's GNPNorthAtlantacom.
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