Golf Tune Up - Total Fitness Studio



|Golf Tune Up |For overuse injuries, pain control and | |

|Contributed by Ann Lang, MA, OTR, CHT |restoration of flexibility are the initial goals| |

|For avid golfers, golf isn’t simply a sport, it |of treatments. A variety of modalities are | |

|is a passion, addiction, joy of life. Playing |commonly used to quickly reduce pain including | |

|golf is clearly the pastime of priority. |heat, massage, ultrasound, dry whirlpool, gentle| |

|Nothing, not even arm, wrist or hand pain will |stretching, and electric stimulation. In | |

|derail the devotion! But playing with pain can |addition, to rest the inflamed joints, muscles, | |

|exacerbate your condition and lead to |tendons, nerves and /or ligaments custom | |

|compensatory actions in your swing impairing |splinting by a certified hand therapist is | |

|your game. Fluctuating forearm and elbow aches,|highly effective in quickly reducing symptoms | |

|occasional numbness, burning and tingling in |and inflammation. The second phase of treatment| |

|your fingers, wrist pain and stiffness, finger |focuses on strengthening and endurance building.|Reiki |

|triggering, snapping, locking, swelling and |It is imperative to condition the muscles of the|Reiki is a Japanese technique for stress |

|aching are all signs of repetitive strain |entire upper extremity to tolerate the wear and |reduction and relaxation that also promotes |

|injuries that may be easily improved by the |tear of the sport and protect you from further |healing. It is administered by "laying on hands"|

|services of hand therapy. Early intervention is |re-injury. The third phase of treatment is the |and is based on the idea that an unseen "life |

|essential to resolve and enhance a long and |graded return to sport specific instruction in |force energy" flows through us and is what |

|healthy golf career. |golf warm ups and stretches. For some golfers, |causes us to be alive. If one's "life force |

|Specific injuries associated with golf may be |adaptation of their equipment (changed angle of |energy" is low, then we are more likely to get |

|put into two categories; acute/traumatic and |the club handles to reduce awkward wrist angles,|sick or feel stress, and if it is high, we are |

|repetitive/overuse. Overuse injuries in golf |build up golf handles to reduce hand strain) or |more capable of being happy and healthy. |

|are those that are sustained, repetitive, |specialized wrist/elbow supports (to support |The word Reiki is made of two Japanese words - |

|resistive, frequently aggravated by awkward |sore tissues) are modifications that can |Rei which means "God's Wisdom or the Higher |

|wrist angles. These include tendonitis, nerve |facilitate a quicker return to pain free |Power" and Ki which is "life force energy". So |

|inflammation and joint pain. Symptoms of overuse|playing. Working with a golf pro at this stage |Reiki is actually "spiritually guided life force|

|injuries commonly include aching and radiating |is helpful to correct aggravating movement |energy." |

|pain along the affected muscle/tendon unit |patterns contributing to repetitive strain. |A treatment feels like a wonderful glowing |

|associated with activity. As the condition |Poor technique and / or inappropriate equipment,|radiance that flows through and around you. |

|escalates pain is noted at rest. A commonly |warrants a visit to the pro shop. Golf related |Reiki treats the whole person including body, |

|occurring tendonitis termed “golfer’s elbow” is |upper extremity aches and pain warrants a visit |emotions, mind and spirit creating many |

|characterized by tenderness on the inside elbow |to a hand therapist for an upper extremity |beneficial effects that include relaxation and |

|bone and pain upon gripping. Overuse injuries |evaluation. Early hand therapy intervention |feelings of peace, security and well-being. Many|

|can occur at the shoulder (impingement syndrome |commonly prevents escalating symptoms, |have reported miraculous results. |

|and rotator cuff tendonitis) and at the wrist |facilitates quicker return to the course, and |Reiki is a simple, natural and safe method of |

|(carpal tunnel syndrome which is nerve |can reduce the need for future invasive |spiritual healing and self-improvement that |

|inflammation). The joint at the base of the |procedures including surgery. Preexisting |everyone can use. It has been effective in |

|thumb also frequently inflames with the |conditions like arthritis or past injury can |helping virtually every known illness and malady|

|sustained, repetitive and resistive activities |predispose you for overuse injuries. If there is|and always creates a beneficial effect. It also |

|integral to golf. |pain, weakness, or numbness in the upper |works in conjunction with all other medical or |

|Acute or traumatic injuries that commonly occur |extremity a hand therapy evaluation is |therapeutic techniques to relieve side effects |

|in golfers are ligament tears, muscle strains, |indicated. Improve your game. Improve your |and promote recovery. |

|stress fractures, and joint sprains. These |health. Improve and prolong your enjoyment. | |

|injuries occur with sudden impact loading, such | |Practice News: |

|as the golf club striking the ground, rock, or | |There is a new website for the practice: |

|another object, causing a sudden deceleration in| | |

|the swing. Immediate evaluation by a physician | |There is also a link to a website for Dr. Jaff’s|

|is necessary for acute injuries. Once injuries | |medi-gym Total Fitness Studio: |

|are stable and adequately healed rehabilitation | | |

|is usually indicated. | |The facility is pleased to announce a fantastic |

|A certified hand therapist is an occupational or| |addition. Lyn Genet Recitas now offers massage |

|physical therapist who specializes in the | |and manual therapy in a newly renovated massage |

|evaluation and treatment of shoulder, elbow, | |room. If interested in exploring the |

|wrist, and hand problems. She creates a specific| |possibilities massage can offer, please contact |

|program tailored to fit individual needs | |Lyn at 917-402-8875 or browse her website: |

|facilitating return to playing your best. | | |

|[pic] |electrodiagnostic studies Only after tests |placebo controlled, parallel assignment, |

|Facial Pain |rule out other factors can a diagnosis of ATFP |efficacy study on over 1,500 osteoarthritis |

|Facial pain problems can have many different |be made. |sufferers. All patients' pain levels were |

|causes but the symptoms are usually similar. |Medication is usually the first course of |evaluated at the beginning of the study and |

|Typical pain is described as burning, aching or |treatment. Surgical procedures such as |again at the end of the four weeks. The |

|cramping, occurring on one side of the face, |microvascular decompression generally are not |Glucosamine and Chondroitin combination was |

|often in the region of one of the main facial |successful with these patients. Medications, |found to significantly reduce pain compared to |

|nerves. Symptoms can extend into the upper neck |hot/cold compresses, acupuncture, biofeedback |placebo AND Celebrex® (celecoxib), using the |

|or back of the scalp. Although rarely as severe |and dental splints are the most common |WOMAC Pain Index (Western Ontario and McMaster |

|as trigeminal neuralgia (TN), a true nerve |therapies. Very often, treatment of muscle |Osteoarthritis Index). This study was conducted|

|disease, facial pain is often continuous with |spasm and trigger points can alleviate much of |using taxpayer’s – not a manufacturer’s - |

|few, if any periods of remission. Recent studies |a person’s symptoms. These are best treated |dollars. The Glucosamine Unum-in-Die (Once a |

|propose that a condition known as “Atypical |with manual manipulation or trigger point |Day) Efficacy (GUIDE) Trial took place in 13 |

|Facial Pain” (ATFP) is an early form of |injections. |different European hospitals and compared a |

|trigeminal neuralgia. Indeed, some patients have |If you find you have facial pain, consult a |1,500mg daily dose of glucosamine sulfate and a|

|components of both ATFP and TN symptoms.  Earlier|dentist or ENT specialist to treat any |much larger 3,000 mg dose of the OTC drug |

|literature has linked ATFP to "psychological |underlying disease. Once the acute problem is |Acetaminophen (commonly found in Tylenol, |

|pathology." Recent studies, however have shown no|addressed, consult a physiatrist to help manage|Excedrin, and many others) to a placebo in 318 |

|such link exists. |the pain effectively. You can avoid developing|patients. After 24 weeks of monitoring |

|Possible conditions leading to facial pain |chronic headaches or neck pain if you treat |osteoarthritis sufferers, the study clearly |

|include infections of the sinuses or teeth. A |facial pain in a timely manner.( |showed superior effectiveness of the |

|low-grade infectious and/or inflammatory process | |glucosamine dietary supplement (even at half |

|occurring over a long period can result in nerve |Sensible Exercise OK for Older Adults |the dosage of the drug) on many levels of |

|damage and be the triggering factor for pain. |Results from a new study of older adults by |discomfort and mobility. |

|Vascular compression of the trigeminal nerve in |researchers from The Johns Hopkins School of |The American College of Rheumatology has |

|the same area that is postulated to lead to |Medicine, Baltimore, Maryland, showed that a |recommended acetaminophen as the first line of |

|trigeminal neuralgia is a cause of facial pain |moderate program of physical exertion had no |pharmacological treatment for the pain from |

|although studies have shown that microvascular |ill effects on the heart's ability to pump |osteoarthritis for many years. Review of |

|decompression rarely leads to pain relief in ATFP|blood nor did it produce a harmful increase in |available literature shows that they maintain |

|patients. Dental or some sort of physical trauma |heart size. For a six-month period, researchers|this recommendation. Numerous studies |

|is also linked to ATFP. |assessed the benefits of a supervised program |performed in the past have shown comparable |

|It's not unusual for affected patients to have |of exercise training in a group of 104 men and |relief can be obtained using acetaminophen and |

|undergone numerous dental procedures, seen |women, age 55 to 75, measuring heart function, |the anti-inflammatory medications (ibuprofen, |

|multiple doctors and undergone many medical tests|body fitness and fat levels at the start and |naproxen sodium, celecoxib). To date there has|

|before being successfully diagnosed and treated. |end of the study. All of the participants were |been no official statement made by the college |

|A diagnosis of ATFP is usually a process of |in general good health except for untreated, |regarding the efficacy or safety of using |

|elimination. When a patient complains of constant|mild hypertension. Published in the July 2006 |Glucosamine over the other pharmaceutical |

|facial pain restricted to one side of the face, |issue of Heart, the article reported that after|agents available. |

|the physician must first rule out any other |six months of aerobic exercise on a treadmill, | |

|conditions. Tests include x-rays of the skull, |bicycle or stepper, plus weightlifting, | |

|MRI and/ or CT scan with particular attention to |participants showed no overall ill effects in | |

|the skull base, careful dental and otolaryngolgic|11 measures of diastolic heart function. They | |

|evaluation, and thorough neurological examination|also found that exercise produced no increase |Stacey Jaff, MD |

|including |in eight measures of heart size, including left|Board Certified Physiatrist |

| |ventricular mass and wall thickness. (JHM News | |

| |Service, 7/27/06) |Address all Correspondence to: |

| | | |

| |The Latest News on Glucosamine Supplements |382 Central Park West #20V |

| |Two research studies have released findings |New York, NY 10025 |

| |supporting that Glucosamine taken to treat the |Telephone (212) 222-1007 |

| |pain from osteoarthritis offers effective pain |Fax (212) 222-1007 |

| |relief. The two studies suggest the supplement| |

| |can be more effective than the current first |Office Address: |

| |line treatment, acetaminophen (Tylenol). |43 Central Park North, 1B |

| |The "GAIT" Glucosamine/Chondroitin Arthritis |New York, NY 10026 |

| |Intervention Trial: Under the direction of the | |

| |NIH (National Institutes of Health) 13 research|Office Hours: |

| |universities in the United States performed |Monday through Friday 8AM –7:30PM |

| |this randomized, double-blind, | |

-----------------------

Ann Lang, MA, OTR, CHT

Certified Hand Therapist

2 West 86th Street

New York, NY 10024

(212) 787-6585

Justine Renson

Reiki, Yoga, Personal

Training

(646) 316-2406



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