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Fit FORE! Golf Reducing risk of Injury

Learn how you can stay active while preventing injuries!

thewinchesterinstitute
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Fit FORE! Golf Reducing risk of Injury

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  1. Fit fore! Golf. Reducing risk of injury.Presenter: Dr. Michael Suplicki THE WINCHESTER INSTITUTE OF CHIROPRACTIC HEALTH & WELLNESS IT’S ALL ABOUT BALANCE.

  2. health is a state of complete physical, chemical and social well-being and not merely the absence of disease. -Dorland’s Medical Dictionary HEALTH IS NOT A SYMPTOM. ATHLETIC PERFORMANCE IS AFFECTED BY A COMBINATION OF YOUR: STRENGTH, FLEXIBILITY, SPEED AND COORDINATION. BODY IN BALANCE. INJURY PREVENTION AND HOW IT RELATES TO SPORTS IS A COMPREHENSIVE EVENT.

  3. What wears us down and causes dis-easestop defining your health by how you feel

  4. The American heart association 45% of heart attack sufferers don’t have a single symptom. -Circulation Journal, AMA 2016

  5. Bone and Joint Initiative 2016 Cost of treating spine conditions increased 52% from 2000-2011. Joint replacements estimated total cost $66 billion. In 2011, estimated annual cost of medical care to treat all forms of arthritis and joint pain was $580.9 billion. By 2030, it is projected some form of arthritis will affect 67 million adults. 290.8 MILLION DAYS OF WORK LOST IN 2012. In 2011, annual direct cost of treating back pain was $284.4 billion. $213 BILLION IS SPENT ANNUALLY ON MUSCULOSKELETAL DISORDERS.

  6. You should probably yell fore! • Injuries to the lower back are one of the most common golf-related problems. The incidence of golf-related lower back injury ranges from 15% to 34% in the amateur golfers and 22% to 24% in the professional. • Collectively, the incidence of lower back pain in the male golfer is 25% to 36% and 22% to 27% in the female golfer. • The follow-through phase of the golf swing was reported to be associated with the greatest likelihood of injury compared with other phases of the swing. • Most of the injured golfers received treatment of their injury with a general practitioner (69%), a physiotherapist (49%), or a chiropractor (40%)

  7. Every day 130 people in the us die From overuse of prescription pain killers More than 80mill NSAID Rx written annually More than 30bill NSAID (Rx+OTC) doses consumed/yr 16,500 deaths from OTC medication use for arthritis alone 107,000 hospitalized from NSAID-related gastrointestinal complications

  8. But, everyone is doing it. • All OTC medications have potentially serious side effects: • Cardiovascular problems (8,400 individuals monitored for 13y BMJ, 2015) • Increased BP • Increased Atrial Fibrillation by 76% • Gastro problems • Kidney damage • Liver damage • Other forgotten effects: • Suppression of WBCs • Suppression of antibody production by upwards of 50% • Increased illness longevity

  9. A necessary evil: antibioticsOur gut houses trillions of bacteria critical for maintaining: immune health, digestive health and brain health. • One single course of antibiotics can indiscriminately kill off hundreds of important strains of healthy bacteria alongside the bad bacteria it aims to target.  • In 2008, the Food and Drug Administration reviewed the evidence and issued a black box warning regarding the increased risk for tendinitis and tendon rupture. • Literature reports patients taking fluoroquinolones have a 3 to 6 times increased risk of developing tendinitis or rupturing their Achilles tendon. -Sports Heath Jl, 2014

  10. Events(was, is) + responses = outcomesreduce your odds • Warm-up Pre-Activity • Manual Therapy and Therapeutic Stretching • Resistance Exercise • Diet • Hydration • Sleep • Manipulation

  11. The Musculoskeletal System • 640 MUSCLES • 640 TENDONS • 206 BONES • 270 AT BIRTH • 360 JOINTS • 900 LIGAMENTS

  12. The warm-up • Increases muscle temperature • Increases contractile force and stability • Dilates blood vessels • Increases blood flow and oxygen exchange • Improvement to range of motion • Activation of metabolism • Hormone balance • Increased carbohydrate and fatty acid metabolism

  13. Manual massage and therapeutic stretching • Stimulates muscle activation, circulation and nervous system awareness • Increase range of motion • Induce relaxation • Modulate pain • Reduce • Swelling • Inflammation • Restriction

  14. Oh, it’s just a pulled muscle.

  15. Resistance training • 2-3x week light to moderate intensity • 8-10 exercises that train the major muscle groups • 8-12 reps ideally • 30-60 minutes • Why? • Maintains tendon and ligament health to resist forces which cause injury. • The decline in tendon and ligament health that occurs with age can be minimized through low to moderate resistance training (-Kubo K et al. 2003; Reeves ND, 2003)

  16. How does our body handle our caloric intake More real food Meal timing Macronutrient needs & Unbalanced meals Insulin sensitivity Hydration Supplementation

  17. Staying hydrated American council on exercise How about: Divide your weight in half and convert to ounces. 17-20oz 2hr before exercise 8oz 20min before you start 7-10oz every 10-20min 8oz no greater than 30min after

  18. With too little water • Cellular inflammation • Histamine and cortisol released • Immune system is suppressed • Toxic build up • Slowed metabolism • Increased risk of injury • Reduced energy

  19. Rest and recoveryMetabolism booster, anti-ager, muscle keeper, immune saver Don’t over train, 30min x 5d. 7-8hrs per night. Sleep needs do not decrease much with age. Telomere caps*. Follow the circadian rhythm, to bed by 10p. Lighting, no blues, yellows, greens.

  20. ManipulationThe connection between spine and nervous system Injury risk Stress response Mood Behavior Heart rate Digestion Clinically proven to affect the way the brain communicates with the body. • Lymphatic function • WBC behavior • Joint position sense • Speed • Strength • Breathing Journal Trauma Stress, 2013. Nature Reviews Neuroscience, 2009. Neurobiology of Stress, 2015. NeurosciBiobehav Rev, 2012. Journal of Neuroscience, 2015. Journal ElectromyogrKines, 2012.

  21. How does an adjustment work? • Through detection and correction of abnormally functioning spinal joints, the adjustment restores a more natural, normal motion to the spinal vertebrae in order to decompress the joint and stimulate the associated spinal nerve roots. • With a gentle touch, the patient is placed into a biomechanically safe and neutral position, allowing only a light thrust to mobilize the abnormally functioning spinal segment.

  22. Bone- degenerative disc/joint disease • Subluxation- restricted range of motion • Joint Inflammation • Disc thinning • Bone spur formation • Decreased nerve root space

  23. Executive functions: Attention Inhibition of action Execution of action Planning Monitor sensory input Memory Learning Initiation Hypothesis generation Cognitive flexibility Decision making Judgment Feedback utilization Self-perception that is necessary for effective and contextually appropriate behavior Intelligence Emotional regulation Stress response Traumatic stress Mental health Empathy ADHD Sleep disorders Functional gastrointestinal disorders Immune system Inflammation Chronic disease Prefrontal Cortex function It’s NOT just about pain processing and motor control!!

  24. Why the Winchester institute

  25. Gonstead Chiropractic - Weight Loss Programs Nutrition Therapy - Pharmaceutical Supplements Licensed Massage Therapy - Custom Spa Studios Functional Rehabilitation - Personal Training Board Certified Health Coaching Most Services are Covered by Insurance the Winchester institute

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