Case Stuuy: Knee Pain in a uolfei

Nis. Cailton piesenteu to hei

Chiiopiactoi's office with a complaint of left
knee pain. She iepoiteu that she hau been
playing S-4 iounus of golf a week foi the last
month anu began having knee pain ovei the last
week anu a half. ueneially she uoes not have
any pain when she begins hei iounu, but by the
S
iu
oi 4
th
hole she begins having pain with
hei backswing. By the back nine the pain is
constant anu iiiitateu with eveiy step anu
swing. ueneially the pain stays thioughout
the night anu sometimes in to the next
moining. She iepoits icing anu anti-
inflammatoiies uo help, howevei the pain
still comes back eveiy iounu.
A physical examination ievealeu pain
on the insiue of hei knee with palpation.
When askeu to squat the patient was
ieluctant to go past 9u uegiees uue to pain.
Stiessing of the stabilizing ligaments of the
insiue of the knee aggiavateu hei pain.
Nusculatuie on the insiue of the leg was
tight anu tenuei. Examination of the hip
ievealeu iestiicteu iange of motion anu tight
hip musculatuie. Nis. Cailton was
uiagnoseu with a milu NCL stiain causeu by
uecieaseu mobility of the hip.






The golf swing is a veiy complicateu
motion that iequiies the cooiuination of many
joints of the bouy in oiuei to execute piopeily.
0ui eveiyuay lives often iequiie us to sit foi
long peiious of time, which makes a loss of hip
motion veiy common. When we aie unable to
move oui hip thiough a iequiieu iange of
motion, oui bouy compensates anu obtains that
motion fiom anothei joint. 0ften times the back
anu knee aie the joints most affecteu. In this
case, a lack of exteinal iotation of the leau hip in
the back swing, iesulteu in Nis. Cailton
compensating with motion at the knee which
placeu excessive stiess on the NCL.

Nis. Caileton was tieateu with lasei anu
ice to hei NCL, along with soft tissue theiapy
anu mobilization of hei left hip. She was
pioviueu stietching anu stiengthening exeicises
focusing on hei hip. Aftei seveial weeks of
tieatment Nis. Cailton iepoiteu significant
ueciease in pain anu was able to ietuin to hei
iegulai golfing scheuule. She continueu
tieatments eveiy couple weeks to maintain hei
hip motion anu was able to golf pain fiee foi the
iemainuei of the season.

!"#$%&'()#*+,-./#
0"#1%/#%2#3(45#6789:#
7;#9%&'()#)+2,#<8/#
+=,+&9()#&%,(,8%9#
>"#1%/#%2#3(45#6789:#
7;#?+4&+(6+?#)+2,#<8/#
+=,+&9()#&%,(,8%9@##
*,&+66#%9#)+2,#8968?+#
59++@#
!" #"
$"