The function of the glenohumeral joint depends largely on the function of the scapulothoracic joint. Damage to the shoulder complex in golfers usually occurs in the lead shoulder (left shoulder for the right-handed golfer). Most of these injuries are of a chronic nature and may include rotator cuff strains and tendinitis, impingement syndrome, gle-nohumeral instability, bursitis, and snapping scapula syndrome. Acute damage can cause rotator cuff tears and glenohumeral subluxations.
Usually the injury starts with a low-grade ache and discomfort in the shoulder after playing or practicing. Symptoms increase during the backswing phase. With continued swing stress, the low-grade inflammation can turn into more serious disorder and dysfunction if left untreated, such as severe injuries to supraspinatus and infraspinatus muscles and full-thickness tears in the rotator cuff tendons or musculature.22
Older golfers and those with years of stressful practice are more vulnerable to the development of multidirectional instabilities of the lead glenohumeral joint and secondary shoulder impingement syndrome.22
Dry needling acupuncture therapy is very effective in preventing and treating the chronic soft tissue dysfunction of the shoulder musculature that develops into these injuries. Weekly de-stressing treatment is suggested for prevention, and two treatment sessions per week should be provided for treating the symptoms.
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