This article is co-written with Marnus Marais. Since 2011, Marnus has worked with some of the world’s best players on both the PGA Tour and European Tour, helping them to maintain optimal health and peak physical performance. His current stable of players includes Dustin Johnson, Patrick Cantlay, and Louis Oosthuizen, amongst others
You can find more information on Marnus and his work at marnusmarais.com
Back pain is by far the most common complaint among regular golfers. It is estimated that up to 35 percent of amateur golfers endure lower back injuries. And in our experience working with tour players, the prevalence is even higher in the professional ranks!
Back pain can affect our ball striking and short game, diminish our enjoyment of the game, or even stop us playing altogether. It can make us feel anxious about playing (and making the pain worse) and just generally disappointed with current performance falling way short of our expectations.
There is certainly no shortage of information on the topic of back pain, and with myriad back pain products and supplement options available, confusion about the best path to pain-free golf is one of the main reasons we don’t actually do anything effective to alleviate our suffering!
We aim to present in this article an easy-to-digest explanation of the common causes of back pain, alongside some simple and practical ways to address the underlying issues.
The recommendations we make in this article are generic in nature but effective in many of the low back pain cases we have worked with. However, pain can be complex and very specific to the individual. You should seek the personalized advice of a medical or exercise professional before undertaking any form of remedial exercise.
Reason 1 – Lack of mobility in 2 key areas
Certain areas in the body need to be more stable, and others need to be more mobile. The lumbar spine falls into the stable category, partly due to its limited capacity for rotation and lateral flexion (side bending). We know the unnatural golf swing movement imparts both rotational and side bending forces on the spine, so it’s an area we need to keep stable and protected.
In order to avoid excessive low back rotation in life and especially in the golf swing, it’s very important that we try to maximize the range of movement in other areas, most notably the joints above and below the low back, where the majority of rotation in the golf swing should take place:
Area 1 – Hips
We need sufficient range of movement to turn into, and out of, both hips. For example, if we can’t turn and load into our lead hip due to a lack of internal rotation mobility, we tend to compensate with excessive rotation and side-bending in the lower back.
Suggested Exercises – Hip Mobility
Foam roll glutes, you can also use a spiky ball
90 90 hip mobility drills, fantastic for taking the hips through that all important internal rotation range
90 90 Glute Stretch – great for tight glutes / hips
Area 2 – Thoracic Spine (mid to upper back)
Having sufficient rotation in our thoracic spine to both left and the right is extremely important. The thoracic spine has significantly greater rotational capabilities compared to the lumbar spine (low back). If we maximise our mobility here, we can help protect the lower back, along with the cervical spine (neck).
Suggested Exercises – Thoracic Mobility
Foam rolling mid / upper back
Cat / Camel – working the T-Spine through flexion and extension
Reason 2 – Alignment and Muscle Imbalances
Imagine a car with wheel alignment issues; front wheels facing to the right and back wheels facing to the left. Not only will the tires wear out unevenly and quickly, but other areas of the car will experience more torque, load or strain and would have to work harder. The same thing happens to the lower back when we have body alignment issues above and/or below.
For example, if we have short/tight/overactive hip flexors (muscles at the front of the hips that bend our knee to our chest) on one side of the body; very common amongst golfers with low back pain. This would rotate the pelvis forward on one side, which can create a knock-on effect of imbalance throughout the body.
If the pelvis rotates in one direction, the shoulders naturally have to rotate in the opposite direction in order to maintain balance. Our low back is subsequently caught in the middle, and placed under more load, stress and strain. This imbalance can cause the low back to bend and rotate further, and more unevenly, especially in the already complex rotation and side bending context of the golf swing!
Below is a pelvic alignment technique that can help those with the afore mentioned imbalance.
Reason 3 – Posture
Posture can be described as the proper alignment of the spine, with the aim of establishing three natural curves (low back, mid/upper back and neck).
The 3 major spinal curves – 1-Cervical, 2 – Thoracic, 3 – Lumbar
Modern lifestyles and the associated muscle imbalances have pushed and pulled our spines away from those three natural curves, and this had a damaging effect on our spinal health. Our backs are designed to function optimally from the neutral illustrated above, and the further we get away from it, the more stress we put on our protective spinal structures.
Aside from promotion of pain, poor posture also does terrible things for our golf swings; reducing range of motion in key areas (hips, mid back and shoulders) and creating inefficiencies in our swing action, to give us a double whammy of back pain causes.
Fortunately, re-establishing good posture is really simple and you can combine the information and exercises featured in the videos below with the mobility exercises featured in the Reason 1 section above. The equipment used in the videos is the GravityFit TPro – a favourite of ours for teaching and training posture with both elite and recreational players.
In the next instalment of this article, we will cover reasons 4, 5 and 6 why golfers suffer from back pain – 4) Warming Up (or lack thereof!), 5) Core Strength and 6) Swing Faults.
If you would like to see how Marnus can help with your golfing back pain, then check out the resources below:
If you would like to access training programs designed for elite and recreational players, then check out the following products and services from Nick at Golf Fit Pro: