How to Protect Your Back, Hit Better Shots and Keep Playing for Years to Come
If you’ve ever finished a round of golf and felt your back tightening up by the 18th hole, you’re not alone. Back pain is the most common injury in golf. It affects weekend golfers, club champions and tour professionals alike.
The frustrating part? Many golfers assume back pain is simply something they have to live with. It isn’t. In many cases, recurring back pain isn’t caused by golf itself. It’s caused by how your body handles the demands of golf.
At Lebatie Physio, we help golfers understand why their backs become painful, what contributes to recurring problems, and how they can continue enjoying the game without constantly worrying about the next flare-up.
Why Is Back Pain So Common in Golf?
Golf may not look physically demanding compared to rugby or football. Your lower back would like a chance to challenge that opinion. Every golf swing places stress through the body.
Now multiply that by:
- Hundreds of range balls
- Weekly rounds
- Years of playing
Suddenly the body has accumulated thousands upon thousands of repetitive movements. Most people can tolerate this very well. Problems arise when the body loses the ability to move efficiently.
The Biggest Myth About Back Pain in Golf
Many golfers believe the solution is simply strengthening their lower back. The reality is a little different. Your lower back isn’t designed to create huge amounts of rotation. Its job is to help transfer energy between the upper and lower body. The hips and upper back should be doing most of the rotational work. When they don’t move well, the lower back often picks up the slack. And eventually it complains. Usually loudly.
Why Does My Back Tighten Up During a Round?
One of the most common complaints we hear is: “My back feels fine at the start, but gets progressively worse as the round goes on.” This often comes down to fatigue.
As the body becomes tired:
- Movement quality declines
- Balance becomes less efficient
- Swing mechanics change
- The back absorbs more stress
Think of it like a car tyre slowly losing air. It still functions. Just not as well as it did at the start.
Why Am I Losing Power?
Many golfers associate power with strength alone. Power is actually a combination of movement, coordination and timing. If your hips are stiff or your upper back lacks mobility, generating speed becomes much more difficult. The body often compensates by trying to force more movement through the lower back. This usually produces less power, not more. More effort. Less result. One of humanity’s favourite combinations.
Is It My Back or Is It Something Else?
This is where things become interesting. Many golfers experiencing back pain actually have underlying limitations elsewhere.
Common contributors include:
Stiff Hips
Restricted hips often force the back to work harder during rotation.
Limited Upper Back Mobility
If your upper back doesn’t rotate well, the lower back often tries to compensate.
Poor Physical Conditioning
The body’s ability to tolerate repeated swings matters more than many golfers realise.
Sudden Increases in Practice
Hitting 300 range balls after months away from golf remains a surprisingly popular decision.
The body rarely shares the enthusiasm.
What Are the Warning Signs?
You should pay attention if you experience:
- Pain during or after golf
- Stiffness that lasts more than a day or two
- Loss of distance
- Reduced ability to rotate
- Pain that worsens over time
Symptoms that repeatedly return
These signs don’t necessarily indicate serious damage. They do indicate that your body may need some attention.
How Can I Protect My Back?
Fortunately, there are several simple strategies that make a significant difference. Keep Your Hips Mobile Good hip movement helps reduce unnecessary stress on the lower back.
Improve Upper Back Mobility
The more efficiently your upper back rotates, the less your lower back needs to compensate.
Build Endurance
Golfers often focus on strength. The ability to stay strong for four hours may be even more important.
Manage Practice Volume
More practice isn’t always better. Better practice is usually better.
Address Problems Early
Small issues are much easier to manage than major ones. Ignoring warning signs rarely counts as a treatment plan.
How We Assess Golfers at Lebatie Physio
At Lebatie Physio, we look beyond where the pain is located. Our assessment focuses on understanding why the problem developed.
We may assess:
- Hip mobility
- Upper back mobility
- Strength and endurance
- Balance and control
- Golf-specific movement patterns
Our goal is simple: Identify the factors limiting your performance and contributing to pain. Because guessing has a poor success rate in both golf and rehabilitation.
How Physiotherapy Can Help
Modern physiotherapy isn’t simply about treating pain. It’s about helping golfers move better and perform better.
Treatment may focus on:
- Improving mobility
- Building strength and endurance
- Improving movement quality
- Reducing recurring pain
- Helping golfers return confidently after injury
Better movement often improves both performance and comfort. Conveniently, golfers tend to enjoy both.
Final Thoughts
Back pain may be common in golf, but it shouldn’t be considered normal. The strongest golfers aren’t necessarily those with the strongest backs. They’re often the golfers whose bodies move efficiently, stay resilient, and tolerate the demands of the game over time.
If you’re struggling with recurring back pain, loss of distance, stiffness, or reduced enjoyment of golf, the answer may not be found in another swing tip. It may be found in improving the body behind the swing.
At Lebatie Physio, our mission is simple: Engineering Movement. Because when your body moves better, your golf game usually follows.
Ready to Improve Your Golf Performance?
Whether you’re dealing with recurring low back pain, recovering from injury or looking to optimise your golf performance, our team can help.
📍 Waterfall Health Centre, Country Estate Drive, Midrand, 2090
📞 011 027 2111📱 084 816 5457📧 info@floydlebatiephysio.co.za 🌐 www.floydlebatiephysio.co.za
References
Adams, M.A. and Dolan, P. (2005) ‘Intervertebral disc degeneration: Evidence for two distinct phenotypes’, Journal of Anatomy, 206(6), pp. 497-506.
Evans, K., Tuttle, N. and Sullivan, S.J. (2022) ‘Trunk muscle endurance and low back pain in golfers: A cross-sectional investigation’, Journal of Sports Rehabilitation, 31(4), pp. 456-463.
Evans, K., Joyce, C. and Burnett, A. (2024) ‘Lumbar spine loading characteristics during the modern golf swing: Implications for injury risk’, Sports Biomechanics, 23(2), pp. 211-225.
Gluck, G.S., Bendo, J.A. and Spivak, J.M. (2008) ‘The lumbar spine and low back pain in golf: A literature review of swing biomechanics and injury prevention’, The Spine Journal, 8(5), pp. 778-788.
Golob, A.L., Myers, J.B. and Lephart, S.M. (2024) ‘Abdominal bracing versus abdominal hollowing for trunk stability: A scoping review’, Sports, 12(4), pp. 193-205.
Granata, K.P. and Marras, W.S. (2000) ‘Cost-benefit of muscle cocontraction in protecting against spinal instability’, Spine, 25(11), pp. 1398-1404.
Hides, J.A., Richardson, C.A. and Jull, G.A. (2001) ‘Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain’, Spine, 21(23), pp. 2763-2769.
Hodges, P.W. and Richardson, C.A. (1996) ‘Inefficient muscular stabilization of the lumbar spine associated with low back pain’, Spine, 21(22), pp. 2640-2650.
Hodges, P.W., Eriksson, A.E., Shirley, D. and Gandevia, S.C. (2005) ‘Intra-abdominal pressure increases stiffness of the lumbar spine’, Journal of Biomechanics, 38(9), pp. 1873-1880.
Janssens, L., Brumagne, S., McConnell, A.K., Claeys, K., Pijnenburg, M. and Troosters, T. (2013) ‘Diaphragm function, postural control and fatigue in low back pain populations’, PLoS ONE, 8(3), e57949.
Joyce, C., Burnett, A. and Evans, K. (2024) ‘Three-dimensional lumbar spine kinetics during the golf swing in skilled golfers’, Sensors, 24(4), pp. 1252-1265.
Kolar, P., Sulc, J., Kyncl, M., Sanda, J., Cakrt, O., Andel, R., Kumagai, K. and Kobesova, A. (2012) ‘Stabilizing function of the diaphragm: Dynamic MRI and synchronized spirometric assessment’, Journal of Applied Physiology, 109(4), pp. 1064-1071.
Lee, D., Park, J. and Kim, S. (2023) ‘Effects of intra-abdominal pressure regulation on spinal stiffness and postural control: A biomechanical review’, Isokinetics and Exercise Science, 31(2), pp. 145-154.
Lindsay, D.M. and Horton, J.F. (2002) ‘Comparison of spine motion in elite golfers with and without low back pain’, Journal of Sports Sciences, 20(8), pp. 599-605.
Marras, W.S., Lavender, S.A., Leurgans, S.E., Rajulu, S.L., Allread, W.G., Fathallah, F.A. and Ferguson, S.A. (1993) ‘The role of dynamic three-dimensional trunk motion in occupationally-related low back disorders’, Spine, 18(5), pp. 617-628.
McGill, S.M., Childs, A. and Liebenson, C. (1999) ‘Endurance times for low back stabilization exercises: Clinical targets for testing and training from a normal database’, Archives of Physical Medicine and Rehabilitation, 80(8), pp. 941-944.
Panjabi, M.M. (1992) ‘The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement’, Journal of Spinal Disorders, 5(4), pp. 383-389.
Park, S., Lee, J. and Kim, H. (2024) ‘Effects of transversus abdominis activation training using ultrasound biofeedback during golf swing tasks’, Journal of Back and Musculoskeletal Rehabilitation, 37(1), pp. 55-63.
Smith, M.F., Hillman, R. and Piggott, B. (2021) ‘The relationship between trunk endurance and low back pain in rotational sport athletes’, Physical Therapy in Sport, 48, pp. 96-102.
Sugaya, H., Tsuchiya, A., Moriya, H. and Morgan, D.A. (1999) ‘Low back injury in elite and professional golfers: An epidemiologic and radiographic study’, Sports Medicine, 28(1), pp. 1-8.
