Fit FORE! Golf Reducing risk of Injury
                     FIT FORE! GOLF. REDUCING 
RISK OF INJURY.
PRESENTER: DR. MICHAEL SUPLICKI
THE WINCHESTER INSTITUTE OF CHIROPRACTIC HEALTH & WELLNESS
IT’S ALL ABOUT BALANCE.
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. 
WHAT WEARS US DOWN AND CAUSES DIS-EASE
STOP DEFINING YOUR HEALTH BY HOW YOU FEEL
Diet
Micro & 
Stress Macro 
Trauma
INFLAMMATIO
N
-classical vs 
cellular
-sickness
-dis-ease
THE AMERICAN HEART ASSOCIATION
45% of heart attack sufferers 
don’t have a single symptom.
                 
-Circulation Journal, AMA 2016
BONE AND JOINT INITIATIVE 2016
COST OF TREATING  SPINE CONDITIONS 
IN 2011, ESTIMATED ANNUAL COST OF INCREASED 52% FROM 2000-2011.
MEDICAL CARE TO TREAT ALL FORMS OF 
ARTHRITIS AND JOINT PAIN WAS $580.9 BY 2030, IT IS PROJECTED SOME FORM OF 
BILLION. ARTHRITIS WILL AFFECT 67 MILLION ADULTS.
IN 2011, ANNUAL DIRECT COST OF 
TREATING BACK PAIN WAS $284.4 290.8 MILLION DAYS OF WORK LOST IN 2012. 
BILLION.
$213 BILLION IS SPENT ANNUALLY ON JOINT REPLACEMENTS ESTIMATED TOTAL COST $66 
MUSCULOSKELETAL DISORDERS. BILLION.
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%)
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
BUT, EVERYONE IS DOING IT. 
All OTC medications have Other forgotten effects:
potentially serious side effects: Suppression of WBCs
Cardiovascular problems (8,400 Suppression of antibody 
individuals monitored for 13y production by upwards of 
BMJ, 2015) 50%
Increased BP
Increased illness longevity
Increased Atrial Fibrillation by 
76%
Gastro problems
Kidney damage
Liver damage
A NECESSARY EVIL: ANTIBIOTICS
OUR 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
EVENTS(WAS, IS) + RESPONSES = OUTCOMES
REDUCE YOUR ODDS
1. Warm-up Pre-Activity 1. Hydration
2. Manual Therapy and 2. Sleep
Therapeutic Stretching 3. Manipulation
3. Resistance Exercise
4. Diet
THE MUSCULOSKELETAL SYSTEM
• 640 MUSCLES 
• 640 TENDONS
• 206 BONES
• 270 AT BIRTH
• 360 JOINTS
• 900 LIGAMENTS
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
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
OH, IT’S JUST A 
PULLED 
MUSCLE. 
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)
• More real food
HOW DOES 
• Meal timing
OUR BODY 
• Macronutrient needs & Unbalanced meals
HANDLE OUR 
CALORIC • Insulin sensitivity 
INTAKE • Hydration
• Supplementation
STAYING HYDRATED
AMERICAN COUNCIL ON EXERCISE HOW ABOUT: 
17-20oz 2hr before exercise Divide your weight in half and 
8oz 20min before you start convert to ounces.
7-10oz every 10-20min
8oz no greater than 30min after
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
REST AND RECOVERY
METABOLISM 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. 
MANIPULATION
 THE CONNECTION BETWEEN SPINE AND NERVOUS SYSTEM
Clinically proven to affect the way the brain communicates with the body.
• Lymphatic function • Injury risk
• WBC behavior • Stress response
• Joint position sense • Mood
• Speed • Behavior
• Strength • Heart rate
• Breathing • Digestion
Journal Trauma Stress, 2013. Nature Reviews Neuroscience, 2009. Neurobiology of Stress, 2015. Neurosci Biobehav Rev, 2012. Journal of Neuroscience, 2015. Journal Electromyogr 
Kines, 2012. 
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. 
BONE- DEGENERATIVE 
DISC/JOINT DISEASE
•Subluxation- restricted 
range of motion
•Joint Inflammation
•Disc thinning
•Bone spur formation
•Decreased nerve root 
space
PREFRONTAL CORTEX FUNCTION 
IT’S NOT JUST ABOUT PAIN PROCESSING AND MOTOR CONTROL!!
Executive functions: • Cognitive flexibility • Empathy
• Attention • Decision making • ADHD
• Inhibition of action • Judgment • Sleep disorders
• Execution of action • Feedback utilization • Functional 
gastrointestinal 
• Planning • Self-perception that is disorders
necessary for effective 
• Monitor sensory input and contextually • Immune system
• Memory appropriate behavior • Inflammation
• Learning • Intelligence • Chronic disease
• Initiation • Emotional regulation
• Hypothesis generation • Stress response
• Traumatic stress
• Mental health
WHY THE WINCHESTER INSTITUTE
THE WINCHESTER INSTITUTE
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