Every year, more than 500 million golf rounds are played on courses across the country. And while anxious golfers are racing to local courses for a quick round, that first swing of the season can come with a risk if your body isn’t ready.

“I think about the low back, especially the population that plays golf tends to be a little bit older sometimes,” says Michael Hahndorf, a physical therapist with OSF HealthCare. The lower back, the shoulders. You think about the arms and wrists are important, but you don't want to forget about your foundation as well – your legs, your ankles, your knees, your hips, all that is important too. It goes back to just stretching and being more prepared for what's coming when you do play.”

Hahndorf recommends starting a stretching routine. Before starting any round, give yourself at least 10-15 minutes to properly stretch your back, hamstrings, abdominals, arms and shoulders to stay flexible. And make sure to get plenty of practice swings in before you head over to the first tee. Start with the smaller irons and work your way up to the driver and not just on the first hole with the first swing.

Walking nine or 18 holes can be challenging, especially if you’ve been mostly sedentary for the past several months. Even carrying a golf bag can cause back and shoulder pain.

Start walking to warm up

“Start to walk nice and easy. Get your body used to kind of physical activity again, taking some swings at home without even going to the driving range,” Hahndorf says. “It could be something as simple as going to the driving range and hitting a small bucket versus large, and then kind of working your way into nine holes for a little bit, and then slowly transitioning to those 18 holes. Because it's going to be a big change of pace from nine to 18 over the course of time.”

For the most part, golf is a relatively safe sport, but injuries can happen, especially because of not using proper form or technique. The keys of a good swing include good posture, a stable lower back, and a slow relaxed swing. An early-season injury, especially during cooler temperatures, can really set back a golfer for a few days to weeks.

“When it comes to a good golf swing, you think about having good posture and having a flat back,” Hahndorf says. “Have your hips tucked underneath you, have your knees bent a little and those arms straight down. Posture plays a role importantly there, because it's going to allow for that rotation.”

And remember to spend some time stretching again following when the round is over. “It's important to stretch before to warm up but also afterwards, so you can kind of get ahead of some of that soreness. Because it can be tough for the first couple rounds,” says Hahndorf. “Just maintain just a gentle stretching routine for five to 10 minutes a day to keep that low back, hip, shoulder mobility kind of where it was when you ended.” 

A little soreness is expected early in the golf season. But any pain that lingers or gets worse might call for physical therapy. Touch base with your medical provider with any nagging concerns.

“Just take care of your body. If something hurts, pay attention,” Hahndorf says. “You know how things are supposed to feel. So, if it feels off make sure you're reaching out if you need to.”

For more information on physical therapy, visit the OSF HealthCare website.

Video Interview Clips 

B-Roll 

When watching a basketball game on television, you may hear coaches and announcers say the star player is missing time with a hernia.

A sports hernia is different than a hernia suffered in everyday life, says Raman Kumar, MD, a colorectal surgeon and general surgeon at OSF HealthCare. But each should be taken seriously.

Hernia

Dr. Kumar says a hernia is when an internal organ or piece of fat goes through a hole in the abdominal wall. The most common type – around 80%  – is an inguinal hernia, when a part of the intestine pushes through the abdominal wall in the lower belly (also called the groin). Anyone can get a hernia, even newborns. But Dr. Kumar says they are seen more in older men. Symptoms include a bulge or swelling in the abdominal area and pain when moving.

“A lot of chronic heavy lifting,” can cause hernias, Dr. Kumar says. “Other things weaken the abdominal wall such as diabetes and smoking. Being obese causes a lot of weight hanging down on the abdominal wall. If you’ve had surgery in the past, that’s also a risk factor.”

So be mindful when lifting objects, Dr. Kumar advises. Lift with your knees, not your back, and don’t try to lift heavy items. Get a cart or a partner to help. Eat healthy and exercise to avoid obesity and diabetes. Avoid alcohol and cigarettes.

Dr. Kumar says an exterior wrap known as a hernia belt or abdominal binder can be a short-term solution. But surgery is often the endgame.

“If you have a hole or defect, it needs to be closed,” Dr. Kumar says. “The reason we fix hernias is because we don’t want a loop of intestine or bowel to get into the hernia, twist off and die.”

That would make a person very sick and possibly threaten their life, Dr. Kumar says.

Sports hernia

Dr. Kumar says a sports hernia is a muscle tear in the groin area. They’re seen in athletes due to all the twisting, turning and bending that comes with competition.

“Stretch before you do any type of activity. Work and develop your core muscles, including your abdominal and hip muscles.” Dr. Kumar says. “If the muscles are strong, they are less likely to tear.”

Athletes who complain of groin pain should immediately leave the competition and get checked out by a trainer or doctor. Resting and icing the groin will help, but a combination of medication, physical therapy or surgery will likely be needed to fully heal.

Be proactive

If you have symptoms of a hernia or sports hernia, see a health care provider right away.

“Nine times out of 10, we can determine you have a hernia just based on a physical exam,” Dr. Kumar says.

But for more complicated cases, your doctor may order an ultrasound or CT scan. Then, the provider will develop a treatment plan.

Interview clips

Previous coverage

Hernias: More common than you think

The action kicked off Tuesday, June 24, with the Pro-Am at Metamora Fields Golf Club. Local participants have the unique opportunity to play alongside CBS NFL analyst and former Dallas Cowboys quarterback, Tony Romo, as well as rising stars from the ANNIKA Women’s All Pro Tour and the APT Men’s All Pro Tour, two prestigious developmental tours for future LPGA and PGA professionals.

On Wednesday, June 25, Romo visited OSF HealthCare Children’s Hospital of Illinois.

The competition runs Wednesday through Saturday, June 25-28, at both Metamora Fields Golf Club and WeaverRidge Golf Club, showcasing some of the brightest up-and-coming talent in the game.

File Video: Tony Romo visits OSF Children's Hospital of Illinois

File Video: Metamora Fields

PHOTOS: Tony Romo at golf tournament

The American College of Sports Medicine (ACSM) makes clear that energy drinks are “fundamentally different” than sports drinks like Gatorade or Powerade. 

But scrolling through social media or strolling through the grocery store aisle, and the lines start to blur a bit. When quarterback Justin Fields was a rookie, he inked an endorsement deal with C4 – an energy drink brand.

More recently, CELSIUS signed six Heisman Trophy “hopefuls” to NIL (name, image and likeness) deals. The company’s slogan is “live fit,” a motto many athletes can relate to.

Karan Rai, MD, is a sports medicine physician with OSF HealthCare who works in partnership with Illinois State University to see and treat ISU athletes. He says he’s having a lot of conversations with athletes about these types of drinks, and he always urges caution.

"Quite a few of them are not FDA approved," Dr. Rai says. “The reason that matters is that we often don't know the exact ingredients or mix of ingredients that are in the drinks. Depending on what's in the drink, that can affect your performance and your health. For example, caffeine is commonly involved in making these drinks.”

CELSIUS and C4, both have 200mg of caffeine content in a 16 ounce can. In contrast, a can of Pepsi has 38mg in a 12-ounce can, while an average 8-ounce cup of coffee has between 80-100mg of caffeine. Dr. Rai says higher levels of caffeine can have a negative effect on performance.

"It can cause excessive energy, anxiety and jitteriness, which depending on your sport or activity, can affect how you play,” Dr. Rai says. "The data is still a little bit mixed on the benefit things like green tea extract or guarana are providing, which are commonly marketed and used in sports drinks. 

In terms of what liquids athletes are putting into their bodies, Dr. Rai likes to break down hydration based on the activity.

"In activities that are generally 60 minutes or less, I recommend maximizing your water intake and timing that for at least 30-60 minutes before your activity," Dr. Rai says. “Then as you get into longer duration activities with more endurance, and you're pushing that 60-minute mark or longer, that's when you need to look into the type of electrolytes you're ingesting as well. Looking at drinks or gels out there that have a mix of sodium and potassium. Those typically help with performance during your activity.”

Another sign if you’re drinking enough water? The color of your pee.

"I often tell my patients and athletes to consider their urination. Typically, we have various scales we use based on your urine color, the amount you're urinating and how thirsty you feel. That can play a role in deciding if you need to hydrate with water alone or use a sports drink like Powerade or Gatorade. Or if you need to adjust your salt intake, things like that," Dr. Rai says.

If you have an underlying heart condition, are younger than 18 or are pregnant, Dr. Rai urges you to steer clear of these drinks.

“With quite a few of the sports performance drinks nowadays, which CELSIUS is one of them that's more publicized, the amount of caffeine in it, and ingredients like guarana, which has a caffeine component to it, can exacerbate underlying arrythmias,” Dr. Rai says. “This can put someone with a pre-existing risk at a higher risk.”

Sports drinks like Powerade and Gatorade have a sugar and electrolyte component that is "fairly safe," Dr. Rai says. But the effects of Celsius, Prime and other drinks out there aren't fully understood yet. So, proceed with caution. Talk with your primary care provider or sports medicine physician to get an individualized take on it. 

Video Interview Clips

Con la vuelta a la escuela, los consultorios médicos se llenan de niños que necesitan chequeos, vacunas y, en algunos casos, chequeos cardíacos.  

Esto se da especialmente en el caso de los deportistas, según el Dr. Frank Han, pediatra cardiólogo de OSF HealthCare.  

"Cada vez que los estudiantes regresan a la escuela, es necesario realizar chequeos cardíacos para ayudar a detectar problemas cardíacos en los niños", afirma el Dr. Han.   

Los Institutos Nacionales de la Salud (NIH) efectuaron una evaluación de 10 años sobre la muerte súbita durante actividades deportivas.  El objetivo era caracterizar los datos demográficos y las causas de la muerte súbita cardíaca durante la práctica deportiva en Australia.  Se realizaron casi 20 000 autopsias entre 2006 y 2015.  La mayoría de las muertes fueron de adultos.  

Los resultados mostraron que la reducida cifra de niños que murieron por afecciones cardíacas eran arritmogénicos o presuntamente arritmogénicos, es decir, que producían o eran propensos a producir arritmia cardíaca.  O bien los niños padecían cardiomiopatías hereditarias, una enfermedad adquirida o hereditaria del músculo cardíaco.  

Por eso, el Dr. Han recomienda a los padres que hablen con los pediatras de sus hijos para asegurarse de que están al tanto de si sus hijos padecen alguna cardiopatía.  Si el pediatra intuye que el niño quizá tenga un problema, le recomendará que lo examine un cardiólogo para una evaluación más exhaustiva.  

"La evaluación general para empezar es un electrocardiograma en el consultorio de atención primaria.  Después de eso, junto con una revisión de los antecedentes familiares, se puede recomendar un ecocardiograma o una prueba de esfuerzo para determinar si hay algún problema en las válvulas cardíacas o si el músculo cardíaco es demasiado grueso", explica el Dr. Han.  "Uno de los principales fines de la prueba de esfuerzo es intentar simular el ejercicio más intenso que podría hacer esa persona.  Posteriormente, reuniremos toda la información en nuestra visita para averiguar si hay algún problema."   

Aunque puede ser difícil, sobre todo para los niños más pequeños, conocer los signos de una afección cardíaca, es importante prestar atención si creen que algo no es normal.   

"Pueden decir cosas como que les 'pita el pecho' o que les 'late con fuerza el pecho'. En el caso de los niños mayores, pueden dar descripciones muy variadas; por ejemplo, que les cuesta hacer ejercicio. Esto puede manifestarse como dolor de pecho, dificultad para respirar o fuertes palpitaciones, sobre todo al hacer ejercicio", explica el Dr. Han.  

El Dr. Han señala que no todas las cardiopatías se detectan cuando la persona es joven.   

"Algunas cardiopatías congénitas no se manifiestan de niño, como las cardiopatías genéticas, que pueden aparecer a una edad más avanzada", afirma.  "El electrocardiograma y la ecografía del corazón están diseñados para detectarlas si aparecen a una edad más avanzada".  

El Dr. Han agrega que es muy importante conocer los antecedentes médicos de la familia.  Si en su familia hay antecedentes de afecciones cardíacas, él recomienda hablar con su médico de cabecera y, en caso necesario, someterse a un chequeo cardiológico. 

Vídeos de entrevistas

As children go back to school, doctors’ offices are filled with kids needing check-ups, immunizations, and in some cases, heart screenings.

This is particularly the case for athletes, according to Frank Han, MD, pediatric cardiologist with OSF HealthCare.

“Every time people go back to school, there is a need for heart screenings to help look for heart problems in children,” Dr. Han says.

The National Institutes of Health (NIH) conducted a 10-year review of sudden death during sporting activities. The objective was to characterize the demographics and causes of sudden cardiac death during sports played in Australia. Nearly 20,000 autopsies were conducted between 2006 and 2015. Most deaths were from adults.

The findings showed the small number of children who died from heart conditions either were arrhythmogenic or presumed arrhythmogenic, producing or tending to produce cardiac arrhythmia. Or the kids had inherited cardiomyopathies, an acquired or hereditary disease of the heart muscle.

That’s why Dr. Han recommends parents speak to their children’s pediatricians to make sure they’re aware if their child has a heart condition. If the pediatrician senses the child may have a problem, they’ll recommend they be seen by a cardiologist for further evaluation.

“The general screening to start off is an EKG in the primary care office. After that, along with an assessment of family history, that person may be referred for an echocardiogram or a stress test to see if there’s any issues in the heart valves, or if the heart muscle is too thick,” Dr. Han says. “One of the major uses of the exercise stress test is to try and simulate the hardest possible exercise that person might do. Then we will put all the information together in our visit to figure out if there is an issue.”

While it can be hard, especially for younger children, to know the signs of a heart condition, it’s important to listen if they think something feels unusual.

“They may say things like their chest is ‘beeping,’ or their chest is ‘pounding.’ In older children, they may give you a variety of descriptions, that there’s some difficulty with exercise. This can be chest pain, shortness of breath, or their heart is pounding, particularly when they exercise,” Dr. Han says.

Dr. Han says all heart conditions aren’t caught when the person is younger.

“Some heart conditions that you’re born with don’t really show up as a kid, like genetic conditions of the heart that may show up at a later age,” he says. “The electrocardiogram and ultrasound of the heart are designed to pick that up if it shows up later in age.”

Dr. Han adds it’s very important to know your family health history. If your family has a history of heart conditions, he recommends speaking with your primary care provider and potentially being screened by a cardiologist.

Spanish version here: 

Video Interview Clips

Pro Golf is coming to central Illinois! Come see the next stars of the PGA Tour and celebrities such as Tony Romo and others at the inaugural OSF Children's Hospital of Illinois Pro-Am & Championship Golf Tournament, taking place June 26 - July 1 at Metamora Fields Golf Club.

On Monday and Tuesday, June 26 & 27, teams will be comprised of All Pro Tour (APT) players, sponsors and celebrities. Broadcaster and former NFL quarterback, and Eastern Illinois University graduate Tony Romo is participating in the tournament (beginning Tuesday), along with several University of Illinois athletes and coaching staff including head football coach Brett Bielema, Mitchell Tenpenny & Meghan Patrick (Country Artists) and others.

The funds raised at the Pro-Am Tournament will support the OSF HealthCare Children’s Hospital of Illinois. The money stays in central Illinois, benefitting local kids.

Please visit EVENT DETAILS at https://www.osfhealthcarefoundation.org/choi-pro-am/ for more information.

ALL PRO TOUR INFORMATION:

The All Pro Tour (APT) is the largest developmental men's professional golf tour in the US. These events provide an avenue for professional golfers to hone their skills while preparing for a life on the PGA Tour.

Over the past 30 years, the APT has successfully graduated players to the PGA Tour. They include PGA Tour winners Andrew Landry, Brice Garnett, Cameron Beckman, Bubba Watson, and Ryan Palmer. Most recently the APT has seen Hayden Buckley, 2022 Masters Champion Scottie Scheffler, and runner-up Will Zalatoris find success at the highest level of golf. Over 35 players will walk the fairways of the PGA Tour in 2023 that began their career on the All Pro Tour.

𝗧𝗢𝗨𝗥𝗡𝗔𝗠𝗘𝗡𝗧 𝗦𝗖𝗛𝗘𝗗𝗨𝗟𝗘:

Monday, June 26: 1 PM: Pro-Am Day 1. 3-9 PM: Kids Zone open. 7 PM: Gates open for Drone Show; show begins promptly at 9 PM.

Tuesday, June 27: 1 PM: Pro-Am Day 2. 3-9 PM: Kids Zone open. 5 PM: Gates open for Concert on the Range: Donny Lee (6:30), Megan Patrick (7:30), and Mitchell Tenpenny (9 PM)

Wednesday – Thursday, June 28 & 29: 7:30 AM: Championship Round 1 & 2.

Friday, June 30: 8 AM: Championship Round 3.

Saturday, July 1: 7:30 AM: Championship FINAL.