What You Don’t Know About Golfer’s Elbow Can Hurt You



Nothing strikes fear in the heart of a golfer like a diagnosis of Medial Epicondylitis, better known as Golfer’s Elbow. 



Golfer’s Elbow belongs to a family of conditions including:

Lateral Epicondylitis (Tennis Elbow)
Plantar Fasciitis
Patellar Tendinitis
Achilles Tendinitis
Rotator Cuff Tendinitis

What is the common denominator in all of these conditions? They all end with the suffix -itis.

What does that mean?

In medical terminology -itis means inflammation, therefore all of these conditions are considered to be inflammatory in nature. In the case of Golfer’s Elbow/Medial Epicondylitis, your doctor will tell you that you have inflammation of the tendon of the elbow.

Unfortunately that terminology is incorrect, therefore traditional treatments that address inflammation are likely unhelpful and possibly harmful.

Why is it wrong?

Over 15 years ago researchers discovered that most tendinitis conditions are actually tendinosis conditions.

Tendinitis, tendinosis – who cares? They are practically the same word!

When it comes to medicine, words matter. The researchers looked at the tendons of people with tendinitis conditions and did not find inflammatory cells. So no inflammatory cells means no inflammation.
Then what is wrong with the tendons?

What the researchers did find was degeneration of the collagen of the tendons (as well as other cellular changes). When viewed under a microscope the tendons appeared brown, dull and soft, whereas normal tendons are white, glistening and firm. In other words, the tendons appeared abnormal and diseased and that’s exactly what the suffix -osis in tendinosis means. Furthermore, tendons that are subject to mechanical overuse or repetitive strain typically show this type of cellular change.

Why does this matter?

What matters is how these terms are used to determine treatment. If your doctor says you have a tendinitis condition, he or she will likely recommend a treatment to address inflammation (such as cortisone shots). However, anti-inflammatory treatments should not be indicated for these conditions. And here’s the kicker they may actually interfere with tendon repair.

So let me get this straight, it’s likely my doctor knows this but is recommending cortisone shots anyway?

In defense of doctors, most offer cortisone shots because they don’t have anything better to offer. There is some evidence that cortisone shots can sometimes help, but the evidence only supports a short term benefit. The long term outcome is fairly grim, which is why most doctors will limit the number of shots in one area to three. Also, there is research showing that repeated cortisone injections into tendon tissue leads to cell death and tendon atrophy. This is a clear example of risk vs. reward. You may be that lucky person who receives tremendous relief from one injection and have no adverse effects (now or in the future) and never have an issue in that area again. Or you may not.

Then what treatments do work without all the risk?

Rest:  Most medical professionals do not emphasize the importance of rest and what constitutes an appropriate rest schedule. This is compounded by the fact that most people either can’t or won’t adhere to an appropriate schedule of rest, even when it is recommended. Here’s a hard fact to swallow, it takes a tendon three months to rebuild collagen. If you are constantly loading that damaged tendon by continuing with your activities, you can be sure it will take much longer than 3 months to rebuild collagen.
Massage/Manual Therapy:  Massage and other related manual therapies address the excess muscle tension and myofascial trigger points that are major contributors to pain that can take a tendinosis condition and make it even worse. In my clinic I have seen symptoms of Golfer’s Elbow resolved in one or two visits, leading me to believe there are instances where excess muscle tension and myofascial trigger points were the culprits and no actual tendinosis existed.

A qualified therapist, particularly one who specializes in Orthopedic Massage, should be able relieve some (if not all) of your pain by restoring normal muscle resting lengths and addressing myofascial trigger points. This type of therapy is a low-risk, high-reward treatment option that is definitely worth exploring.

1. E Bass, “Tendinopathy: Why the Difference Between Tendinitis and Tendinosis Matters,” International Journal of Therapeutic Massage & Bodywork 5, no. 1 (March 2012): 14-17.
2. KM Khan et al., “Histopathology of common tendinopathies. Update and implications for clinical management,” Sports Medicine 27, no. 6 (June 1999): 393-408
3. KM Khan et al., “Overuse tendinosis, not tendinitis, part 1: a new paradigm for a difficult clinical problem,” Physician and Sportsmedicine 28, no. 5 (May 2000): 38-48.
4. P Ingraham, “PainScience.com: The Science of Stubborn Aches, Pains, and Injuries.” PainScience.com RSS. Accessed May 3, 2015. https://www.painscience.com/.
5. P Ingraham, “PainScience.com: Repetitive Strain Injuries Tutorial.” PainScience.com RSS. Accessed May 3, 2015. https://www.painscience.com/.




Would you like to increase client retention and satisfaction? Why clients quit

Would you like to increase client compliance in your programs?

Would you like to gain more clients and more referrals? 


Why? Because they make you LOOK GOOD!

You know that client, the one that no matter how many times you tell them how to move their body – and they just CAN’T do it?

Frustrating, isn’t it?

Do they not understand your instruction? Could you do a better job demonstrating? Are they trying to drive you INSANE?

Nope. None of the above.

They don’t do it because they can’t do it. Their bodies just won’t let them.

Wouldn’t it be great if you had someone who could address your client’s physical limitations, freeing you up to work on technique, power and strategy – the stuff you love to teach, right?

That’s where I come in – I am a Pain & Performance Specialist with specialized training from the International Tennis Performance Association and the Titleist Performance Institute. I have developed a comprehensive system that will revolutionize the way your clients respond to your golf or tennis instruction.


I’m sure you have questions, such as:
Q. Why not just send them to a massage therapist?
A. Traditional massage techniques simply cannot achieve our level of results.

Q. Why not just send them to a personal trainer?
A. There’s certainly nothing wrong with that, but just exercise (even corrective exercise ) is rarely the

Q. Why not just send them to a physical therapist?
A. That’s better, but physical therapists don’t spend a lot of time doing manual work. And manual work is the juice, because in addition to being good for you, it feels good. It keeps your clients vested in the entire program because it’s so reinforcing.

Q. Why not send them to an orthopedist?
A. Do you ever want to SEE your clients again? Typically once they head down the orthopedic road, it’s a never ending merry-go-round of activity restrictions, injections, medications and surgeries.

Add subtitle text

What do you need to do to gain these benefits? Refer them to me. That’s it! Give me the privilege of being your “go-to”, the one you refer your tough clients to without hesitation.

Call (781)780-2480 to schedule your complimentary appointment today.

Let’s do something great together!


Shhhh….It’s a Secret (Weapon).

imageYou’re probably thinking…it’s a fancy racquet or club, or a training contraption, or some crazy teaching method. 

No, it’s none of those things.

It’s just you, your body to be exact.

Your secret weapon will always be an optimally functioning body.

You can have the best equipment and receive the best training, but if your body doesn’t cooperate you’re dead in the water. Pain, injuries and dysfunction will sabotage all your best efforts.

Do you have an injury?

Do you have a nagging pain?

Does your swing or stroke feel “off”?

Do you just want to play better?

We are proud to announce we are the only clinic in the area utilizing vacuum-assisted Myofascial Decompression Therapy to treat golf and tennis specific pain, injuries and dysfunction. Our customized treatments help heal injuries, reduce pain and improve performance by treating the muscular and myofascial dysfunctions that contribute to poor performance on the court or course.

The New England season is short enough, don’t let aches and pains make it shorter.

Call  781-780-2480 or email gameon@gameontherapeutix.com to book an appointment.

Still not sold?  Check out the testimonials page.

It’s Not Going to Go That Way! The New Golf Ball Flight Laws.


I just read an article on golfwrx.com about the new studies done with Doppler radar, FlightScope and Trackman.  The results show that the old golf ball flight laws are invalid.  Crazy, I know!

The New Golf Ball Flight Laws

  1. Curvature is created when the path of the club and the face angle of the club point in different directions at impact.
  2. When the path and the face are pointing in the same direction at impact, you can hit a pull, a straight shot, or a push depending on where the face and the path are pointing. The ball will not curve unless another force is acting upon it, such as wind, slopes, off-center hits, etc.
  3. The ball mostly starts in the direction of the face angle at IMPACT (green arrow).
  4. The clubface direction at ADDRESS does NOT control the face angle direction at impact, however, it can influence it.
  5. The ball curves away from your swing path (blue arrow).
  6. Divots do not tell you starting direction, true club path, angle of attack, curvature or exact lie angle. They are virtually worthless for you to use to determine what happened during impact.

Check out the article for more info.  You can find it here.

Happy golfing!


Golf Pros: Where Have All the Golfers Gone? Retaining Clients in a Sport on the Decline

bw golfFor the game of golf, the statistics are pretty bleak:

  • 400,000 players left the game in 2013 (National Golf Foundation)
  • 200,000 of those players were under 35 (National Golf Foundation)
  • 2013 marked the 8th straight year that more courses closed than opened (National Golf Foundation)
  • US golfers played 462 million rounds of golf in 2013, the fewest since 1995 (Golf Datatech)
  • 61% of golfers are over 50 years old (National Golf Foundation)

What does this mean for golf pros?

  • You have fewer new clients
  • You have fewer younger clients
  • Your current clients are older and are facing declining physical health

So what can you do? Grab ahold of that 61% of older golfers and keep them in the game for as long as possible. How can you do that? Develop a relationship with a skilled massage therapist and you will have an invaluable resource for your clients. But not all massage therapists are alike, so take the time to find one that has specialized training in treating sports specific issues and prescribing corrective exercises. In fact, there are many massage therapists who have golf specific training and certification. If you express an interest in developing a referral relationship, most therapists will provide you with a complementary sample session, so you can see what kind of service your clients can expect. Do your homework and due diligence and your clients will reap the rewards.

Refer your clients early and often, before the inevitable loss of mobility or injury occurs. With consistent massage therapy and corrective exercises your clients will gain and retain mobility, stability and flexibility. They will function better, be easier to teach and see more results, allowing you to focus on teaching the skills you love to teach without worrying about physical restrictions.

It’s a win-win for you AND your clients.

5 Ways Massage Will Help Your Golf Game



There are many muscular restrictions that can get in the way of your golf game.  Receiving massages on a regular basis keeps those muscles loose and relaxed, so you can focus on your game – not your pain.




Here are 5 ways massage will help your golf game:


1.  Relaxes the hip and glute muscles, allowing the hips to fully rotate and the pelvis to fully pivot over the leg.

2.  Relaxes the shoulder muscles, allowing the shoulders to fully rotate around the spine.

3.  Relaxes the spinal and abdominal muscles, allowing the torso to fully rotate.

4.  Relaxes the glute and thigh muscles, preventing knee pain.

5.  Relaxes the forearm muscles, preventing golfer’s elbow pain.


The next time you have a frustrating and disappointing round of golf, try a massage instead of new equipment or a round of lessons.  The solution just may be easier than you think!