Lead wrist pain is a common occurrence we see in the PGA Performance Center. There are a variety of reasons causing wrist pain and it is important to diagnose and treat efficiently since it can threaten the career of the professional golfer.
One of the more difficult conditions to treat is Extensor Pollicis Longus tendonitis. Often it is associated with inflammation of the Extensor Pollicis Brevis and Abductor Pollicis. The golfer typically experiences pain at the base of the thumb and wrist area.The condition usually occurs in the lead wrist but can occur in the trail wrist. If pain is in the lead wrist the golfer feels it more with their backswing and the pain will intensify at impact. In these positions the lead wrist is flexed putting the involved tendons in an eccentric (stretched) position and under tension holding the golf club. Tendons under this kind of pressure combined with the repetitious nature of swinging a golf club can eventually create a problem. Often symptoms from this condition occur after hitting out of heavy rough or the abrupt deceleration from catching a root at impact or chunking a shot.
Healing time depends on the severity of the strain but it can be effectively treated with conservative care. Advanced soft tissue procedures, carpal/metacarpal manipulation/mobilization techniques, muscle activation techniques, and ice massages are a good start to healing the condition. Very important is to strengthen the involved tendons eccentrically. Progressing from isometrics at various angles of thumb extension and abduction to elastic bands and golf swing movements will restore full stability and strength to the muscles.
The condition can become chronic and challenge a PGA golfer’s career. A comprehensive conservative approach however is very effective in alleviating the condition and should be the first approach.
