A Guide To Common Foot And Ankle Golf Injuries

Start Page: 74
Phillip E. Ward, DPM

   Treatment options of this condition commonly involve: drainage of the blood under the nail; accommodative padding to decrease the pressure on the nail bed; and possibly avulsion or permanent removal of the nail plate.

   Adjustment in the golf swing to prevent the irritation of the nail is necessary to eliminate recurrence. Slightly abducting the back foot away from the target will decrease the pressure applied to the end of the toe in the follow through and allow more pressure on the medial aspect of the forefoot instead of the hallux.

In Conclusion

While I did not discuss the use of radiographs with the aforementioned common injuries, they may be necessary to rule out other osseous problems that may be present and causing similar symptoms. Communication with the patient as to the cause of the overuse injuries is critical in eliminating their recurrence.

   Frequently, the patient will need to discuss the physician’s recommendations with his or her golf professional to work out the proper changes in the golf swing mechanics. This team approach will allow the patient to continue to enjoy playing golf with a decreased risk of further injury to his or her feet.

   Dr. Ward is a member of the Board of Trustees for the American Podiatric Medical Association. He is a Fellow of the American Society of Podiatric Surgeons, the American College of Foot and Ankle Orthopedics and Medicine, the American Society of Podiatric Dermatology, and the American Academy of Podiatric Practice Management. Dr. Ward is in a multispecialty practice in Florence, S.C.

   Dr. Richie is an Adjunct Associate Professor in the Department of Applied Biomechanics at the California School of Podiatric Medicine at Samuel Merritt University. He is a Fellow and Past President of the American Academy of Podiatric Sports Medicine.


1. Campbell JD. Golf injuries. American Orthopedic Society for Sports Medicine, www.sportsmed.org, 2006.
2. Foster L. Dr. Divot’s Guide to Golf Injuries. Dr. Divot Publishing, Inc. North Salem, NY. 2004.
3. Herring K, Pearson K. A guide to preventing and managing golf injuries. Podiatry Today 2004;17(4):26-36.
4. Daniels M. Golfing foot injuries. www.wetreatfeet.com, 2009.
5. Stude DE, Gullickson J. The effects of orthotic intervention and 9 holes of simulated golf on gait in experienced golfers. J Manipulative Physiol. Ther. 2001:24(4):279-87.

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Anonymoussays: August 17, 2010 at 11:56 am

As a golfer who fell in love with the game since my early years during podiatric medical training, I find this article lacking in its evidence-based argument.

All of those so-called golf injuries, from my personal experience, are common in everyday activities that involve walking (neuroma) and driving (flexor tendonitis). Remedies for such can easily be addressed with a good pair of golf shoes, which have been vastly improved structure wise in the last decade. One should focus on that rather than changing swing mechanics to avoid these so-called injuries.

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