As a follow-up to “Are golfers wasting their time icing injuries?” I had a chance to speak with Gary Reinl, author of Iced! The Illusionary Treatment Option about what golfers ought to do instead of, well wasting their time icing injuries.
Reinl has spent more than 40 years in sports medicine and has done everything from train professional athletes, to develop strength-training programs for pregnant women, to orchestrate rehabilitation programs for injured workers.
With the publication of Iced!, Reinl pointed out the erroneous nature of some popular assumptions about injury and treatment and suggested a different way forward, so he seemed like a natural point of contact.
My questions, below.
Strains and pulled muscles are common for golfers. Is there any place for icing in the treatment of these routine golf injuries?
No. Unless of course you want to delay healing, increase swelling, cause additional damage, shut of the signals that alert you to harmful movement and provide false hope (make yourself believe that you are doing something good when in fact you are doing the opposite).
Hitting out of a gnarly lie in the deep rough, you badly hurt your wrist. You know you can’t continue playing, so you head back to the clubhouse. Someone fetches you a bag of ice. What do you do next?
Politely thank them and tell them that you are going to get a professional medical evaluation before you initiate treatment (until you confirm the extent of the problem, “friendly” advice is often counterproductive and almost always ill-advised).
That said, once your doctor has given you the green light to begin facilitating the healing process via muscle activation, follow this basic rule: “Use your brain, never cause pain.” If anything beyond lightly wiggling your fingers causes pain, limit activation to finger wiggling. This is not a contest or game. Think: “No pain, all gain.”
If your doctor has written an order for you to use an FDA-cleared muscle activation device, use it as directed (several hours per day for the first couple of days is pretty standard). Regardless of how you activate your muscles, never forget that healing is contingent upon muscle activation not absolute stillness.
You’ve just walked 36 holes. You drive home and your legs are screaming. What’s the best way to deal with the situation, instead of reaching for the ice pack?
Since the “ice pack” actually makes things worse, doing nothing is better than icing.
What’s best? Lightly activate the muscles that are tired and or sore. Muscle activation or “active recovery” is not only the best way to facilitate the healing process, it is, in essence, the key to tissue regeneration. Absolute stillness is the proverbial enemy.
What are the adverse effects of icing on golf-related injuries, generally speaking?
Icing damaged tissue delays healing, increases swelling, causes additional damage, shuts of the signals that alert you to harmful movement and makes you believe that you are doing something good, when in fact you are doing the opposite. Additionally, when you fail to optimally heal, you risk dampening your golf skills and setting yourself up for further injury.
How did we get to the point where reducing swelling and inflammation via icing are seen as good things?
First of all, icing damaged tissue does not reduce swelling or inflammation. Delay it? Yes. Increase it? Yes. Reduce it? No.
How did the medical community get it so wrong?
It all started back in 1962 when a doctor named Ronald Malt reattached the severed limb of a 12-year-old boy named Everett Knowles. Since this was the first operation of its kind, it made big news around the world. When asked by reporters, “What’s the best way to protect the severed body part while transporting it to the hospital?” The doctor responded something like this: “Keep it out of the sun, keep it cool, and put it on ice if possible.”
Over the years, the public converted the doctor’s very specific recommendation that applied only to severed body parts to “put ice on any damaged tissue,” and the myth took hold: The “ice age” was born.
Interestingly, the godfather of the ice age, Gabe Mirkin, MD, recently recanted his decades-old recommendation and now says that icing damaged tissues delays healing.
Are there any times a golfer should consider using ice?
Yes! No one likes a warm margarita. Cheers!
Morning 9: Will Captain Woods pick Tiger? | Would new Tour Champ format have altered past outcomes? | Pelley on slow play
August 20, 2019
Good Tuesday morning, golf fans.
1. Captain Tiger’s expectations
AP report…”Tiger Woods wants the eight players who made his Presidents Cup team and four more under consideration as captain’s picks to play tournaments and stay sharp over the next three months leading to the December matches Down Under.”
2. …but will TW pick himself?
ESPN’s Bob Harig with Woods‘ remarks on the matter…
“Woods said Monday that although the final decision remains his, he won’t participate as a player unless that is what all involved want. And even then, he might not.”
3. How Tiger will remember 2019…
Golf Channel’s Will Gray…
“The rest of the tournaments I didn’t really play as well as I wanted to,” Woods said. “But at the end of the day, I’m the one with the green jacket.”
4. What if…
Golf Digest’s Ryan Herrington on what the past FedEx Cup finales would have looked like with the current seeding…
5. Steph Curry bankrolls Howard golf
Our Gianni Magliocco…”NBA star and avid golfer Stephen Curry has donated a seven-figure sum to Howard University in a move that will see men’s and women’s golf teams at the school for at least the next six years.”
6. U.S. Am ratings…
Per Geoff Shackelford…”According to Sports Business Daily, the 2019 BMW Championship drew a 1.9 Saturday audience and a 2.4 for Sunday’s final round on NBC, well up over non-Tiger-contending Wyndham Championship’s previously played in this schedule spot. The 2018 Wyndham drew a 1.9.”
“The slide in US Amateur interest and visibility continued with a .4 Saturday and a .3 for Sunday’s finale on Fox going head-to-head with most of the BMW final round. Talk about an event screaming out for a change in its Monday to Sunday format to avoid being an afterthought.”
7. Do away with the Tour Championship name?
Randall Mell says it no longer applies…
8. Ogletree’s tough love short game lesson
Golf Digest’s Ryan Herrington on the discussion between Georgia Tech’s coach and the eventual U.S. Am winner…
9. Euro Tour chief on slow play
Keith Pelley penned an op-ed of sorts for EuropeanTour.com, that reads in part…
“Slow players, on the other hand, have become increasingly prevalent and problematic in our game in recent years, to the extent that we risk fans, both core and casual, switching off if we don’t do something about it.”
European Tour announces 4-point plan in a bid to tackle slow play
On Monday, the European Tour announced a four-point plan aimed at tackling the issue of slow play in the game.
The plan, which will come into effect this November, will focus on four areas—regulation, education, innovation and field sizes.
Of those four areas, notable updates include that players will now only have to breach the time allowances twice in a round to incur a one-stroke penalty, and players who are put on the clock at least 15 times next season will now be fined £26,000 compared to the £9,000 fine they currently face.
In their statement, the European Tour said
“When players are out of position and either being monitored or timed, a one-shot penalty will be incurred after two bad times – currently a player would be ‘monitored’ and if he breaches the time allowance (50 seconds for first to play, 40 seconds for second or third to play) he will then be ‘officially timed’ and would then have to breach twice more before being given a one-shot penalty. Players will, however, have the option to request one time extension per round, giving an additional 40 seconds to hit a shot on this request.”
The Tour will also look to reduce the number of players in the field at events where possible, while rules officials are set to be proactive regarding targeting slow players on the course.
Speaking on the four-point plan, Keith Pelley, Chief Executive of the European Tour, stated
“We are already at the forefront of pace of play management in the professional game, but after being mandated by our Tournament Committee to be even firmer in dealing with this issue, the time was right to take these additional steps.
I believe the plan we are implementing for the 2020 season will bring about meaningful change that will make golf even more enjoyable for the players and our fans, whether they are at the course in person or watching on television.”
To retain their European Tour card, each member will have to pass an interactive online rules test, while a trial pace of play timing system will be implemented at the Tour’s flagship event at Wentworth next month where there will also be larger gaps between start times over the weekend’s rounds.
Tour Rundown: How the pros (and amateur) got it done this weekend
The Presidents Cup automatic-qualifying chase came to an end on Sunday. While students returned to schools across the country, and football teams played their 2nd preseason games. 8 USA golfers and 8 World professionals were named to their respective teams. Each captain has f our at-large selections to make. For team USA, the unfortunately-underperforming Rickie Fowler may have two weeks for more Farmer’s Insurance commercials, as he finds himself in the #11 slot. Only Tiger Woods’ beneficence will save him from an early vacation. Xander Schauffele left nothing to chance this time around. After being ignored for a Ryder Cup captain’s pick last year, he made the PCup team on merit this year. The World team still has a load of Aussies (3 at last count) but has the presence of golfers from Taipei, Mexico, China, South Africa and Japan. This year’s competition at Royal Melbourne has the potential to be quite memorable, assuming that the qualifiers don’t lose their edge over the next four months.
As for individual competition this week, we had lots of it. Playoff events on two tours, a male US Amateur champion to go with last week’s female winner, and a terrific story of rags to riches on the Champions tour. Seize the day and enjoy this week’s Tour Rundown.
You had to chuckle a bit this week as another of the game’s vaunted hollows caved to the expansive skill of the modern golf professional. Medinah #3 has long been held as a bastion of defense, but this week, well, they ate it up. Hideki Matsuyama shot 63 on Friday for a course record, then did it again on Sunday. Not only did he not win (he had 73 on Saturday) but his course record lasted all of 24 hours. Matsuyama did finish 3rd at -20, 2 shots behind Patrick Cantlay. The fellow who broke Matsuyama’s fresh course record was someone for whom 2018-19 has been relatively quite: Justin Thomas. So quiet, that is had been 53 weeks since his last victory. Thomas blistered Medinah Tres with 8 birdies and 2 eagles on Saturday, moving oh-so-close to the hallowed, sacred 59. In the spirit of generosity, he made bogey at the 6th (after opening with 5 birdies) to not completely eviscerate Matsuyama’s record (and Medinah’s spirit.) Of course, JT would open Sunday with a bogey, to give just a bit of hope to the chasers. He had 2 birdies on the outward nine, steadying the ship but certainly not assuring himself of anything. After making 6 at the par-5 10th (twice as many strokes as he needed 24 hours earlier) Thomas was once again forced to dig deep. In the past, he has been unable to follow up super-low rounds with the needed performance, but he was up to it on this day. The Kentucky lad made 4 birdies over the closing 8 holes to hold off Cantlay by 3.
Scottie Scheffler knew that he was headed to the PGA Tour after this year’s FedEx Cup playoffs. The Korn Ferry Tour playoffs would offer him an opportunity to better his standing, and he accomplished that task during week one of the finals. Scheffler, 3rd place during the regular season, vaulted into 1st on the strength of his 2-shot win over the Killer Bs (Brendan Todd, Beau Hossler and Ben Taylor.) Scheffler played like a seasoned vet, despite his 23 years of age. Scheffler made just 4 bogies during his final three rounds of 68-67-67 at the Ohio State University’s Scarlet course. That miser’s touch separated him from his chasers and gave him his 2nd win of the season. 25 PGA Tour cards were awarded during the regular season, and 25 more will be delivered at the Korn Ferry tour championship on September 2nd. If nerve-wracking putts are your flavor, stay tuned over the next fortnight.
Real Czech Masters
Thomas Pieters reminds you of every great range superstar. His swing exudes control and power, and you can’t help wondering how he doesn’t contend every week. That’s the mystery of golf, but Pieters reminded us why he has played Ryder Cup golf for Europe with a win this week in the Czech Republic. The tall Belgian sat 2 back of Edoardo Molinari after 36 holes, then took charge with a 66 on Saturday. On his heels was the young Spaniard, Adrian Arnaus, who posted middle 65s to stand one back on Saturday evening. The final round was half-shootout, half-stumble. Defending champion Andrea Pavan came out of the woods with 8 birdies over the first 15 holes. On a day when he needed perfection and 10 birdies, Pavan closed with 1 bogey and 0 birdies to tie Sam Horsfield for 3rd spot. Arnaus had three bogies on the day, and 2 of them came on the heels of birdie and eagle. The opposite of bounce-back, Arnaus gave Pieters breathing room with those mistakes. Closing with birdies at 16 and 18, Arnaus reached 18 below par, to put pressure on the leader. Pieters was 4-under on the day through 12 holes, and needed only to avoid disaster over the closing stretch. He stumbled with a bogey of his own at the 16th, but finished with pars to claim his 4th Euro title, 2nd at the Czech Masters, and 1st since 2016.
Dick’s Sporting Goods Open
Sometimes, the right person wins. Doug Barron epitomizes journeyman; he had to Monday-qualify to get in this week, and even has an are-you-kidding suspension on his record … for testosterone supplements. He’s not a big guy, and has low testosterone. He’s not Fred Couples, nor Langer, nor McCarron. Today, however, he is the Dick’s Sporting Goods champion. Barron and Miguel Angel Jimenez began the week with 65s, and Barron never let up. He followed with 68 on Saturday, and came home in 66 on Sunday, for a 2-shot victory. Understand that he had one of the game’s great personalities, and top golfers, on his heels on Sunday. Fred Couples turned in a tremendous 63 to finish at 15-under par, 2 clear of 3rd-place Woody Austin. Couples had the luck of the sleepy on his side: he dunked his tee shot on the par-3 14th hole, took his penalty drop, then chipped in for 3. Staying at the birdie-par timeshare in round 3, Couples had 9 of each to put serious pressure on Barron. How did the unlikely winner respond? Nearly identical to Freddie. Barron had 0 bogies on the day, and only 1 the entire week. The title elevated him 50 spots on the Schwab Cup money list, giving him an opportunity to move into the season-ending, playoff chase over the next 8 events.
U.S. Amateur rests in Ogletree’s arms
Andy Ogletree and John Augenstein were a perfect match in the U.S. Amateur final at Pinehurst. Ogletree was the 18th-ranked golfer in on-site qualifying, while Augenstein was #20. Both have had distinguished careers in college (Georgia Tech and Vanderbilt, respectively) and both were named yesterday to the USA side for the upcoming Walker Cup at Royal Liverpool, in England. In a most unique final, the morning 18 was played on the #4 course, while the afternoon round took place on the #2 layout. During the AM, 10 holes were won by the golfers, while 8 were halved. Augenstein stood 2-up after 18, but Ogletree delivered a warning bell with a birdie at the last. Ogletree returned to the course in identical form, making birdie on the 2nd hole to close within one hole. Augenstein remained in command, as most holes were halved until the 29th. At that juncture, Ogletree seized command with 3 wins in the next 4 holes, moving from 2 down to 1 up. A par at the par-3 17th hole, the 35th of the day, gave the Georgia Tech golfer a 2 up lead with 1 to play, making him this year’s national amateur champion.
In other news, the USGA added 7 golfers to its Walker Cup side. The one surprising move was the naming of Ricky Castillo, #9 in WAGR rankings and winner of 2 matches at Pinehurst, as 2nd alternate. The USGA decided that Steven Fisk and Alex Smalley, both ranked lower than Castillo, were better bets for success. Fortunately for the California kid, he is 18 and should have an opportunity to make both the 2021 and 2023 squads.
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