Can Fixing my Slice Help my Back Pain? – Dr. Troy Van Biezen D.C.

Can Fixing my Slice Help my Back Pain?

A majority of golfers struggle with back pain at least once during there playing tenure. Coincidentally, a majority of amateur golfers struggle with a slice. There are too many visits to doctors’ offices for golf related injuries either due to bad technique or dysfunctional movement patterns. Back pain was the most common reason.
The position the golfer puts their spine in when hitting a slice is a major technique fault that can create low back pain.
When assessing an injured golfer, I focus on three parameters in this order:
1) Physical dysfunctions- specifically Hips, T-spine and shoulders (golfers Triad)
2) Technique
3) Equipment
There are many causes of back pain of which I don’t want to bore you with. However, I am going address one the most common causes, which falls into the Technique category. The Sway!!

Sway- is described as any lateral movement of the lower body away from the target during the backswing. This forces the weight to the outside of back foot, resulting in improper weight distribution during transition.
Causes- In order to turn into your right hip (for right hand golfers), there are several physical parameters that must be developed. The most important is right hip internal rotation, if the body is not able to turn around the right hip due to joint or muscle restrictions, then lateral movement will occur. Secondly, left hip external rotation, thirdly the ability to separate your upper body from your lower body allows you to make a shoulder turn without swaying. Limited thoracic mobility is the main cause of this physical restriction. Finally, the ability to laterally stabilize your right leg during the backswing is directly proportional to the strength and stability of your glute muscles. This muscle helps prevent the right hip from elevating and shifting laterally during the backswing.
A majority of golfers struggle with the sway, however most do not know that the sway is the beginning phase of the dreaded Slice. In trying to correct the slice, most will try to influence the grip and address posture, which is important. What is forgotten is fixing the body dysfunctions that can create the Sway.
You’re probably asking by now how does the Sway create the Slice and be a causative factor in causing low back pain?
If you sway, there is no stable foundation to drive your weight off the right foot during transition into downswing, the golfer will lose power and a breakdown of the kinetic sequence will occur. As the golfer sways, his head and upper body will tilt towards the target creating a reverse spine angle. This will put a tremendous amount of undue stress on the left side of the spine. The golfer will initiate the downswing with his arms creating an over –the-top move, causing an outside to inside swing path. This will put a clockwise spin on the ball and a slice will occur. At impact and follow through, another reverse spine angle occurs creating a “Crunch Factor” causing right low back pain.
As is evident, there is a direct correlation between the slice and low back pain. So, the question is how do I correct the slice and prevent back pain?
Most commonly it is a technique fault caused by body-swing dysfunction, which are limitations and weaknesses in the body that have been described above. The top three target areas to address are:

1) Thoracic Mobility-This exercise is called “Reach backs”. This is a great warm exercise to help improve thoracic mobility. This will help the golfer turn into the backswing and be able to initiate the downswing with the hips instead of arms/hands.

12) Hip Stability-These X-walks will improve hip stability in the frontal plane to help prevent the hips from moving away from target during the backswing.



PGA Tour player Ryan Palmer demonstrates these exercises.

3) Hip Mobility- This stretch will help the golfer improve hip flexibility, which will aid in hip rotation and not lateral sway. player Brad Ott demonstrates this stretch on the course.
I am still shocked by the amount of time and money golfers spend on gimmicky training aids, clubs, balls etc. to fix the slice. With all the new technology, the average score in America has not changed in 20 years.
I understand we live in a society where we all want a quick fix, however the old saying “Rome was not built in a day” holds true in the golf world.
As we have all witnessed, some of the best golfers in the world have worked to change their swing and have taken up to 2 years to see the results. We should not think any different. What is not seen is the dedicated training done behind the scenes, where the golfers work diligently on their bodies through treatment and training that will allow their bodies to get into positions that is needed for the swing change.


Dr. Troy Van Biezen
4950 Belt Line Rd Suite 100
Dallas TX. 75254



Voted 2006/2007/2008 “AMERICA’S TOP CHIROPRACTOR” by Consumers’ Research Council of America

• Dr. Van Biezen has been frequently profiled by local media and national publications. Most recently profiled in ESPN Golf Connection, Golf World, Golf Week, Avid Golfer, DFW Links and Dallas Morning News.
• Dr. Van Biezen was featured on Channel 33 “Top Docs of DFW”
• Advisory Board member of The Tour Council (www.tourcouncil). An organization of the world’s foremost experts who work with golf’s elite players.
• Advisory board member for PX3 Sports Science.
• Advisory board member for The Athletes Brain.
• National Advisory board member for Impact Cryotherapy
• Served as Chiropractor for the Professional Arena Football Team; Dallas Desperados.
• Served as Active Release Doctor for the Dallas Stars.
• Titleist Performance Institute Medical Professional Level 2.
• Chiropractor for the FC Dallas Professional Soccer Club 2011-2012
• Served as Chiropractor for the National Champion Junior Hockey Team; Texas Tornadoes.
• Certified by the National Academy of Sports Medicine as a Performance Enhancement Specialist.
• Board Certified by the National Board of Chiropractic Examiners and Texas Board of Chiropractic Examiners.
• Has been practicing in the Dallas since 1997.
• Member Professional Football Chiropractic Society.

He is an Instructor for Active Release Techniques (ART) and also a member of the Active Release Elite Doctor Network.


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Posted by Dr. Troy Van Biezen

Voted 2006/2007/2008 “AMERICA’S TOP CHIROPRACTOR” by Consumers’ Research Council of America • Dr. Troy Van Biezen is one of the most recognized medical golf professionals in the country. He has been traveling with the PGA Tour for over 13 years, 9 years as a member of the PGA Tour Medical staff. He has treated, trained and advised PGA Tour players on injury recovery, prevention and performance. • Currently travels exclusively with: Zach Johnson, Rickie Fowler, Jordan Spieth, Jason Dufner, Ben Crane, and Ryan Palmer. • Dr. Van Biezen has worked closely with the Top golf instructors: Randy Smith, Mike Bender, Sean Foley and Chris Como. • Partnered with NTPGA in developing the “NTPGA Junior Golf Fitness Summit” • Dr. Van Biezen is President and Owner of ChiroSport Specialists of Dallas, a sports medicine/sports performance facility based in Dallas TX. • Dr. Van Biezen is the co-founder of Motion Sports Consulting and Motion Sports Institute. • He is an Instructor for Active Release Techniques (ART) and also a member of the Active Release Elite Doctor Network. • Dr. Van Biezen’s extensive knowledge combined with his experience as a professional athlete provides his patients with the most comprehensive and integrative approach to evaluating, treating and rehabilitating from injuries. • His knowledge and expertise for treating injuries and improving sports performance is known locally and nationwide. Athletes throughout North America have sought out Dr. Van Biezen’s expertise to help them recover from injury and improve their performance. • Dr. Van Biezen travels throughout the country teaching health care professionals on Functional Assessment of the Athlete, Injury Care and Enhancement of Sports Performance. • In his Dallas based office, he treats active individuals as well as professional athletes including athletes from the NFL, AFL, NHL, NBA, MLB, MLS, PGA and Nationwide Tour. He also treats National and Olympic ranked Gymnasts and Track and Field athletes.


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