Why Golf Starts Hurting After 40 – And What You Can Do About It

Ten years ago, you could play 18 holes on Saturday, mow the lawn on Sunday, and barely think about it. Now your back tightens up halfway through a round. Your elbow aches for two days afterward. Maybe your knee complains every time you walk a hilly course, or your shoulder feels stiff before you’ve even reached the back nine.

The frustrating part is that it often feels like it happened overnight. One day golf was fun. The next day it started hurting. Most people assume age is to blame. After all, we’re getting older. Maybe it’s arthritis. Maybe it’s wear-and-tear. Maybe it’s just the price we have to pay for staying active.

But what if I told you what’s going on is something else entirely?

One of the most common things I hear from golfers over 40 is, “I never used to have these problems.” They remember a time when they could play 18 holes, head home to mow the lawn, and barely think twice about it the next day. Now they’re reaching for Advil, booking a massage, or wondering if their body just can’t handle golf anymore.

And while age can certainly play a role, it’s rarely the whole story. In my experience, golf doesn’t suddenly become harder on your body after 40. Instead, golf starts exposing movement problems that have often been building for years – sometimes decades.

Golf is one of the most physically demanding recreational activities people do on a regular basis. A single round requires thousands of steps (when you don’t use a cart), repeated rotation through your spine and hips, shoulder mobility, balance, coordination, and the ability to generate power while remaining controlled.

When your body moves well, those demands aren’t a problem.

But when mobility starts to decline, muscles become weaker, and joints become stiffer, the golf swing begins to reveal those limitations. What many people mistake as aging is often their body compensating for movement restrictions that have been gradually developing over time.

And because golf places such unique demands on the body, those limitations tend to show up in predictable places. One of the first is the lower back.

Golf places a tremendous amount of rotational stress on your spine. If your hips and mid-back aren’t moving properly, your lower back is forced to absorb more stress than it was designed to handle. Add in long hours sitting at a desk, in a car, or working from home – and many golfers begin the season with a stiff spine before they ever step onto the course.

This is why so many golfers are surprised when their back suddenly “goes out” during a round. The problem usually isn’t that one swing. It’s the hundreds or thousands of swings that came before it combined with years of stiffness and compensation. Your back suddenly decides it’s had enough. Despite what you think or have been told, back pain during golf typically has less to do with damage and more to do with mobility deficits and poor movement mechanics.

Once you understand that concept, it’s easier to see why elbow pain develops too.

Although golfer’s elbow is one of the most common complaints I see, the elbow itself is rarely the problem – just the victim. Let me explain. Weakness in the shoulder girdle, stiffness in the wrist, or poor movement patterns, for example, can all force the elbow tendons to absorb more strain than they should. Golfers often ice the elbow, wear a brace, or take a few weeks off – only to have the pain return as soon as they start playing again. That’s because instead of focusing on the source of the problem, they focus only on where the pain happens to show up.

Knee pain follows a similar pattern.

Many golfers immediately blame arthritis when their knees begin hurting during or after a round. They think they need to stop walking and ride a cart instead. While arthritis can certainly contribute, I frequently see knee pain improve once golfers restore strength and stability to the areas around it – which tells me there’s often more to the story than arthritis alone.

After all, arthritis doesn’t simply disappear because you started exercising. And guess what? Movement is one of the best things for knee arthritis. When you sit in a golf cart, you can unknowingly exacerbate your problem instead of fix it.

Another place these movement limitations tend to show up is the shoulder.

The rotator cuff plays a critical role in stabilizing the shoulder during the golf swing, but many people unknowingly overload it because the larger support muscles around it aren’t functioning properly. Poor posture, limited mobility through the mid-back, and weakness through the core can all increase strain on the shoulder joint. This is one reason shoulder exercises alone often fail. The shoulder doesn’t work independently. It relies on the entire chain beneath it.

The good news in all of this is that pain during and after your golf game is not something you simply have to accept because you’ve passed your 40th birthday. And you don’t have to start compensating or changing your game either.

The golfers who continue playing well into their 60s, 70s, and even 80s aren’t necessarily the ones with perfect joints or perfect MRI findings. They’re the ones who maintain mobility, strength, balance, and movement quality over time. They understand that their bodies require maintenance just like their golf clubs do. More importantly, they’ve learned how to manage small problems before they become big ones.

The biggest mistake I see golfers make is accepting pain as a normal part of aging. Pain is information. It’s your body’s way of telling you that something isn’t working as well as it could.

So if golf has started hurting after 40, don’t assume your best playing days are behind you. More often than not, the problem isn’t your age. It’s that your body has developed a few limitations that golf is no longer letting you ignore.

And the good news is that most of those limitations can be improved.

Request a free discovery session today!

 

About Dr. Carrie Jose, MSPT, DPT, cert. MDT

Dr. Carrie Jose is the founder and owner of CJ Physical Therapy and Pilates in Portsmouth, NH, and has been helping people stay active, healthy, and mobile since 2002. She holds two degrees in physical therapy, is a comprehensively certified Pilates instructor, certified in Dry Needling, and holds a specialty certification in Mechanical Diagnosis and Treatment (McKenzie Method). She is also a physical therapy specialist and mechanical pain expert who writes for Seacoast Media Group. Carrie's approach puts the person first, helping adults 40 and up move and feel better without pills, procedures, or surgery.

Dr. Carrie Jose

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