Abstract
Background Anterior cervical discectomy and fusion (ACDF) is a surgical procedure that has been used for patients with radiculopathy and myelopathy. The procedure leads to stabilization of the fused specific segment and a hypermobility of the segments above and below the fusion. Physical limitations prior to or associated with anterior cervical discectomy and fusion can create compensation and pain in the golf swing. With the use of return to sport physical therapy these limitations may be addressed to allow for safe and pain-free return to golf at a prior competitive level of play. Case Description The patient was a 27-year old male golf pro who underwent a C5-C6 anterior cervical discectomy and fusion for radiculopathy. The patient displayed an array of physical limitations that created a recurrence of neck pain with an attempted return to golf. Interventions The treatment plan was based on the physical therapy clinical practice guidelines for cervical radiculopathy due to patient presentation. The treatment plan included a total body approach to address limitations noted beyond the cervical spine. Outcomes The patient was able to return to prior level of play after 16-weeks of physical therapy with infrequent low-grade neck discomfort. Discussion Addressing cervical range of motion, stability, posture, and global mobility are crucial pieces to creating a golf swing without injury-inducing compensation. Reinforcing and re-loading corrections to the physical limitations will allow for tissue resiliency and return to pain-free play.