Teeing Up for Recovery: Returning to Golf After Open-Heart Surgery

Golf is more than just a game; it’s a passion, a way of life for many. If you’re an avid golfer who has recently undergone open-heart surgery, the desire to return to the course can be a powerful motivator in your recovery. But how do you get back in the swing of things safely and effectively? In this blog post, we’ll explore the journey of returning to golf after open-heart surgery.

“When can I return to playing golf?”  In my 20+ years working in cardiac rehabilitation this was a very common patient questions.  Patients were often unclear about when it was appropriate to return to playing golf and found that most available medical advice on the subject generally recommended waiting 6 to 12 months regardless of the pace of their individual recovery.

Since most recreational golfers use a cart, playing golf is typically not overly taxing on the cardiorespiratory system and many individuals who no longer experience cardiac symptoms (chest pain or unusual shortness of breath) recovering from angioplasty (stenting procedures) or myocardial infarctions (heart attacks) can generally resume golfing as soon as they feel able.  Longer recovery however times are required before playing golf after open-heart surgery.  During procedures such as coronary artery bypass grafting (CABG) and valve replacements surgeons need to perform a median sternotomy to access the heart which involves cutting through the sternum (breastbone) and spreading the chest apart.  After completing the heart surgery your surgeon uses stainless steel wires to hold the two halves of your sternum together to help ensure that the bone heals properly.

Sternal healing is a gradual process, and the timeline can vary from person to person.  Golfers know that a powerful swing requires proper technique, but it also depends on a strong and healthy body. If you’ve recently undergone open-heart surgery, understanding the healing process of your sternum is crucial before you tee up again. Here are some general guidelines:

Initial Healing (Weeks 1-6): During the first few weeks, your sternum begins to fuse back together. You may experience discomfort, and it’s essential to follow your surgeon’s post-operative instructions diligently.

Intermediate Healing (Weeks 6-12): By this stage, your sternum should be healing steadily, but it’s still vulnerable. Most patients are advised to avoid heavy lifting and vigorous physical activities.

Advanced Healing (Months 3-6+): As the months pass, your sternum becomes progressively stronger.  This is the period when your healthcare team will assess your progress and determine when it’s safe to return to more physically demanding activities and to start playing golf.

So, how do you know when your sternum has adequately healed and you can return to playing golf after open-heart surgery?  Your healthcare team will generally consider 4 things prior to advising you that you can resume golfing:

  1. Has it been a minimum of 12-16 weeks since surgery?  Yes, you can probably use a putter in your backyard much sooner but if you are planning to swing woods or irons you should wait a minimum of 3 to 4 months from surgery.

  2. Are you experiencing any clicking or popping sounds in your sternum?  Clicking and/or popping sounds are often a sign that there is still movement in your sternum and that it has not fully fused together.  If this is the case upper body activities including golf should be avoided.

  3. Do you experience any pain in your sternum when coughing or sneezing?   Pain in the sternum when coughing or sneezing is often a sign that the sternum has not completely healed.  Upper body activities including golf should be avoided until this pain has resolved.

  4. Are you currently experiencing any pain in your chest or shoulders with day to day activities?  If you are experiencing chest wall or sternal pain with day to day activities you need to wait until this has resolved prior to golfing.  Shoulder pain is not uncommon following open heart surgery and may be a result of the surgery itself or the subsequent muscle loss that occurs in your upper body in early recovery. If you are experiencing shoulder pain or limited shoulder range of motion it is best to have this addressed prior to returning to golf.

A few more points to consider to ensure a successful return to golfing:

1. Listen to Your Healthcare Team

Your first round of golf post-surgery doesn’t start on the course; it starts in your cardiologist’s office. It’s crucial to have a conversation with your healthcare team before even thinking about teeing off. They will assess your recovery progress, recommend an appropriate timeline, and provide any necessary precautions or limitations.

2. Begin with Patience

Returning to golf after open-heart surgery isn’t a sprint; it’s a measured marathon. Start slowly and gently. Your cardiovascular system needs time to adapt. Begin with short walks, light stretches, and easy swings at the driving range. Gradually increase the intensity as your body permits.

3. Focus on Cardiac Rehabilitation

Cardiac rehabilitation programs are designed to help individuals recover from heart surgery. These programs include monitored exercise sessions and education on heart-healthy living. Enrolling in a cardiac rehab program can provide the structure and guidance you need to safely return to golf.

4. Perfect Your Swing Mechanics

Work on perfecting your swing mechanics. Your strength will have changed after surgery, Consider taking lessons from a golf pro who can help you adapt your swing to your current physical condition.

5. Stay Hydrated and Rest

Golf is a sport that requires time outdoors, so staying hydrated and well-rested is crucial. After open-heart surgery, maintaining proper hydration and allowing yourself to rest as needed is even more vital to your recovery.

6. Listen to Your Body

Perhaps the most critical piece of advice is to listen to your body. If you experience pain, shortness of breath, or discomfort while playing, stop immediately and seek medical attention. It’s essential to prioritize your health above all else.

7. Patience Pays Off

Returning to golf after open-heart surgery is a journey that takes time and patience. Don’t get discouraged by setbacks or slower progress. Your determination and persistence will lead you back to the course you love.

Returning to golf after open-heart surgery is a goal worth pursuing, but it must be done safely. Sternal healing times can vary, so it’s essential to follow the guidance of your healthcare team. With patience, gradual progression, and a focus on your body’s signals, you can eventually return to the fairways with a healthy heart.  Remember, it’s not just about playing the game; it’s about the joy and fulfillment that come with the journey back to the fairways. So tee up, swing confidently, and celebrate every hole as a triumph of your resilience and determination.

The information in the blog is provided for informational and educational purposes only and does not constitute medical advice.  The information is not a substitute for professional medical advice, diagnosis, or treatment.  For questions please follow up with your healthcare professional.

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