Golf: a Contact Sport (IMAGE) Journal of Neurosurgery Publishing Group Caption Schematic drawings demonstrating the local effects of the modern golf swing on the lumbar spine (example shown at the L4-5 level), contributing to repetitive traumatic discopathy. Upper: During the backswing, maximal rotation of the golfer's shoulders relative to the hips creates wound-up potential energy known as the 'X-factor,' while also creating a supramaximal amount of torsional axial rotation of the lumbar spine. Lower: During an explosive downswing, lateral flexion results in a 'crunch' of the trailing side of the spine, asymmetrically loading the disc and facet joints. Credit © 2018 Barrow Neurological Institute Usage Restrictions Contact Jo Ann at joanneliason@thejns.org about permission. License Licensed content Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.