Play better.
Hurt less.
Move with purpose.
At HPHC, we work with golfers who want to understand why their body is holding them back — whether that's pain, lost distance, or injuries that keep coming back. Our evaluation finds the root cause. Our treatment corrects it.
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The pain isn't the problem.
It's the signal.
Most golfers dealing with low back pain, shoulder discomfort, or elbow issues have spent months — sometimes years — managing the symptom. Rest, anti-inflammatories, the occasional massage. The pain keeps coming back because no one identified why it started.
The body compensates. If your hips don't rotate freely, your lower back absorbs that load on every swing. If your thoracic spine is stiff, your shoulder tries to fill that gap. Those compensations accumulate over time until something gives.
At HPHC, we don't start with where it hurts.
We start by asking why it hurts.
"There is no such thing as a perfect swing —Titleist Performance Institute
only the best swing possible for each body."
Precision treatment starts with a precise assessment.
As part of your initial evaluation, we perform a TPI Screen — a standardized physical assessment developed by the Titleist Performance Institute that examines the specific mobility, stability, and motor control demands of the golf swing.
We're not evaluating your swing mechanics. We're evaluating your body's capacity to execute the movement your swing requires — which joints are restricted, which areas are compensating, and which pattern is driving your problem.
That's how we treat with direction, not guesswork. Every treatment plan at HPHC is built on what the screen tells us about your body.
TPI Medical Certified — Level 2 & 3- Hip internal & external rotation
- Thoracic spine rotation
- Shoulder mobility
- Ankle dorsiflexion
- Hamstring flexibility
- Core stability
- Pelvic control in movement
- Shoulder & scapular stability
- Overhead deep squat
- Single leg balance
- Golf posture
- Pelvic vs. thoracic dissociation
- Wrist mobility & forearm rotation
Common injuries we resolve in golfers.
Low Back Pain
The most common complaint in golf — and the most misunderstood. Low back pain in golfers almost always originates from hip or thoracic restriction, not the back itself. When those areas don't move, the lumbar spine compensates on every single swing.
Medial & Lateral Epicondylitis
"Golf elbow" and "tennis elbow" are symptoms of a movement pattern that overloads the elbow — not a problem with the elbow itself. Treating the arm in isolation relieves the symptom temporarily. Correcting the pattern resolves it.
Shoulder Pain
In most cases, the real limitation is in scapular mobility and thoracic rotation, not the shoulder joint itself. When the thoracic spine can't rotate, the shoulder does the work it wasn't designed to do.
Hip Pain
Restricted hip internal rotation is one of the most consistent findings in golfers with low back pain. When hip mobility is restored, lumbar symptoms frequently improve as well — because the compensation is no longer needed.
Cervical & Neck Pain
Often a downstream effect of thoracic stiffness or setup posture. The cervical spine compensates for rotation the mid-back isn't providing — creating tension and pain that won't resolve until the underlying pattern is corrected.
Performance Limitation
Not every patient comes in with pain. Some come in because they've hit a ceiling — distance, consistency, endurance. Physical restrictions affect performance before they cause pain. The screen shows us where the ceiling is.
What our patients achieve.
Return to playing without modifying their swing to avoid pain — because the movement restriction that caused the compensation has been corrected.
Recover range of motion they assumed was permanent — in the hips, thoracic spine, and shoulders — and feel the difference in both their body and their game.
Understand their body well enough to stay active for the long term — not just recover from the current injury, but prevent the next one.
The same system used by PGA Tour health professionals.
Dr. Francisco Guerrero Rivera is a licensed Doctor of Chiropractic with TPI Medical Level 2 and Level 3 certifications — among the most advanced in the TPI medical program, and among the few available in the San Juan metro area.
TPI Medical is not a golf credential. It is a postgraduate clinical program that trains healthcare providers to evaluate, diagnose, and treat the physical limitations that affect a golfer's body and swing. The assessment and treatment protocols at HPHC are built directly on that training.
- TPI Medical Level 2 Physical evaluation and treatment of movement dysfunctions related to the golf swing
- TPI Medical Level 3 Advanced clinical protocol and complex biomechanical assessment
- Doctor of Chiropractic (DC) Licensed by the Puerto Rico Board of Chiropractic Examiners
"Is your body limiting you on the course?"
Schedule an initial evaluation. 45 to 60 minutes to understand exactly what your body is doing — and build a clear plan to correct it.
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