Paul Houghoughi (The Climbing Physio) is one of the top physiotherapists in the world for climbing injuries. We talked about how to rehab lumbrical injuries, training with hypermobile fingers, wrist strengthening exercises, causes of synovitis and capsulitis, why stretching your fingers is important, blood work for stiff joints, tennis and golfers elbow, how to decipher different types of elbow pain, Paul’s top advice to not get injured, and much more!
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Watch the Video Interview:
EP 207: Paul Houghoughi — Uncut Video!
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Show Notes:
thenuggetclimbing.com/episodes/paul-houghoughi
Nuggets:
(00:00:00) – Intro
(00:02:28) – Topics covered
(00:04:01) – Paul’s grandfather, and how Paul became a climbing Physio
(00:08:08) – Plans for the Olympics
(00:08:44) – Lumbrical injuries
(00:16:21) – Stress shielding
(00:18:24) – Rehabbing lumbrical injuries
(00:24:56) – Preventing lumbrical injuries
(00:26:25) – Grip gears, and Alex Megos
(00:29:19) – How to introduce a new grip position
(00:34:13) – Training with hypermobile fingers
(00:39:05) – The link between hypermobility and proprioception
(00:41:33) – Wrist strengthening exercises
(00:48:35) – Synovitis and capsulitis
(00:55:39) – Climbing with synovitis and capsulitis
(00:59:25) – How to promote finger health and prevent finger injuries at any age
(01:03:06) – Why stretching your fingers is important
(01:06:31) – Blood work for stiff joints
(01:07:35) – What is normal to expect as we age?
(01:09:18) – Playing the long game
(01:11:08) – Hiding the broccoli
(01:12:53) – The danger of overloading yourself with exercises
(01:17:27) – Tennis Elbow
(01:23:32) – My experience with Golfers Elbow
(01:25:57) – End-of-range contractions
(01:27:45) – Preventing elbow injuries
(01:29:31) – How to decipher types of elbow pain (tendons vs. nerves vs. joints)
(01:33:55) – Elbow joint issues
(01:35:14) – Good rehab comes down to specific diagnosis
(01:36:14) – Paul’s top advice to not get injured
(01:40:14) – Wrap up and EXTRA for Patrons!
EP 11: Shanjean Lee — From Surgical Residency to 5.13+ Trad, Dating Your Climbing Partner, and the Importance of Self-Belief
EP 10: Peter Croft — ‘The Shadow’ Game, Training for Linkups, and the Magic of Inspiration
EP 09: Will Stanhope — The Injury Process, Trad Climbing Tips, and More Climbing Less Training
EP 08: Kristin Yurdin — Building a Restaurant, Redpointing 5.14a at age 42, and Advice for Shorter Climbers
EP 07: Ian Yurdin on Product Creation, Projecting Routes at Smith Rock, and Gratitude for Health
EP 06: Brittany Goris — FFA of ‘Stingray’, On and Off Mode, and Living the Dirtbag Dream
EP 05: Mark DeJohn on Using ART to Treat Carpal Tunnel Syndrome and Overuse Injuries, and Two Stretches Every Climber Should Do
EP 04: Alan Watts — A Life at Smith Rock, Eating Every Other Day, and Meeting Adam Ondra
EP 03: William Woodward on Balancing Work and Passion, Rules for Life, and Ruby the Vanagon
EP 02: Chris Wright — How to Climb a 7000 Meter Peak, Climbing with Heroes, and Thai Fried Chicken
EP 01: Lizzy VanPatten on Practicing Gratitude, Building a Business, and Projecting Fear (and 5.12 Trad)
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