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 78: Jason Kehl — Karate Screams, Chronology of Hairstyles, and Bouldering with Cargo Nets
EP 77: Allison Vest — A Competitor’s Mindset, Fun Challenges, and the Secret to One-Arm Hangs
Follow-Up: Shanjean Lee — Free Climbing El Cap (Teaser)
A Call from Ethan
EP 76: Q&A 2 — Party Tricks vs. Useful Exercises, Training for Long-Term Goals, and Octopus Wrestling
EP 75: John Long — Yosemite Tales, the Love of Writing, and Opening Up About Alcoholism
Follow-Up: William Woodward — Sailing Stories, Vanlife Tips, and How to Wash Dishes (Teaser)
EP 74: Tom Randall on Patience, Finger Training, and the Late Night Climbing Show
EP 73: Kyle O’Meara — Favorite First Ascents, Experience vs. Strength, and Sharing the Love of Climbing
Follow-Up: Katie Lambert — Zebra Stripes, and the Goal to Climb 300 5.13s (Teaser)
EP 72: Eric Hörst (Part 2) — Coaching Kids, Training Slopers and Pinches, and the Science of Collagen
EP 71: Eric Hörst (Part 1) — TV Weather, Campusing vs. Hangboarding, and How to Train Your Core
Follow-Up: Alex Johnson — Sending The Mother F***ing Swarm (Teaser)
EP 70: Steve Maisch — How to Structure a Bouldering Trip, the 85% Rule, and Hueco Debrief
EP 69: Ron Kauk — Hollywood Stories, Camp 4 in the 70s, and Connecting with Mother Nature
Follow-Up: Ken Klein — The 3 Things We Should Be Assessing As Climbers (Teaser)
EP 68: Steve McClure — Hitchhiking Stories, Tenacity vs. Strength, and Making Your Own Luck
EP 67: Heth Jennings — Understanding Pain, Rehabbing Climbing Injuries, and Carb Backloading
Follow-Up: Mercedes Pollmeier — Your Flexibility Questions Answered (Teaser)
EP 66: Mercedes Pollmeier — How to Improve Flexibility in 6 Minutes Per Day, and Cycling Your Training
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