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!
Follow-Up: Drew Ruana — Recent V16s (Teaser)
EP 41: Tonde Katiyo (Part 2) — RIC as a Tool, the Value of Route Setting, and Keeping Training in Perspective
EP 40: Tonde Katiyo (Part 1) — Discrimination vs. Privilege, and Making a Better World by Making Better Climbing
Follow-Up: Ethan Pringle — The Stories We Tell Ourselves (Teaser)
EP 39: Matt Fultz — ‘Hypnotized Minds’ V16, Strength Before Weight, and Using Your Build as a Gift
EP 38: Solomon Barth — Up-Down-Ups, Veganism, and Working to Live (and Make a Difference)
EP 37: Simon Carter — Action vs. Landscape, The Taipan Closure, and Top 10 Climbing Photography Tips
BONUS: Charlie Manganiello — Goals vs. Actions, Synchronized Swimming, and Magic Bullets
BONUS: Alex Bridgewater — Getting Strong, Speed Walking, and Self-Belief
EP 36: Climb Strong Team — 2020 Training Camp Mashup
EP 35: Steve Bechtel — Changing Your Mind, Lessons From Studying Sprinting, and Creating Better Habits
EP 34: Roger Volkmann — Five Principles of Life, Tough vs. Strong, and Devils Tower
EP 33: Mike Kerzhner — El Cap’s ‘PreMuir’, Emigrating from Russia, and Discipline vs. Necessity
EP 32: Natasha Barnes — Myths and Truths of Strength Training, Calorie Balance, and The Power Mullet
EP 31: Maya Madere — Windsurfing, Endurance Training for Boulderers, and Trusting Intuition
EP 30: Connor Herson — Fourteen 5.14s at Fourteen, Big Wall Free Climbing, and Power Training on a Home Wall
EP 29: Tyson Schoene — Building World-Class Athletes, the Value of Competition, and Drills for Every Climber
EP 28: Blake Cason on Radical Honesty, the Mindfulness Muscle, and Cycling Priorities
EP 27: Audrey Sniezek — Corporate Work, Starting A Gym, and Telling Yourself You Belong
EP 26: Ben Herrington — Go-To Training Sessions, Skateboarding, and Obsessive Compulsion
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