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!
BONUS: Ron Kauk — Spiritual Revolution for Evolution
EP 170: Karly Rager & Casey Elliott — What the Data Says About Weight, Height, and Ape Index, and Which Metrics Matter for Climbing Performance
Follow-Up: Steve Bechtel — Active Recovery: Everything You Need to Know (Teaser)
EP 169: Scott Johnston — A Masterclass in Training Principles, and Why Boulderers Should Train Their Aerobic System
EP 168: Don McGrath — Rewriting Unhelpful Scripts, How to Tackle Fear of Falling, and Playing as We Age
Climbing Gold — Hot Henry
EP 167: Alex Honnold — Epic Solos That Nobody Heard About, Near Misses, and Sh*tting His Pants While Free Soloing
EP 166: Will Bosi — Sending ‘Burden of Dreams’ V17, Dream Projects, and Functional Finger Strength vs. Party Tricks
Follow-Up: Katie Lamb — Sending ‘Spectre’ V14, and Breaking Down Crux Moves (Teaser)
EP 165: Charlie Schreiber — Asking "Why", Squeezing Lemons, and How to Have a Good Poop in the Morning, Every Time
EP 164: Melina Costanza — Why Eating Food Makes You Awesome, Competing to Win vs. Not Lose, and Fun Facts With Melina
Follow-Up: Matt Heyliger — How I Rehabbed My Bicep Tendon Injury, and How to Make the Transition From Rehab Back to Training (Teaser)
EP 163: Johnny Dawes — Legendary No-Hands Climbs, How to Master Footwork, and Life Lessons From Omelets to Icebergs
EP 162: Fundamentals — How to Structure Your Climbing Year
Follow-Up: Emil Abrahamsson — Gaining Weight to Climb His First V15, Overhauling His Training, and Thinking Long-Term With Projects (Teaser)
EP 161: Sam Stroh — Botching It and Sending Anyway, and Biggest Lessons from Hard Boulders to Free Climbs on El Cap
EP 160: Fundamentals — How to Pick a Project
EP 159: Tom Randall & Sam Van Boxtel — Why YouTube is the Future of Climbing Media, and How Much $$ YouTubers Make
EP 158: Fundamentals — How to Improve Your Technique
Follow-Up: Tim Emmett — Lessons From 80+ Days on Era Vella 9a, and Changing His Diet to Thrive at Age 48 (Teaser)
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