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 145: Katie Lamb — Breaking Into V14, Embracing Micro Beta, and How Climbers Can Be Leaders in the Climate Movement
EP 144: Marisa Michael — Why Losing Weight Won’t Make You Climb Harder, How to Navigate Food, and Intuitive Eating
EP 143: Matt Heyliger — Tissue Capacity vs. Biomechanics, Why Mobility Comes Before Strength, and the Eyeball Story
EP 142: Aidan Roberts — Training for Alphane V17, the Power of Replicas, and Embracing Your Style
EP 141: Robbie Phillips — Exploring Scottish Sea Cliffs, Keeping Things Fun, and Capturing Memories Through Filmmaking
EP 140: Tommy Caldwell — Undone Lines on El Cap, Father-Son Relationships, and Exploring the Limits of Human Endurance
EP 139: Lynn Hill — Breaking Barriers in Climbing, How to Find Self-Belief, and Challenging Social Norms
EP 138: Q&A 6 (feat. Taylor Fragomeni) — Ways to Improve Your Climbing if Access is Limited, and More Patron Questions
Follow-Up: Ned Feehally — More Beastmaking Questions, and Longer Hangs for Long-Term Strength Gains (Teaser)
EP 137: Drew Ruana & Cameron Hörst — Lessons from Recent Sends, Training for Bouldering vs. Sport Climbing, and Leveling Up to V18 and 5.15c
EP 136: Dan Varian — High Angle Crimps, Silver Bullets in Finger Strength, and How to Activate Lazy Fingers
EP 135: Alice Hafer — How to Train Your Mind Muscle, Tips for Staying Motivated, and Box Jumps for Power
EP 134: Sam Van Boxtel — Creating Value on Social Media, Having a Strong “Why”, and the Road to 100k Followers
Follow-Up: Jonathan Siegrist — How to Climb Hard Sport Routes and Improve for Decades (Teaser)
EP 133: Neil Gresham — Using Ballet to Climb Harder, Developing Your Finishing Game, and Extensor Training for Stronger Fingers
EP 132: Rebecca Williams — A Deep Dive Into Fear of Falling, the Self-Soothing System, and Climbing Smarter
EP 131: Ryan Devlin — Life as a TV Actor, Progressing From 11b to 12c in a Year, and How Pro Climbers Relate to Struggle
EP 130: Stian Christophersen & Martin Mobråten — Writing The Climbing Bible, Finger Strength vs. General Strength, and Strategies for Improving Technique
Follow-Up: Matt Fultz — How to Train for the Hardest Crimp Boulders in the World (Teaser)
EP 129: Dorian Evers — How to Navigate Different Stoke Levels in Your Relationship, and Getting Vulnerable with Your Partner
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