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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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 102: Matty Hong — The History of ‘Flex Luthor’, Climbing Waterfalls in Japan, and the Camera as a Gift
EP 101: Nina Caprez — Being a Swiss Machine, Leaning into Womanness, and a Beautiful Story of Failing on ‘The Nose’
Follow-Up: Steve Maisch — My Training Plan for Hueco Round 2 (Teaser)
EP 100: Ben Moon — How Ben Moon Uses the MoonBoard, and the Evolution of Sport Climbing
Follow-Up: Paige Claassen — Dreamcatching, and Learning to Celebrate (Teaser)
EP 99: Q&A 4 — Goals for 2022, Dating on the Road, and What I’ve Learned from Nearly 100 Episodes
Follow-Up: Tyson Schoene — Building Champions, and Keeping Things Simple (Teaser)
EP 98: Kyra Condie — The Olympic Experience, Training With a Fused Spine, and Thriving in Organized Chaos
EP 97: Austin Hoyt — Favorite Zones in the Northeast, Rediscovering Old Projects, and Being a GUNKaholic
EP 96: Joe Kinder — The Love of Projecting, Leaving a Legacy, and the Other Side of Cancellation
EP 95: Tyler Algeo — Starting a Climbing Gym in Africa, Climb Malawi, and Raising Black Sons as a White Dad
Follow-Up: Steve Bechtel — When to Stick With It, and Climbing His First 5.14 at Age 47 (Teaser)
EP 94: Nathaniel Coleman — Preparing for the Tokyo Olympics, Climbing in a Sauna, and Kendama Training
EP 93: Tom Herbert (Part 2) —How to Relax to Improve your Passat Reserves, and Tom’s Life Story
Follow-Up: Natasha Barnes — Climbing Harder in a Stronger Body (Teaser)
EP 92: Tom Herbert (Part 1) — Eating More to Train Harder, Protein Synthesis, and Carbohydrate Timing
EP 91: Craig DeMartino — Amputating His Leg to Climb Again, El Cap Stories, and Embracing a New Normal
EP 90: Josh Wharton — Onsight Tips and Tricks, Training to Flash El Capitan, and Risk Assessment as a Parent
EP 89: Q&A 3 — How My Training Has Evolved, How to Stay Strong on a Road Trip, and Life Mottos
Follow-Up: Allison Vest — ‘Throwin’ the Houlian’, Mono Training, and the Periodic Table of Elements (Teaser)
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