Body

  • Rock Climbing Injury: Broken Hand
  • Rock Climbing Injury: Hydrocele, Spermatocele and Strained Groin
  • Rock Climbing Injury: Hand: Arthritis
  • Rock Climbing Injury: NSAIDS: To Use or Not to Use
  • Rock Climbing Injury: Open-Heart Surgery
  • Rock Climbing Injury: Osteopenia and Increasing Bone Density
  • Rock Climbing Injury: Body: Pain Meds vs Sex
  • Rock Climbing Injury: Appendectomy and Climbing Training
  • Rock Climbing Injury: Body: Injury Truths
  • Rock Climbing Injury: Body: BPA and Waterbottles
  • Rock Climbing Injury: Body: Bouldering for Bone Density
  • Rock Climbing Injury: Body: Chronic Injury
  • Rock Climbing Injury: Body: Bouldering for the Bones
  • Rock Climbing Injury: Body: Antibiotics and Tendon Damage
  • Back

  • Rock Climbing Injury: Lumbar Bone Spurs
  • Rock Climbing Injury: Back: Spinal Fracture
  • Back: Preventing Hunchback
  • Back: Herniated Disc
  • Abdomen

  • Rock Climbing Injury: Abdomen: Muscle Tear/Hernia
  • Arm

    No items found.

    Shoulder

  • Rock climbing Injury: Shoulder Pain
  • Rock Climbing Injury: Thoracic Musculature Tightness
  • Rock Climbing Injury: Chronic Posterior Shoulder Pain
  • Rock Climbing Injury: Chronic Shoulder Pain
  • Rock Climbing Injury: Supraspinatus and Labral Tears
  • Rock Climbing Injury: Shoulder Pain
  • Rock Climbing Injury: Shoulder Replacement
  • Rock Climbing Injury: Exploding Shoulder
  • Rock Climbing Injury: Shoulder: Thoracic Outlet Syndrome
  • Rock Climbing Injury: Shoulder: SLAP Lesion and Cortisone
  • Rock Climbing Injury: Shoulder: Frozen Shoulder
  • Rock Climbing Injury: Shoulder: Torn Labrum, SLAP Lesion
  • Rock Climbing Injury: Shoulder: Separation
  • Rock Climbing Injury: Shoulder: Pain and Virus
  • Biceps

  • Rock Climbing Injury: Bursting Biceps
  • Elbow

  • Rock Climbing Injury: Golfer's Elbow
  • Rock Climbing Injury: Elbow: Brachioradialis Pain
  • Rock Climbing Injury: Tennis Elbow
  • Rock Climbing Injury: Medial Epicondylosis Tendonitis
  • Rock Climbing Injury: Dodgy Elbows Revisited
  • Rock Climbing Injury: Synovial Chips
  • Rock Climbing Injury: Quack Elbow Treatments to Avoid
  • Rock Climbing Injury: Do Compression Sleeves Work?
  • Rock Climbing Injury: Elbow: Tennis Elbow
  • Rock Climbing Injury: Elbow: Medial Tendonosis
  • Rock Climbing Injury: Elbow: Elbow Pain and Dodgy Elbows
  • Rock Climbing Injury: Elbow: Tendonosis
  • Rock Climbing Injury: Elbow: Medial Epicondylosis and Taping
  • Rock Climbing Injury: Elbow: Tingling and Numbness
  • Rock Climbing Injury: Elbows: Minimizing Fingerboard Injuries
  • Rock Climbing Injury: Elbow: Medial Epicondyle Tendonosis
  • Rock Climbing Injury: Elbow: Stress Fracture
  • Rock Climbing Injury: Elbow: Pain and Hangboarding
  • Wrist

  • Rock Climbing Injury: TFCC Tear
  • Rock Climbing Injury: Wrist: Klienbock's Disease
  • Rock Climbing Injury: Wrist: Ruptured Tendon
  • Rock Climbing Injury: Snap, Crackle, Wrist
  • Rock Climbing Injury: Wrist: Fractured Scaphoid
  • Rock Climbing Injury: Wrist: Instability
  • Hand

  • Rock Climbing Injury: Broken Hand
  • Rock Climbing Injury: Left Hand: Hook of the Hamate Fracture
  • Rock Climbing Injury: Fingers: Everything You Need to Know About Finger Stress
  • Rock Climbing Injury: Hands: Dupuytren's Disease (lump in palm)
  • Rock Climbing Injury: Hands: Numbness and Carpal Tunnel Syndrome
  • Fingers

  • Rock Climbing Injury: Avulsion Fracture
  • Rock Climbing Injury: Pinky Numbness
  • Rock Climbing Injury: Swollen Right Index Finger
  • Rock Climbing Injury: Finger Numbness
  • Rock Climbing Injury: Alternative to Pulley Taping
  • Rock Climbing Injury: Hand: Arthritis
  • Rock Climbing Injury: Fourth Metacarpal Break
  • Rock Climbing Injury: First Pulley Strain
  • Rock Climbing Injury: Freezing Fingers Today, Benefit Tomorrow?
  • Rock Climbing Injury: Cysts in Fingers
  • Rock Climbing Injury: Ruptured Finger Pulley
  • Rock Climbing Injury: Fingers: What To Do with a Ruptured Flexor Digitorum Superficialis
  • Rock Climbing Injury: Fingers: Everything You Need to Know About Finger Stress
  • Rock Climbing Injury: Fingers: Hyper-extended
  • Rock Climbing Injury: Fingers: Cysts and Pain
  • Rock Climbing Injury: Fingers: Cracked Fingertips
  • Rock Climbing Injury: Fingers: De Quervain's Tenosynovitis
  • Rock Climbing Injury: Fingers: NSAID Treatment
  • Rock Climbing Injury: Fingers: Torn A2 Pulley
  • Rock Climbing Injury: Fingers: Trigger Thumb Syndrome
  • Rock Climbing Injury: Fingers: Stiffness, Soreness
  • Rock Climbing Injury: Fingers: Grip Position and Injury
  • Rock Climbing Injury: Fingers: Pinky Finger Pain
  • Rock Climbing Injury: Fingers: Electrostimulation
  • Rock Climbing Injury:Fingers: Cortisone for Tendon Injuries
  • Rock Climbing Injury: Hands: Numbness and Carpal Tunnel Syndrome
  • Rock Climbing Injury: Fingers: Taping Truths
  • Rock Climbing Injury: Fingers: Flappers
  • Rock Climbing Injury: Fingers: Trigger-Finger Syndrome
  • Rock Climbing Injury: Fingers: Torn A3 and A4 Pulleys
  • Rock Climbing Injury: Fingers: Cysts
  • Rock Climbing Injury: Fingers: Arthritis
  • Rock Climbing Injury: Fingers: Numbness
  • Rock Climbing Injury: Fingers: Blown Tendons
  • Leg

  • Rock Climbing Injury: Leg: Achilles Tendonitis
  • Rock Climbing Injury: Leg and Knee: Broken Femur and Shattered Kneecap
  • Rock Climbing Injury: Leg: Pulled Hamstring
  • Rock Climbing Injury: Leg: Fracture
  • Knee

  • Rock Climbing Injury: Blown Knees
  • Rock Climbing Injury: MCL Injury
  • Rock Climbing Injury: Outside Knee Pain: Tibiofibular Joint
  • Rock Climbing Injury: Knee Tendonitis after Ankle Fusion
  • Rock Climbing Injury: Meniscal Tear on a Drop Knee
  • Rock Climbing Injury: Knee: Rockfall Causes Lump
  • Rock Climbing Injury: Knee: Chondral Injury of the Lateral Tibial Plateau
  • Rock Climbing Injury: Leg and Knee: Broken Femur and Shattered Kneecap
  • Rock Climbing Injury: Knee: Ruptured ACL
  • Rock Climbing Injury: Knee: Ruptured Ligament and Meniscus
  • Rock Climbing Injury: Knee: Synovial Cartilage Damage
  • Ankle

  • Rock Climbing Injury: Osteochondral Talus Fracture
  • Rock Climbing Injury: Knee Tendonitis after Ankle Fusion
  • Rock Climbing Injury: Snapped ankle tendon
  • Rock Climbing Injury: Possible Death of the Talus Bone
  • Rock Climbing Injury: Broken Talus Bone
  • America's Best Climbing Area: Red River Gorge
  • Rock Climbing Injury: Ankle: Loud Pop Ankle Roll
  • Feet

  • Rock Climbing Injury: Bunions
  • Ice Climbing Injury: Toenail Pressure
  • Rock Climbing Injury: Feet: Broken Foot
  • Rock Climbing Injury: Feet: Gout and Pseudogout
  • Rock Climbing Injury: Feet: Toe Fracture
  •  
    Video Spotlight
    EMILY DUDLEY _ FAs in RED FEATHER, CO
    EMILY DUDLEY _ FAs in RED FEATHER, CO

    Rock Climbing Injury: Body: Antibiotics and Tendon Damage

    02-Feb-2010
    By

    I was recently prescribed Levaquin after some minor surgery. After taking it for a few days, I looked online for side effects, and now have enough information to be paranoid. Some of the possible side effects are tendonitis and tendon rupture, with some cases occurring months after treatment. Strenuous physical activity is a risk factor. How great is the risk? Should I delay my return to climbing or start off slowly?

    Gary B | Rock And Ice Forum

    Pharmaceutical companies are Machiavellian riffraff. They have been known to save lives, destroy lives and generally play the economics of human health, emphasis on economics.

    The antibiotic you mention is from the fluroquinolone family (Cipro, Levaquin, Floxin, Noroxin, etc.). The FDA has required the manufacturer to display the strongest Black Box warning as of mid-2008 due to tendon pathologies such as tendon rupture, tendonitis and tendonosis.

    As with all drugs, there is a list of side effects. In this case, issues involve connective tissue pathologies, funky nerve stuff, a discordant heart rhythm reminiscent of American Idol, and a host of other unfortunate possibilities.

    Naturally, the manufacturers will say tendon side effects are rare. That may well be true, but I would think twice if I were a climber on a medium to long course of this drug. There are usually other antibiotic options. Note that there is a preponderance of men in the affected (tendonopathy) cohort.

    I doubt that a few days on this drug would get you in the same solar system of tendon issues. If you are pain free, I would not be concerned. But two people won the $100 million lottery here in Australia last week. Admittedly they got $50 million each and you're gambling on a ruptured tendon, but there is always a chance! Look at it this way, there is no risk of becoming a gambling addict. Alternatively, you could not climb for a year!

    Another class of drugs known as statins, which are used to improve blood-cholesterol levels (Crestor, Lipitor, Zorcor, Pravachol, others), have also been linked to musculoskeletal issues such as joint pain, muscle cramps and tendon pathologies. Several of my current patients have achilles tendonosis that may have resulted from Crestor.

    Most tendon issues are easily resolved using a structured eccentric strengthening program. For the price of your house, I can help you. Side effects, for the most part, are an inconvenience to our otherwise indulgent lives. Myself included. The key, I will repeat, is to pay attention. See your doctor at the earliest signs of tendon pain. Or if you suddenly can't walk.

     

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    Body: BPA and Waterbottles

    Body: Bone Density

    Body: Steroids and Bone Density

    Body: Chronic Injury

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