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
  •  
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    Rock Climbing Injury: Elbow: Tendonosis

    01-Oct-2010
    By

    I started climbing six months ago and gradually increased my level to a lethal week: four straight days of hard bouldering and in the following week three days of trad, before my more experienced friends took away my rock shoes and booked me in with the physio who diagnosed elbow and knee tendonosis. I have since seen professionals, and the common denominator seems to be my hypermobility. I'm sticking to my stretching and gradual strengthening routines (incorporating your advice in Dodgy Elbows, No. 156). At what stage can I go back to the wall? Is it a good idea to build up shoulder strength to support grumpy elbow tendons? Are pushups recommended?

    Sophie | Rock And Ice Forum

    In a nutshell, you can rest as long as you want, but gain nothing in the long term. If you are relying on that option you might as well take up synchronized swimming.

    When I hear that hypermobility has been a major contributor to a certain condition, there are usually two possibilities: a) the patient hasn't understood or, b) the clinician has no idea.

    There are two scenarios: first, your elbows are sore because they are a bit loose, albeit you work them in a fairly moderate range of motion while climbing (i.e. little or no hyperextension), or, second, your elbows are sore because for the last six months you have spent an obscene amount of time hanging on by your fingertips in your Jesus pose. Mmm, that's a tough one. I'm going to go with chronic overload related to your (s)training program.

    One of my patients can, quite literally, sit on the back of her head! I treat several contortionists, none of whom are falling apart due to their extremely strenuous circus acts that often require gob-smacking strength and repetition. Why? They train like professionals.

    Hypermobility does not translate to instability, whereby you might expect chronic tendon pathologies. In your case, however, a lack of tendon strength, not hypermobility, is the single factor that has you traipsing down the merry path of self-destruction. If hypermobility has any role at all, it will be minimal.

    Just like there is a leisure class at each end of the social spectrum, there are more injured people at each end of the flexibility spectrum. Certainly, more flexible people have to be careful about loading a joint at its end range, where strength and control diminish significantly, and the likelihood of an acute injury is amplified. Training these two important variables will mitigate the risk greatly.

    Your primary malfunction is not hypermobility, however, but rather a combination of that beautiful, ephemeral, wide-eyed excitement you see in some people who climb -- and a body that is not conditioned. Rein in your mustang of enthusiasm and let those poor tendons recover a little.

    An eccentric rehab program [like that described in Dodgy Elbows], in conjunction with modified training, bad-habit expunction, and a little manual therapy is consistently effective for tendonosis. If they are not working then either the program needs tweaking or the diagnosis is likely to be incorrect, in which case an MRI would help clear things up (I mention this more in relation to your knee issues).

    Shoulder strength, excellent idea. Pushups -- average exercise. Hyper-mobility -- irrelevant.

     

    RELATED ARTICLES

    Elbows and Wrists: Tendonitis and Tendonisis

    Elbow: Medial Epicondylosis and Taping

    Elbow Pain and Hangboarding

    Elbow Stress Fracture

    Elbow Tendonisis

    Elbow Tingling and Numbness

    Elbow: Minimizing Fingerboarding Injuries

    Wrist Instability and Carpal Tunnel

    Wrist Fracture

    Hands Dupuytren's Disease

    Hand Numbness

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