Body

  • Body: Pain Meds vs Sex
  • Appendectomy and Climbing Training
  • Body: Injury Truths
  • Body: BPA and Waterbottles
  • Body: Bouldering for Bone Density
  • Body: Chronic Injury
  • Body: Bouldering for the Bones
  • Body: Antibiotics and Tendon Damage
  • Back

  • Back: Spinal Fracture
  • Back: Preventing Hunchback
  • Back: Herniated Disc
  • Abdomen

  • Abdomen: Muscle Tear/Hernia
  • Arm

    No items found.

    Shoulder

  • Shoulder: Thoracic Outlet Syndrome
  • Shoulder: SLAP Lesion and Cortisone
  • Shoulder: Frozen Shoulder
  • Shoulder: Torn Labrum, SLAP Lesion
  • Shoulder: Separation
  • Shoulder: Pain and Virus
  • Biceps

    No items found.

    Elbow

  • Elbow: Tennis Elbow
  • Elbow: Medial Tendonosis
  • Elbow: DR. J's Dodgy Elbows
  • Elbow: Tendonosis
  • Elbow: Medial Epicondylosis and Taping
  • Elbow: Tingling and Numbness
  • Elbows: Minimizing Fingerboard Injuries
  • Elbow: Medial Epicondyle Tendonosis
  • Elbow: Stress Fracture
  • Elbow: Pain and Hangboarding
  • Wrist

  • Wrist: Klienbock's Disease
  • Wrist: Ruptured Tendon
  • Snap, Crackle, Wrist
  • Wrist: Fractured Scaphoid
  • Wrist: Instability
  • Hand

  • Stressed-Out Fingers
  • Hands: Dupuytren's Disease (lump in palm)
  • Hands: Numbness and Carpal Tunnel Syndrome
  • Fingers

  • Fingers: What To Do with a Ruptured Flexor Digitorum Superficialis
  • Stressed-Out Fingers
  • Fingers: Hyper-extended
  • Fingers: Cysts and Pain
  • Fingers: Cracked Fingertips
  • Fingers: De Quervain's Tenosynovitis
  • Fingers: NSAID Treatment
  • Fingers: Torn A2 Pulley
  • Fingers: Trigger Thumb Syndrome
  • Fingers: Stiffness, Soreness
  • Fingers: Grip Position and Injury
  • Fingers: Pinky Finger Pain
  • Fingers: Electrostimulation
  • Fingers: Cortisone for Tendon Injuries
  • Hands: Numbness and Carpal Tunnel Syndrome
  • Fingers: Taping Truths
  • Fingers: Flappers
  • Fingers: Trigger-Finger Syndrome
  • Fingers: Torn A3 and A4 Pulleys
  • Fingers: Cysts
  • Fingers: Arthritis
  • Fingers: Numbness
  • Fingers: Blown Tendons
  • Leg

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

  • Knee: Rockfall Causes Lump
  • Knee: Chondral Injury of the Lateral Tibial Plateau
  • Leg and Knee: Broken Femur and Shattered Kneecap
  • Knee: Ruptured ACL
  • Knee: Ruptured Ligament and Meniscus
  • Knee: Synovial Cartilage Damage
  • Ankle

  • America's Best Climbing Area: Red River Gorge
  • Loud Pop Ankle Roll
  • Feet

  • Feet: Broken Foot
  • Feet: Gout and Pseudogout
  • Feet: Toe Fracture
  •  
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    Stunning Thailand Rock and DWS

    Feet: Gout and Pseudogout

    02-Feb-2010
    By

    Several years ago I attempted the Southwest Couloir route on Mount Huntington in Alaska in some oversized Koflach boots. After I'd led many pitches of steep ice my left toe began cramping and hurting so badly I could no longer frontpoint and was basically climbing the last pitches with only my right foot. A few years later, out of the blue, I had an incredibly painful pseudogout attack in this same toe. The doctors had no explanation, as I'm not the typical candidate for gout (overweight, bad diet, older). Could this gout attack be related to that episode on Huntington?

    Dick Stone | Boulder, CO

    I am going to assume you have pseudogout and not gout, and that this has been diagnosed from a synovial fluid sample. Though the two conditions have some common ground, principally some gnarly crystal formations within the joint, the terms are not interchangeable.

    One of the primary causes of pseudogout is trauma. Obdurately booting your big toe into a behemoth popsicle would clearly qualify, though it would not be a given that this was the original cause. Old crustiness, genetic anomalies and a side note of metabolic misbehavior all correlate with pseudogout.

    Claiming a thyroid problem might actually be reasonable®even a parathyroid problem, just to sound both legitimate and super-dooper. Excessive iron in your blood (hemochromatosis), kidney disease, the medicine Didronel (etidronate disodium), and even lead poisoning have been linked to pseudogout, along with a bevy of other factors. Notably, the garden-variety osteoarthritis is a precipitating factor. Translation: in all likelihood we can't discern the cause, but we will give a fancy name, idiopathic, to continue the subterfuge of authority.

    Typically, the offending joint is red, hot and pissed off. Fever, chills and tiredness (forget this last one if you are a lazy climbing bum and/or smoke too much pot) are also possible. Septic arthritis is a medical emergency, and must always be considered.

    There is no specific therapeutic regimen to treat the underlying cause of pseudogout. Bummer. Anti-inflammatory medication and a couple of weeks of rest is about as complex as it gets. Pain is a great restrainer: too sore to get your shoe on? Don't put your shoe on. If you are irresistably touched by the process of climbing (read: addicted), go to Rifle. After suffering the 2-cool-4-skool posse, the I-can-do-one-arm'ers, why-can't-I-climb gang, and the Beta Brigade who insist on blowing your onsight, you won't feel much like climbing for at least a few weeks.

    RELATED ARTICLES

    Climbing Injury: Achiles Tendonosis

    Climbing Injury, Feet: Toe Fracture

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