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Injuries and Medical Advice

Do Compression Sleeves Work?

Do compression sleeves help performance - or bad elbows?

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Watching the Olympics earlier this month, I noticed that many athletes, from sprinters to basketball players, wore compression sleeves. Might there be any benefit to climbers from wearing them?

—Lyzrdo / rockandice forum

Although I prefer my hosiery to be of the fishnet variety, compression-stocking fashion is spreading like a virus in the sports world with only weak scientific
support.

Once restricted to the wardrobes of people with compromised circulation and Freddie Mercury, athletes are now using these form-fitting garments to purportedly
reduce the incidence of injury, increase performance and assist recovery.

The study most often quoted refers to an increase in performance of about 1.5 percent. Not a particularly significant number, I’d suggest, given all the
other variables of climbing. There is also a bit of noise surrounding perceived improvements in recovery, but neither claim is well supported in the
literature. But let’s not allow science to get in the way of the retail sector.

Actually, some evidence out there supports the notion that compression can reduce lactate levels during and post exercise, but there has been very little
replication of previous studies. It is probably safe to say that lactate levels during performance may be reduced by compression, depending on the
level of pressure. Too low and you’ll get no effect, too high and you slow circulation making lactate levels worse.

A reduction in the incidence of injury is quite likely, though, given that the stocking should keep your muscles warmer. That said, I don’t see too many
acute injuries of the forearm or elbow, for example, where warmth could be a mitigating factor.

A while back I was having trouble on a project. I was close, but had been for quite some time. A friend told me to think of something that makes me happy
as I headed into crux. Naturally, I reflected on my Hottie and although my fantasy involved stockings it was not the ones we are discussing here. Nonetheless,
it worked, and I sent that puppy the very next go. My point being that for small gains in performance, there are loads of options! Many are cheap to
the point of being priceless.

I thought floss bands were underwear chicks wear that go up their cracks but then I saw an online video about Voodoo Floss Bands, a compression sleeve and type of mobilization used to fix dodgy elbows. What do you think?

—Chris Parker / Carbondale, Colorado

A. Floss bands are a type of tourniquet applied over a joint. “Flossing” refers to jerking a joint through its range of motion. This “therapy” is gaining
popularity among some athletes, mainly body builders.

Anything involving the word “voodoo” in a medical context creates an instant credibility conundrum. Add the word “floss” and the mind boggles. Maybe it’s
just me, but the name conjures imagery of medieval witch doctors, G-string-wearing tyrant queens, and dental torture by nurses in costume. A simple solution to elbow tendonosis? Well, I hope Mack, the victim in the video, made a wish before allowing his elbow to be splayed like that.

Nonetheless, I can see where the narrator is going in terms of reinstating the normal range of motion. I am not too sure how the tourniquet works in the
process other than as a weak preventative measure against snapping ligaments. It does fulfill the role of “magic box” placebo. A more measured approach
without the Voodoo G-string (but with a medical professional) would probably be just as effective with a lot less risk.

The real issue with the video is that the words tendonitis and tendonosis are used interchangeably, which is akin to comparing whooping cough with a runny
nose in terms of disease process and prognosis. Call me persnickety.

This treatment (and I use the term loosely) could possibly free up tight tissue around the elbow and might help reduce some factors that lead to elbow
pathologies, though I doubt it is a solution for even a mild case of tendonosis. God forbid you had a minor tear in the tendon, because it would get
a whole lot worse.

And who do you get to do the mobilization? Your mom?