Case Notes 2 – climber with sudden onset finger pain but no injury

Older climber with sudden onset finger pain with no mechanism of injury. Pain when climbing shooting up wrist into elbow. Generally strong (F7a/b) and no previous history during 30 years of climbing. On assessment there was no significant finger pain on palpation but they did present with a distinct ‘climber’s posture’ i.e. significant apeing, kyphotic…

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Lower back pain in climber 2/2

No significant improvement during climbing. Again, no actual pain with special tests (STs), manual muscle tests (MMTs) or joint integrity tests (JITs). I actually went onto the wall before doing anything else and watched the patient climb – good movement generally but a noticeable tendency to stick out their bum. Significantly on the dead hand…

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Lower back pain in climber 1/2

Young climber with gradual onset lower back pain, no method of injury but seemingly climbing related. No functional or diurnal problems but pain during climbing. In clinic – AROM normal, all special tests negative and no pain on palpation. Neuro screen -ve. Posture – anterior tilted pelvis. So, up to this point I was going…

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New Case Notes page

I have decided to publish information on recent (but historical) cases that I think may be of general interest. There will be no identifying information (names, age, gender, etc so might not be relevant) but will outline patient presentation, clinical assessment and treatment. I invite discussion and hope it will be a useful resource.

Injury Seminar and screening clinic in Milton Keynes 13th Jan

I will be down at Big Rock on Monday 13th meeting the climbing coaches and squad management to look at improving the team’s performance and avoiding injury. As well as this I am running a injury screening clinic for youths from 4pm and other climbers from 6pm. Give them a ring or write your name…

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It’s a New Year

It’s very tempting to make resolutions and plan to give things up or do more of something but my advice is a bit simpler: look after yourself and get in touch with a pro if you need some extra help. Take care. Enjoy

Clinic round up

An exciting year in Bristol for me with clinics aplenty. Currently treating people in Easton at TCA, Temple Meads with Absolute Health and at GP clinics across the city: Kingswood, Horfield, Fishponds and Westbury-on-Trym. Also covering a clinic in Weston super Mare at the moment.

LHB tendonopathy incidence in climbers

This is only the beginning of a thought but over the last 12 months in climbing clinic I have picked up a number of misdiagnosed shoulder problems. Initially spent a lot of time ruling various things out (SLAP, ACJ) but now I can spot them pretty easily. Look for limited lateral rotation into EOR abduction…

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TCA Youth Squad Screening

We, as in Nina Leonfellner, Sam Mitchell and I are set to go with the youth programme. Starting next Wed where we will be meeting everyone and discussing what we are doing and when. In short though it will be individual assessments with me and then February 8th will be physiological benchmarking and core training…

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