EP 207: Paul Houghoughi (The Climbing Physio) — How to Rehab Finger Injuries, Build Bulletproof Wrists & Elbows, and Never Get Injured Again

EP 207: Paul Houghoughi (The Climbing Physio) — How to Rehab Finger Injuries, Build Bulletproof Wrists & Elbows, and Never Get Injured Again

Paul Houghoughi (The Climbing Physio) is one of the top physiotherapists in the world for climbing injuries. We talked about how to rehab lumbrical injuries, training with hypermobile fingers, wrist strengthening exercises, causes of synovitis and capsulitis, why stretching your fingers is important, blood work for stiff joints, tennis and golfers elbow, how to decipher different types of elbow pain, Paul’s top advice to not get injured, and much more!

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Watch the Video Interview:

EP 207: Paul Houghoughi — Uncut Video!

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Show Notes:

thenuggetclimbing.com/episodes/paul-houghoughi

Nuggets:

(00:00:00) – Intro

(00:02:28) – Topics covered

(00:04:01) – Paul’s grandfather, and how Paul became a climbing Physio

(00:08:08) – Plans for the Olympics

(00:08:44) – Lumbrical injuries

(00:16:21) – Stress shielding

(00:18:24) – Rehabbing lumbrical injuries

(00:24:56) – Preventing lumbrical injuries

(00:26:25) – Grip gears, and Alex Megos

(00:29:19) – How to introduce a new grip position

(00:34:13) – Training with hypermobile fingers

(00:39:05) – The link between hypermobility and proprioception

(00:41:33) – Wrist strengthening exercises

(00:48:35) – Synovitis and capsulitis

(00:55:39) – Climbing with synovitis and capsulitis

(00:59:25) – How to promote finger health and prevent finger injuries at any age

(01:03:06) – Why stretching your fingers is important

(01:06:31) – Blood work for stiff joints

(01:07:35) – What is normal to expect as we age?

(01:09:18) – Playing the long game

(01:11:08) – Hiding the broccoli

(01:12:53) – The danger of overloading yourself with exercises

(01:17:27) – Tennis Elbow

(01:23:32) – My experience with Golfers Elbow

(01:25:57) – End-of-range contractions

(01:27:45) – Preventing elbow injuries

(01:29:31) – How to decipher types of elbow pain (tendons vs. nerves vs. joints)

(01:33:55) – Elbow joint issues

(01:35:14) – Good rehab comes down to specific diagnosis

(01:36:14) – Paul’s top advice to not get injured

(01:40:14) – Wrap up and EXTRA for Patrons!

Episoder(381)

EP 291: Charlie Boscoe — Pro Climbing League: Comps Are About to Change Forever

EP 291: Charlie Boscoe — Pro Climbing League: Comps Are About to Change Forever

Charlie Boscoe is a former IFSC commentator, writer, and co-founder of the Pro Climbing League, a bold new head-to-head bouldering series debuting on February 28. We talked about his first experience ...

26 Jan 1h 18min

EP 290: Chris Schulte — Developing Your Own Style, Age-Proof Motivation, and Redefining Progress Beyond Grades

EP 290: Chris Schulte — Developing Your Own Style, Age-Proof Motivation, and Redefining Progress Beyond Grades

Chris Schulte is an elite boulderer known for bold first ascents, compression mastery, and a thoughtful approach that prioritizes style over grades. We talked about his evolution as a climber, develop...

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EP 289: Christian Beckwith — The 10th Mountain Division, WW2 Guerrilla Warfare Stories, and the Birth of Modern Climbing Gear

EP 289: Christian Beckwith — The 10th Mountain Division, WW2 Guerrilla Warfare Stories, and the Birth of Modern Climbing Gear

Christian Beckwith is the former editor of The American Alpine Journal and Alpinist Magazine, and the creator of the award-winning podcast, Ninety-Pound Rucksack. We talked about the formation of the ...

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EP 288: Carol Simpson Returns — Life After 80 Years Old, Longevity Routines, and Training for a World Record

EP 288: Carol Simpson Returns — Life After 80 Years Old, Longevity Routines, and Training for a World Record

Carol Simpson returns to the podcast to talk about life after 80 years old, and everything she does to stay healthy and climb hard. We talked about making the move to Salt Lake, discovering Dr. Peter ...

1 Des 20251h 48min

EP 287: Domen Škofic — The Red Bull Plane Project, Rediscovering Passion in Flatanger, and Trying Silence 9c

EP 287: Domen Škofic — The Red Bull Plane Project, Rediscovering Passion in Flatanger, and Trying Silence 9c

Domen Škofic is a Slovenian professional climber and a 5x World Cup gold medalist. We talked about his Red Bull Plane Climb project, skydiving, building a climbing gym with his father, retiring from t...

17 Nov 20251h 43min

EP 286: Steve Moss — Why Discomfort Fuels Breakthroughs, Double V12 Days at Age 40, and 455 V-Points in 24 Hours

EP 286: Steve Moss — Why Discomfort Fuels Breakthroughs, Double V12 Days at Age 40, and 455 V-Points in 24 Hours

Steve Moss is a high-level boulderer and the co-founder of a brewery and pizzeria in Spokane, WA. We talked about finding climbing at age 24, his breakthrough season climbing three V12s in less than t...

3 Nov 20252h 47min

EP 285: Tyler Stableford — Finding More Joy in Climbing, Breaking Plateaus, and Inputs Over Outcomes

EP 285: Tyler Stableford — Finding More Joy in Climbing, Breaking Plateaus, and Inputs Over Outcomes

Tyler Stableford is a lifelong climber and psychotherapist specializing in trauma resolution and treatment-resistant conditions. We talked about how to find more joy in our climbing, whether high perf...

20 Okt 20251h 57min

EP 284: Four PTs — The Case for Taking a Break, Heel Hooking Injuries, & Off-the-Wall Strength Training

EP 284: Four PTs — The Case for Taking a Break, Heel Hooking Injuries, & Off-the-Wall Strength Training

Dr. Jared Vagy returns to the podcast and is joined by three physical therapy students and graduates, Sarah Kremer, Dawson Freeze, and Michael Larson. We talked about three recent articles covering th...

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