Many abdominal strengthening exercises focus on the concentric phase of contraction. For climbers this is important, but often the abdominals have to activate eccentrically. To review: a concentric contraction occurs when a muscle creates tension while it shortens and an eccentric activation occurs when a muscle creates tension while it lengthens. Think about what your...
In 2020, all Americans have experienced challenges impacting their mental health manifested by feelings of stress, anxiety, and depression. In particular, the CDC reports adult caregivers, young adults, and minorities report higher rates of mental and emotional health challenges due the current COVID pandemic. individuals experiencing these symptoms are strongly encouraged to follow up with...
Pelvic organ prolapse occurs when there is a lack of support from the muscles or connective tissues around the bladder, rectum or uterus (if applicable). Symptoms can include: sensation of pelvic heaviness or pressure in the vagina or rectum, incomplete emptying of the bladder or rectum, and more outlined here. Risk factors for prolapse include:...
The wait and see approach is often utilized by primary care physicians in the management of musculoskeletal conditions. The underlying idea behind this approach is the improvement of symptoms over time, natural history, of these conditions. The error in this treatment method is the patient has already tried the wait and see approach, and a...
Dyspareunia or pain with intercourse is common after having a baby. An estimated 50% of women report pain with intercourse 3 months after delivery and 17% still report discomfort at 6 months postpartum (Buhling et al, 2006). More severe perineal injuries correlate with more persistent pain, however women who undergo a C-section delivery may also...
Joint stiffness in the thoracic spine can be a significant contributor to neck, upper back, and shoulder pain in rock climbers. The high muscle demands and repetitive pulling down movement of climbing often leads to excessive thoracic kyphosis, internally rotated shoulders, and a forward head position. If left untreated this can lead to long term...
Pelvic floor muscle strengthening is a specific type of training program, targeted to strengthen the pelvic floor muscles. The pelvic floor is a group of muscles that are responsible for maintaining continence, providing support to internal organs, and are important for sexual function. People with low tone or weakness of their pelvic floor, who are...
Although we tend to think of rock climbing as being most stressful on the upper body, toe pain is surprisingly common in climbers. This sport puts a lot of stress through the toes, from jamming our feet into small shoes to edging on tiny footholds. The most common location of toe pain is at the...
Wrist mobility and stability are crucial to helping prevent injury for rock climbers. The joint between the radius and the carpal bones (the wrist) is a common site for stiffness, especially considering the demands that climbers place on their wrists and fingers. Stiffness to the wrist joint can lead to pain at the elbow, wrist,...
How many times have you seen someone whose posture looks like this while belaying? Neck pain is a common in rock climbers. Although climbing itself can lead to neck pain, the most common cause is spending prolonged periods belaying. We refer to this as “belayer’s neck”. Belayer’s neck is a colloquial term to describe a...