Process Physiotherapy

Process Physiotherapy As a climber, climbing coach and physiotherapist I am ideally placed to provide clarity and directio

08/11/2025

I can’t do 10 second videos……….

Posture is overplayed as a cause of injury. Can it be an issue?

Yes.

But not as big an issue as the people trying to sell you things to ‘cure’ it make out.

This is similar. If you have a shoulder/elbow/wrist ni**le is it your positioning when climbing that was the primary cause?

Unlikely.

But can it exacerbate an existing issue? Or contribute to what has caused your issue ? Yes. Hint: it was probably load management that caused it though.

This subtle cue can work well to help off load ni**les.

BUT it’s not a magic fix. It doesn’t mean you can do more, ignore the signs and carry on.

It can help you while you adapt, rehab and repair. It can keep you in climbing and in touch with your friends, but it won’t fix an injury.

If you have a ni**le try it.

Are you hanging on your lats?

Is your wrist always bent fully upwards?

Are you pulling in rather than down and overloading the elbow?

Remember it’s subtle. Don’t start screwing every hold until your elbow is pointing at the floor. That’ll just cause more (different) problems. Just a lowering until you feel the engagement.

21/10/2025

I had a sudden thought while I was in the excellent training room prior to our trip to Spain.

It’s obvious now I’ve thought about it. But I hadn’t realised it before so I thought it was worth sharing.

4 different hands - 1 hold.What can you see?What would that mean for these climbers and their injury risk?Do they have a...
01/10/2025

4 different hands - 1 hold.

What can you see?

What would that mean for these climbers and their injury risk?

Do they have an existing injury?

What’s normal?

What causes all these differences?

Guess which hand is mine 🙃

1 - top left
2 - top right
3 - bottom left
4 - bottom right

This week I had the absolute pleasure of spending time at work with  .They were a student (technically) until halfway th...
16/08/2025

This week I had the absolute pleasure of spending time at work with .They were a student (technically) until halfway through when their accreditation arrived 🥳

So they weren’t wanting to work with me for anything other than personal development. Note to potential employers that’s a VERY good sign. Give them a job, you will not regret it!

That’s been the same with all of them. Often waiting for a placement to finish before spending their holiday gaining different experiences. 👏

I’ve had 6 students come and visit this year. Climbing physio seems to have become quite popular. I think that’s cool. Let’s raise the bar together and extend our knowledge together👨‍🎓

They have all been brilliant. Inquisitive, interested, motivated, full of knowledge and ideas.

Understandably none of them think they are bringing anything to the table as they are still students, or newly qualified.

But they could not be more wrong. I learn so much from them because they are open minded and enquiring. They have a brain full of knowledge that I have forgotten and no biases (yet). They ask’Why?’

All the time……… 😆

But it’s great because they make me think why and justify my practice.

Antonia thought I was aspirational 😳 but she was just as aspirational to me with her knowledge, enthusiasm and a reminder of just how cool it is to have a job where you can genuinely positively affect lives. It can be easy to forget that sometimes.

Honest discussions about self-imposed pressures, work/life balance, career hopes, life choices. I’ve had so many conversations that have helped me reframe my practice and take a look at my choices too. They bring just as much to the table. They just don’t value what they have - yet.

It’s such a great thing to do. If you’ve been hesitant to do it as a physio I would really encourage you to give it a go.

Yes, everytime I do it I miscalculate how much admin time I’ll lose and end up brain tired. I had to have two ‘power naps’ at the crag yesterday 🙈 But it’s so so worth it for what we can give them, the field AND what they give us. And I don’t just mean chocolate and nice cards 😊

Thanks you will smash it!

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Preston
PR58AN

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