The Doctor’s Guide to Keeping Your Fingers Healthy and Happy

The average climber thinks less about finger health than the United States government thinks about health in general, which is saying something. Only when there is a “pop” do we pay attention, at which point the sky is falling. Unless you are mid-send, you just pretend that your finger is fine. One of my patients broke two fingers in a crack at Indian Creek purely by pulling too hard, but since he only had 30 feet of tight finger crack to go for his best crack onsight he opted to suck it up and march on! Well done, ol’ chap.

Pay your digits a little attention, however, and your chance of acute or chronic injury is vastly reduced. Here are a few tips to keep your pullers pulling.

 

1. Regularly stretch your fingers. Twist each joint like a corkscrew and bend it sideways at the same time. It’s not rocket surgery—if you can feel the joint stretching, the joint is being stretched. Hold for 30 seconds and repeat a few times.

 

2.Instead of pulling on pockets to warm up, try slamming your head in a car door. Although our fingers can work independently they are not designed to do so under high loads. First, warm up using all the fingers in unison (no splitting of fingers; this includes dropping the little finger off when opening-handing with the first three fingers). Warming up the muscles and connective tissues that move and stabilize each finger will, by virtue of improved elasticity, reduce the chance of injury when you do start grabbing holds or pockets with just a finger or two, or three.

 

3. When you pull as hard as you can on pockets you tend to curl the unloaded fingers hard to the palm in an attempt to generate more force (which it probably does). The harder you pull the neighboring fingers, particularly if you are not accustomed to it, the greater the chance of injury to the small muscles in your palm, namely the lumbrical and interosseous muscles, and/or tearing around the musculotendonous junction in the mid forearm. You can do two things to mitigate the risk of this injury. 1) Don’t forcefully curl your fingers into your palm, but leave them in a more relaxed position. 2) Stretch the connective tissues that come under tension when you split your fingers. Using a hang board (feet on the ground), load each finger separately while drawing the other fingers to your palm. Hold for 20 seconds and repeat a few times for each finger or the combination of fingers that you commonly use. BE CAREFUL!

 

4. Systematic and progressive training is the best preventative for finger injuries from pulley ruptures to stress fractures. That said, expect them—sometimes things just don’t go according to plan. How you manage your hurts is the key to recovery.

 

5. Understanding what you have injured is paramount if you are to have any chance of recovering while continuing to climb or train. Whole-hearted rest is fine if there is something else lighting your fire—a new boyfriend, the start of ski season, or that new social-media platform BrainFart—but typically it’s not necessary. A few days of downtime are prudent since many tweaks will settle very quickly. If the pain after that is still concerning, check in with a climbing-injury specialist.

 

Feature image by Simon Carter


This article appeared in Rock and Ice 235


Also Read

Finger Injuries on a Hangboard

Fixing Climber’s Elbow

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