UKC

Tendon / Pulley strain

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GreyPilgrim 02 Oct 2007
Just back from doctors, who says finger pain is probably damaged pulley. Drew me a nice diagram of how it all fits together with the tendons and stuff.

I have an ultrasound scan booked in for tomorrow, then I may need a steroid injection in the pulley itself.

Is that as horrifically painful as it sounds?
GreyPilgrim 02 Oct 2007
Incidentally, I saw David 'Cheap as Chips' Dickinson sitting in the waiting room with his wife, Irene.

Dunno what he was there for, I didn't like to ask.

 balmybaldwin 02 Oct 2007
In reply to GreyPilgrim:

Good article on RE-hab in the latest Gravity Magazine...
 reidyold boy 02 Oct 2007
> Just back from doctors, who says finger pain is probably damaged pulley. Drew me a nice diagram of how it all fits together with the tendons and stuff.
>
> I have an ultrasound scan booked in for tomorrow, then I may need a steroid injection in the pulley itself.
>
> Is that as horrifically painful as it sounds?

In reply to GreyPilgrim

i'D BE A BIT WARY IF IT'S YOUR gp AS THEY HAVE VERY BASIC UNDERSTANDING GENERALLY ABOUT THESE THINGS UNLES THEY ARE ESPECIALLY INTERESTED!

aNATOMY OF THE HAND AND TENDONS IS COMPLICATED, IF ITS A STRAGHTFORWARD FLEXOR TENDON NO PROBLEM BUT OFTEN CLIMBING INJURIES ARE TO THE A2 PULLEY, TAPING CORRECTLY WITH REST USUALLY SETTLES THEM DOWN, I'M SURE THERE IS STUFF ON WWW IF YOU SEARCH AROUND!
 tobyfk 02 Oct 2007
In reply to GreyPilgrim:

Likewise, I would get a referral to a doctor or physio with sports - preferably climbing - experience. I'm not aware of steroid injection being a good treatment for a pulley. I suspect it would only give you temporary relief that could lead to a further worse injury. But hopefully one of UKC's resident specialists will pop up on this thread and confirm that or advise differently.

Something to read: http://www.davemacleod.com/articles/pullyinjuries.html

 Neil Morrison 02 Oct 2007
In reply to GreyPilgrim: Unless you have really done something major you won't need a steriod injection (even then I'm not so sure that is the way forward). As others have said, get a good physio who knows about these things and theycan sort you out.
 Nige M 02 Oct 2007
In reply to Neil Morrison: There's a lot of threads about tendon and pulley injuries on UK Bouldering. Search there for good advice on how to manage the injury.
GrayPilgrim 02 Oct 2007
In reply to reidyold boy:
> [...]
>
> In reply to GreyPilgrim
>
> i'D BE A BIT WARY IF IT'S YOUR gp AS THEY HAVE VERY BASIC UNDERSTANDING GENERALLY ABOUT THESE THINGS UNLES THEY ARE ESPECIALLY INTERESTED!
>
> aNATOMY OF THE HAND AND TENDONS IS COMPLICATED, IF ITS A STRAGHTFORWARD FLEXOR TENDON NO PROBLEM BUT OFTEN CLIMBING INJURIES ARE TO THE A2 PULLEY, TAPING CORRECTLY WITH REST USUALLY SETTLES THEM DOWN, I'M SURE THERE IS STUFF ON WWW IF YOU SEARCH AROUND!

Hi, GP referred me to a hand surgeon (I finally got to make use of my private health insurance!!) who gave me the initial exam today, and yeah, she said that it could be the A2 pulley that is causing the problem. Ultrasound tomorrow should confirm it, she says...





 reidyold boy 02 Oct 2007
In reply to GrayPilgrim:

Glad that you saw somebody who will know their stuff!

Did mine through overtraining some time ago and it became a bit of a problem for a while untill accurately diagnosed. Taping correctly really was the thing that made the difference as it reduces the winging of the tendon, mine is fine now!

Good luck with it....
 Jonny Tee 69 02 Oct 2007
In reply to GreyPilgrim:

Surprised a doctor even knew what a pulley was let alone be able to draw you a diagram. And I'm amazed you've got a scan so quickly and he's talking about steroid injections.
GreyPilgrim 03 Oct 2007
Just been for my scan. Doc says there is very minor damage to the pulley, but probably not enough to warrant steroid injections. When I asked what the remedy would be, he suggested "giving up climbing, you are a bit..."

and then he made the internationally recognised gesture of lardiness (*mimes carrying a roll of invisible carpet under each arm and puffs out cheeks*)

cheeky fecker.

 jeni222uk 03 Oct 2007
In reply to GreyPilgrim:

Stick your hand in a bucket of cold water for 30 mins twice a day - increases blood flow to the area by up to 4x which speeds up healing. Good article on this on Dave Macleod's blog.

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