/ A4 Pulley, loud POP noise
Smashed 600g of Ibuprofen and have been icing it for a couple of 15 min cycles.
Do I: tape it to finger next to it and completely avoid movements for the next week or so? Or keep it mobile? When start massage? etc etc
Any expertise very welcome, please try and make it scientific/medical though.
agree with above
have done A4 pulleys on both little fingers - they will get better but it will take time.
Initially rest. Use Dave MacLeod method. Then don't climb without taping for weeks if not months, as it will take months to heal. Did my last one before Christmas - still some slight swelling of my left little finger middle phalanx pulp - although been climbing fine for months!
Good to know that others have had equally loud pops and it wasn't a complete tear/rupture as I initially thought. Mine sounded like a clap of hands together with moderate force. Disgusting. So will keep icing and completely not moving for a few days and see what happens.
I ve had two in last year alone. First time a loud crack (like when a twig snaps) in a2 middle finger. Had to take 4 weeks off as even jugs were causing pain (as they normally press on that area). Started slowly after that with at least 2-3 days between sessions, gradually increasing grade, trying harder but when it started to hurt went back to easier grade for couple of routes. Kept icing in the evenings and exercising the finger (stretches) whenever I had nothing to do with my hands, massaging etc. always taping for climbing...took about another month till it was almost ok and was climbing probably even better after another month. Second time similar loud pop (was about 3 meters above the ground and belayer thought it was my elbow clicking!) - this time a4 on ring finger same hand. Did similar stuff as before but only taking 2 weeks off and it was quickly back to normal. I think it quite depends which finger is involved - if it had been my little one I wouldnt probably even notice as I dont use it at all. Both injuries changed my attitude to crimping though - I definitely dont crimp anymore even though both times it happened on crimpy sidepulls/pinches
Hopefully thats 600mg or the tendon is the least of your problems!
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