Paul Houghoughi (The Climbing Physio) is one of the top physiotherapists in the world for climbing injuries. We talked about how to rehab lumbrical injuries, training with hypermobile fingers, wrist strengthening exercises, causes of synovitis and capsulitis, why stretching your fingers is important, blood work for stiff joints, tennis and golfers elbow, how to decipher different types of elbow pain, Paul’s top advice to not get injured, and much more!Become a Patron - 7 Day Free Trial!patreon.com/thenuggetclimbing Watch the Video Interview:EP 207: Paul Houghoughi — Uncut Video!Check out Rhino Skin Solutions!rhinoskinsolutions.comUse code “NUGGET” at checkout for 20% off your next order!Check out KAYA!kayaclimb.comUse code "NUGGET" at checkout for 20% off your first year of KAYA PRO!Check out Crimpd!crimpd.comOr download the Crimpd app for free!Check out Tindeq!tindeq.comUse code “nugget” for $10 off your order!We are supported by these amazing BIG GIVERS:Michael Roy, Craig Lee, Mark and Julie Calhoun, Yinan Liu, Zach Emery, Alex Pluta, and Matt WalterShow Notes:  thenuggetclimbing.com/episodes/paul-houghoughiNuggets:(00:00:00) – Intro(00:02:28) – Topics covered(00:04:01) – Paul’s grandfather, and how Paul became a climbing Physio(00:08:08) – Plans for the Olympics(00:08:44) – Lumbrical injuries(00:16:21) – Stress shielding(00:18:24) – Rehabbing lumbrical injuries(00:24:56) – Preventing lumbrical injuries(00:26:25) – Grip gears, and Alex Megos(00:29:19) – How to introduce a new grip position(00:34:13) – Training with hypermobile fingers(00:39:05) – The link between hypermobility and proprioception(00:41:33) – Wrist strengthening exercises(00:48:35) – Synovitis and capsulitis(00:55:39) – Climbing with synovitis and capsulitis(00:59:25) – How to promote finger health and prevent finger injuries at any age(01:03:06) – Why stretching your fingers is important(01:06:31) – Blood work for stiff joints(01:07:35) – What is normal to expect as we age?(01:09:18) – Playing the long game(01:11:08) – Hiding the broccoli(01:12:53) – The danger of overloading yourself with exercises(01:17:27) – Tennis Elbow(01:23:32) – My experience with Golfers Elbow(01:25:57) – End-of-range contractions(01:27:45) – Preventing elbow injuries(01:29:31) – How to decipher types of elbow pain (tendons vs. nerves vs. joints)(01:33:55) – Elbow joint issues(01:35:14) – Good rehab comes down to specific diagnosis(01:36:14) – Paul’s top advice to not get injured(01:40:14) – Wrap up and EXTRA for Patrons!