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	<title>Comments on: Partial Rupture to A2 Tendon Pulley</title>
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	<description>Blogging on climbing, bouldering, mountaineering, and training.</description>
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		<title>By: rick</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-389838</link>
		<dc:creator>rick</dc:creator>
		<pubDate>Thu, 17 Nov 2011 15:39:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-389838</guid>
		<description>Has anyone ever had their ring finger injured from climbing and it be permanently bent from the injury?  Any help for straightening this finger?</description>
		<content:encoded><![CDATA[<p>Has anyone ever had their ring finger injured from climbing and it be permanently bent from the injury?  Any help for straightening this finger?</p>
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		<title>By: Teresa</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-386653</link>
		<dc:creator>Teresa</dc:creator>
		<pubDate>Wed, 02 Nov 2011 01:45:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-386653</guid>
		<description>Neal Vital
Would love to know about the surgery. My 19 yr old 
Ruptured A2 and we are considering surgery.</description>
		<content:encoded><![CDATA[<p>Neal Vital<br />
Would love to know about the surgery. My 19 yr old<br />
Ruptured A2 and we are considering surgery.</p>
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		<title>By: Dr. kickass</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-371696</link>
		<dc:creator>Dr. kickass</dc:creator>
		<pubDate>Mon, 04 Jul 2011 04:53:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-371696</guid>
		<description>Whats up dude?  I cant stand hearing all the crap I just read.  It is looser talk!  Are you a fighter or what?  Just because you have one painful spot in your body does not mean you stop climbing.  Climb one armed if you have to.  I am climbing v10&#039;s with a swollen ring finger A2 full blown pulley injury.  Its a matter of pain tolerance not some scientific fear based intelegence.  Raise your pain tolerance a bit, get back on the rock and quite complaining.  What are you going to do when you are 80 with every pulley blown,  lung cancer,  a brain tumor, and you can barely see?  Are you going to quite then to?  Man up!</description>
		<content:encoded><![CDATA[<p>Whats up dude?  I cant stand hearing all the crap I just read.  It is looser talk!  Are you a fighter or what?  Just because you have one painful spot in your body does not mean you stop climbing.  Climb one armed if you have to.  I am climbing v10&#8242;s with a swollen ring finger A2 full blown pulley injury.  Its a matter of pain tolerance not some scientific fear based intelegence.  Raise your pain tolerance a bit, get back on the rock and quite complaining.  What are you going to do when you are 80 with every pulley blown,  lung cancer,  a brain tumor, and you can barely see?  Are you going to quite then to?  Man up!</p>
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		<title>By: Leif</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-363635</link>
		<dc:creator>Leif</dc:creator>
		<pubDate>Mon, 02 May 2011 03:29:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-363635</guid>
		<description>@keith, sorry that&#039;s happened. damn crimps... ha. that&#039;s what mine happened on, too. a little advice not about recovery per se, is to avoid losing your muscle tone while recovery via some resistance training like bungees, to at least keep your other hand and the arm whose finger is affected, strong. i didn&#039;t do this and wished i had.</description>
		<content:encoded><![CDATA[<p>@keith, sorry that&#8217;s happened. damn crimps&#8230; ha. that&#8217;s what mine happened on, too. a little advice not about recovery per se, is to avoid losing your muscle tone while recovery via some resistance training like bungees, to at least keep your other hand and the arm whose finger is affected, strong. i didn&#8217;t do this and wished i had.</p>
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		<title>By: Keith</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-363629</link>
		<dc:creator>Keith</dc:creator>
		<pubDate>Mon, 02 May 2011 02:35:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-363629</guid>
		<description>I heard and felt the &quot;POP&quot; in my middle finger of my right hand two weeks ago crimping on a hold....I just started reading all these posts and now will do the right things to get back climbing soon!!   Great tread and excellent topic.</description>
		<content:encoded><![CDATA[<p>I heard and felt the &#8220;POP&#8221; in my middle finger of my right hand two weeks ago crimping on a hold&#8230;.I just started reading all these posts and now will do the right things to get back climbing soon!!   Great tread and excellent topic.</p>
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		<title>By: Bonnie</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-360859</link>
		<dc:creator>Bonnie</dc:creator>
		<pubDate>Tue, 12 Apr 2011 16:25:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-360859</guid>
		<description>Hi Neal,
You&#039;re the first person on this post that&#039;s actually had the surgery and I&#039;m thrilled to hear it was a success for you.  I&#039;d be really interested to hear more detail about it (and I&#039;m sure a lot of other people would, too)...the procedure itself, your PT/rehab, how long ago was the surgery, how does it feel now.  If you&#039;ve read this entire post then you&#039;ve read my entries - I have a right ring finger complete rupture of A2, A3 and A4 so I hope you can understand why I&#039;m especially interested in learning more details about your experience with the surgery.

Thanks!

Bonnie</description>
		<content:encoded><![CDATA[<p>Hi Neal,<br />
You&#8217;re the first person on this post that&#8217;s actually had the surgery and I&#8217;m thrilled to hear it was a success for you.  I&#8217;d be really interested to hear more detail about it (and I&#8217;m sure a lot of other people would, too)&#8230;the procedure itself, your PT/rehab, how long ago was the surgery, how does it feel now.  If you&#8217;ve read this entire post then you&#8217;ve read my entries &#8211; I have a right ring finger complete rupture of A2, A3 and A4 so I hope you can understand why I&#8217;m especially interested in learning more details about your experience with the surgery.</p>
<p>Thanks!</p>
<p>Bonnie</p>
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		<title>By: Neal Vital</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-360854</link>
		<dc:creator>Neal Vital</dc:creator>
		<pubDate>Tue, 12 Apr 2011 15:12:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-360854</guid>
		<description>I had a partial middle finger A2 tear (undiagnosed) from 45 years of bowling. I felt it when the partial tear happened.  Bowling a week later, I still felt a little pain, but continued bowling a I had no reason to suspect what was causing the pain. Then I threw a shot and immediately felt  - and heard - the pulley completely tear. I had never had a problem with this, so the entire happening was a shock. I guess what I&#039;m trying to say is if your pulley is partially torn, it is my opinion that if you keep doing what caused it to partially tear in the first place, it will eventually rupture completely. I can&#039;t see how a partial tear can fix itself with rest. It is still going to be partially torn no matter how long you rest it. Then, when you go back to your activity, it is going to immediately start hurting and tearing some more. Anyway, I had the reconstruction and was back bowling in 3 1/2 months.</description>
		<content:encoded><![CDATA[<p>I had a partial middle finger A2 tear (undiagnosed) from 45 years of bowling. I felt it when the partial tear happened.  Bowling a week later, I still felt a little pain, but continued bowling a I had no reason to suspect what was causing the pain. Then I threw a shot and immediately felt  &#8211; and heard &#8211; the pulley completely tear. I had never had a problem with this, so the entire happening was a shock. I guess what I&#8217;m trying to say is if your pulley is partially torn, it is my opinion that if you keep doing what caused it to partially tear in the first place, it will eventually rupture completely. I can&#8217;t see how a partial tear can fix itself with rest. It is still going to be partially torn no matter how long you rest it. Then, when you go back to your activity, it is going to immediately start hurting and tearing some more. Anyway, I had the reconstruction and was back bowling in 3 1/2 months.</p>
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		<title>By: Chris Sharma sent Neanderthal, a possible 5.15b (9b), in the Santa Linya cave, Spain. &#124; amplephi01</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-360826</link>
		<dc:creator>Chris Sharma sent Neanderthal, a possible 5.15b (9b), in the Santa Linya cave, Spain. &#124; amplephi01</dc:creator>
		<pubDate>Tue, 12 Apr 2011 09:36:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-360826</guid>
		<description>[...] I mentioned in a previous post, I’ve been&#160;suffering from this conditionfor months now. I’ve been seeing a sports medicine doctor and slowly my severe pain has reduced. [...]</description>
		<content:encoded><![CDATA[<p>[...] I mentioned in a previous post, I’ve been&nbsp;suffering from this conditionfor months now. I’ve been seeing a sports medicine doctor and slowly my severe pain has reduced. [...]</p>
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		<title>By: ari</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-357321</link>
		<dc:creator>ari</dc:creator>
		<pubDate>Tue, 15 Mar 2011 18:20:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-357321</guid>
		<description>hi guys, I read everyone&#039;s comments and learned quite a bit. I was curious to hear if anyone has recommendations on my current condition. I stopped climbing in November due to moderate carpal tunnel syndrome. So that has improved, and I decided to return to the indoor gym last Sunday. I warmed up on some 0s and 1s and felt pretty good. Then halfway up a relatively simple 2 I felt a pop in the base of my middle finger in my dominant hand, followed by some mild pain. I hopped off the wall and called it a day. I have been taking advil and applying ice, and it&#039;s now been about 48 hours. I can&#039;t quite close my finger to my hand, but i can flex the finger and touch the base of my palm. It is swollen a bit as well. 

I am wondering if anyone can tell me what to expect. When do you think the swelling will go down? How can you tell between a strain or a rupture or a tear? Any new light will be much appreciated. Thank you</description>
		<content:encoded><![CDATA[<p>hi guys, I read everyone&#8217;s comments and learned quite a bit. I was curious to hear if anyone has recommendations on my current condition. I stopped climbing in November due to moderate carpal tunnel syndrome. So that has improved, and I decided to return to the indoor gym last Sunday. I warmed up on some 0s and 1s and felt pretty good. Then halfway up a relatively simple 2 I felt a pop in the base of my middle finger in my dominant hand, followed by some mild pain. I hopped off the wall and called it a day. I have been taking advil and applying ice, and it&#8217;s now been about 48 hours. I can&#8217;t quite close my finger to my hand, but i can flex the finger and touch the base of my palm. It is swollen a bit as well. </p>
<p>I am wondering if anyone can tell me what to expect. When do you think the swelling will go down? How can you tell between a strain or a rupture or a tear? Any new light will be much appreciated. Thank you</p>
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		<title>By: Laurence Reading</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-352953</link>
		<dc:creator>Laurence Reading</dc:creator>
		<pubDate>Tue, 01 Feb 2011 13:33:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-352953</guid>
		<description>Hi

I agree with all you have said. I have a page on my website all about this, but I have forgotten to add the taping information. I agree with you, taping helps when recovering from an injury.

I hope the stuff at &lt;a href=&quot;http://www.mountain-trips.co.uk/climbing_injuries.html&quot; rel=&quot;nofollow&quot;&gt;My rock climbing site &lt;/a&gt;will help.</description>
		<content:encoded><![CDATA[<p>Hi</p>
<p>I agree with all you have said. I have a page on my website all about this, but I have forgotten to add the taping information. I agree with you, taping helps when recovering from an injury.</p>
<p>I hope the stuff at <a href="http://www.mountain-trips.co.uk/climbing_injuries.html" rel="nofollow">My rock climbing site </a>will help.</p>
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		<title>By: Laurence</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-348902</link>
		<dc:creator>Laurence</dc:creator>
		<pubDate>Sun, 26 Dec 2010 21:40:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-348902</guid>
		<description>Like most climbers, I too have sufferd from many climbing injuries. I have done a lot of reading on the subject and spoken to medical experts on the matter. Here are my views. 

Climbing is bad for your fingers, arms and shoulders. We are not meant to climb rocks. 

Taping can work, but only if you are recovering from a injury. It should be avioided once your fingers are better as this allows to tendons to grow stronger.

Cold water therpy is OK but conbine it with ice treament (for the first week after injury), alternate hot and cold treament. Cross fiber massage (not after ice or cold water), Distilled Witch Hazel on a bandage and leave on finger over night (this can be done as much as you want, it will bring any swelling down). Non-steriod anti-inflammatory drugs (only use for one week).

As far as climbing goes, dont do anything that hurts. Climb on easy routes or holds that dont hurt. Try some endurance climbing for a while. Lots of endurance climbing games on my &lt;a href=&quot;http://www.mountain-trips.co.uk&quot; rel=&quot;nofollow&quot;&gt;climbing courses&lt;/a&gt; and tips website.</description>
		<content:encoded><![CDATA[<p>Like most climbers, I too have sufferd from many climbing injuries. I have done a lot of reading on the subject and spoken to medical experts on the matter. Here are my views. </p>
<p>Climbing is bad for your fingers, arms and shoulders. We are not meant to climb rocks. </p>
<p>Taping can work, but only if you are recovering from a injury. It should be avioided once your fingers are better as this allows to tendons to grow stronger.</p>
<p>Cold water therpy is OK but conbine it with ice treament (for the first week after injury), alternate hot and cold treament. Cross fiber massage (not after ice or cold water), Distilled Witch Hazel on a bandage and leave on finger over night (this can be done as much as you want, it will bring any swelling down). Non-steriod anti-inflammatory drugs (only use for one week).</p>
<p>As far as climbing goes, dont do anything that hurts. Climb on easy routes or holds that dont hurt. Try some endurance climbing for a while. Lots of endurance climbing games on my <a href="http://www.mountain-trips.co.uk" rel="nofollow">climbing courses</a> and tips website.</p>
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		<title>By: Leif</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-346830</link>
		<dc:creator>Leif</dc:creator>
		<pubDate>Sat, 11 Dec 2010 02:50:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-346830</guid>
		<description>can&#039;t say in terms of personal experience, but i can say the PT i went to for a bit, did not endorse it. however take that with a grain of salt since that&#039;s just one PT. the preferred approach (at least at that stage of recovery) was putty, a rubber band, etc.</description>
		<content:encoded><![CDATA[<p>can&#8217;t say in terms of personal experience, but i can say the PT i went to for a bit, did not endorse it. however take that with a grain of salt since that&#8217;s just one PT. the preferred approach (at least at that stage of recovery) was putty, a rubber band, etc.</p>
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		<title>By: Mike Z</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-346820</link>
		<dc:creator>Mike Z</dc:creator>
		<pubDate>Sat, 11 Dec 2010 01:24:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-346820</guid>
		<description>Hey gang,
I curious if anyone has ever tried TENS (transcutaneous electrical nerve stimulation)? I hear its good to block pain and with the minor electrical stimulation, it will bring blood to the area to help the healing process. Physical Therapy clinics use it for back pain and other injuries. I have also come across a couple climbers of the years that swear by it and say that it got them back to climbing much sooner, but I wonder if it really works or is it just a placebo effect. 

I know that icing and IBU is the best thing at the on-sight of injury to help reduce swelling and inflammation before trying to rehab it. I hope someone hear has some experience with this and come shed some light for me as I do some more research.</description>
		<content:encoded><![CDATA[<p>Hey gang,<br />
I curious if anyone has ever tried TENS (transcutaneous electrical nerve stimulation)? I hear its good to block pain and with the minor electrical stimulation, it will bring blood to the area to help the healing process. Physical Therapy clinics use it for back pain and other injuries. I have also come across a couple climbers of the years that swear by it and say that it got them back to climbing much sooner, but I wonder if it really works or is it just a placebo effect. </p>
<p>I know that icing and IBU is the best thing at the on-sight of injury to help reduce swelling and inflammation before trying to rehab it. I hope someone hear has some experience with this and come shed some light for me as I do some more research.</p>
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		<title>By: Mike G</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-346574</link>
		<dc:creator>Mike G</dc:creator>
		<pubDate>Wed, 08 Dec 2010 23:07:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-346574</guid>
		<description>Thanks for the words of wisdom, guys.  I think you&#039;re right about just keeping off it at the gym.  Like Rick, I do plan to do some weight training during my time off, but only the exercises that wouldn&#039;t require a pull from my fingers.  I figure these to be: bench, dips, curls (keeping the bar toward or in the palm), maybe some forearm stuff if I can find a good way to do it without recruiting that finger.

The timing of the injury would normally be ideal given it&#039;s winter.  Unfortunately I JUST joined the gym a couple weeks ago to get in some work during the off-season.  I guess it&#039;s better to to take some gym-time off than lose time on the rock this spring/summer.  I just hope I don&#039;t lose these callouses that took many a skin-ripping hanger to finally build up!</description>
		<content:encoded><![CDATA[<p>Thanks for the words of wisdom, guys.  I think you&#8217;re right about just keeping off it at the gym.  Like Rick, I do plan to do some weight training during my time off, but only the exercises that wouldn&#8217;t require a pull from my fingers.  I figure these to be: bench, dips, curls (keeping the bar toward or in the palm), maybe some forearm stuff if I can find a good way to do it without recruiting that finger.</p>
<p>The timing of the injury would normally be ideal given it&#8217;s winter.  Unfortunately I JUST joined the gym a couple weeks ago to get in some work during the off-season.  I guess it&#8217;s better to to take some gym-time off than lose time on the rock this spring/summer.  I just hope I don&#8217;t lose these callouses that took many a skin-ripping hanger to finally build up!</p>
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		<title>By: Rick</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-346567</link>
		<dc:creator>Rick</dc:creator>
		<pubDate>Wed, 08 Dec 2010 22:09:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-346567</guid>
		<description>Mike,

I second Leif&#039;s opinion - don&#039;t get back on it until it is 100%! It will prolong the pain and suffering. I tape my finger so that I can do my basic weightlifting, but I avoid exercises where I have to grip the bar hard to hold it. I use standard athletic tape and tape parallel to my finger with it bent back, and then 3 wraps around the injured area.

Light massage is OK for a few minutes every day to bring some blood to the area. I am talking VERY light. The idea is that it speeds recovery by drawing attention to the area. I also GENTLY pull and GENTLY stretch it, never passing the point of pain. I also have a soft squeeze ball at my desk, and I do multiple and single finger exercises on that finger for 10-15 minutes per day. If it gets pretty sore I will ice it for 15-30 minutes. Over the last few months it really feels like it is getting better. I have not climbed on it for almost 3 months now, and I plan on using the winter to do other  activities.

Good luck man!</description>
		<content:encoded><![CDATA[<p>Mike,</p>
<p>I second Leif&#8217;s opinion &#8211; don&#8217;t get back on it until it is 100%! It will prolong the pain and suffering. I tape my finger so that I can do my basic weightlifting, but I avoid exercises where I have to grip the bar hard to hold it. I use standard athletic tape and tape parallel to my finger with it bent back, and then 3 wraps around the injured area.</p>
<p>Light massage is OK for a few minutes every day to bring some blood to the area. I am talking VERY light. The idea is that it speeds recovery by drawing attention to the area. I also GENTLY pull and GENTLY stretch it, never passing the point of pain. I also have a soft squeeze ball at my desk, and I do multiple and single finger exercises on that finger for 10-15 minutes per day. If it gets pretty sore I will ice it for 15-30 minutes. Over the last few months it really feels like it is getting better. I have not climbed on it for almost 3 months now, and I plan on using the winter to do other  activities.</p>
<p>Good luck man!</p>
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		<title>By: Leif</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-346471</link>
		<dc:creator>Leif</dc:creator>
		<pubDate>Wed, 08 Dec 2010 01:12:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-346471</guid>
		<description>followup... 

Yeah, I know that after some healing, one could massage a sprained ankle, etc. In this case, it sounds fairly fresh, so to speak, and so my note above was meant in that context: a fresh injury of this sort would just be aggravated by massage. It never felt good at any time, to massage my finger. I also laid off climbing for months and months. Hopefully if you give it a couple weeks to rest, you can be back at it sooner than if you tried to avoid using it, and kept climbing.</description>
		<content:encoded><![CDATA[<p>followup&#8230; </p>
<p>Yeah, I know that after some healing, one could massage a sprained ankle, etc. In this case, it sounds fairly fresh, so to speak, and so my note above was meant in that context: a fresh injury of this sort would just be aggravated by massage. It never felt good at any time, to massage my finger. I also laid off climbing for months and months. Hopefully if you give it a couple weeks to rest, you can be back at it sooner than if you tried to avoid using it, and kept climbing.</p>
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		<title>By: Leif</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-346466</link>
		<dc:creator>Leif</dc:creator>
		<pubDate>Wed, 08 Dec 2010 00:40:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-346466</guid>
		<description>@Mike G, unfortunately you&#039;re part of this sorry clan now. If you can keep from using it while climbing, well, you have better motor control than I do. I would recommend against it because further injury will severely prolong your recovery. Give it a couple weeks of doing nothing at all, then see how it feels. It&#039;s my understanding from reading a lot about this, that massage is detrimental. You&#039;re not needing to smash a muscle knot smooth: you&#039;ve got what sounds like a partial tear. If you had a sprained ankle, would you think to massage it? Probably not, and not run on it either.

I think your concern is well-placed, that climbing with your healthy fingers could injure them, too. Just consider yourself fortunate that it&#039;s not worse than it is, and be heartened that you can control that it isn&#039;t going to get worse.</description>
		<content:encoded><![CDATA[<p>@Mike G, unfortunately you&#8217;re part of this sorry clan now. If you can keep from using it while climbing, well, you have better motor control than I do. I would recommend against it because further injury will severely prolong your recovery. Give it a couple weeks of doing nothing at all, then see how it feels. It&#8217;s my understanding from reading a lot about this, that massage is detrimental. You&#8217;re not needing to smash a muscle knot smooth: you&#8217;ve got what sounds like a partial tear. If you had a sprained ankle, would you think to massage it? Probably not, and not run on it either.</p>
<p>I think your concern is well-placed, that climbing with your healthy fingers could injure them, too. Just consider yourself fortunate that it&#8217;s not worse than it is, and be heartened that you can control that it isn&#8217;t going to get worse.</p>
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		<title>By: Mike G</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-346464</link>
		<dc:creator>Mike G</dc:creator>
		<pubDate>Wed, 08 Dec 2010 00:25:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-346464</guid>
		<description>Hey gang.  Great post.  Unfortunately I think I may have the same injury in my left middle finger A2 pulley.  In comparison to some of the entries I&#039;ve read here, however, it sounds like I may be catching it pretty early as I can definitely touch my palm and even the base of my finger with little to no pain depending on the time of day...waking up it hurts and limits me much more.

Anyway, I was curious to hear if anyone ever tried taping the affected finger in a straightened position to do some lighter climbing.  The tape would be more just a way of keeping me from bending it and therefore remind me to not use it on holds while climbing.  My main concern with this is that the added stress on my other fingers on that hand may invite injury to a new finger.

Also, many of you have mentioned massaging the affected finger.  What do you do for this massage?  How forceful do you get?  Is this really beneficial?  It seems like it would just irritate this area when it needs to be left alone to heal.

Thanks for any info and best of luck/quick recoveries to you all!</description>
		<content:encoded><![CDATA[<p>Hey gang.  Great post.  Unfortunately I think I may have the same injury in my left middle finger A2 pulley.  In comparison to some of the entries I&#8217;ve read here, however, it sounds like I may be catching it pretty early as I can definitely touch my palm and even the base of my finger with little to no pain depending on the time of day&#8230;waking up it hurts and limits me much more.</p>
<p>Anyway, I was curious to hear if anyone ever tried taping the affected finger in a straightened position to do some lighter climbing.  The tape would be more just a way of keeping me from bending it and therefore remind me to not use it on holds while climbing.  My main concern with this is that the added stress on my other fingers on that hand may invite injury to a new finger.</p>
<p>Also, many of you have mentioned massaging the affected finger.  What do you do for this massage?  How forceful do you get?  Is this really beneficial?  It seems like it would just irritate this area when it needs to be left alone to heal.</p>
<p>Thanks for any info and best of luck/quick recoveries to you all!</p>
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		<title>By: Leif</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-346118</link>
		<dc:creator>Leif</dc:creator>
		<pubDate>Fri, 03 Dec 2010 16:44:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-346118</guid>
		<description>The sun also rises. I&#039;m pleased to report that after 16 months (?!) of recovery I have started to slowly reintroduce gentle bouldering into my regimen. I tightly taped my A2 area and buddy-taped that finger with my middle finger, set a few really easy routes with big jugs, took down crimps to avoid the temptation, and am starting out slowly, just a few minutes a day. So far, no pain while climbing and no pain later or the next day. As well, I&#039;m adding more warm-up time and gentle stretching beforehand. Anyone have a link to, or a summary of, your stretching and warm-up approach?

@Bill: fly-catching... yeah, been there. That really smarts. I&#039;m sure you already discovered that pulling up socks and wringing washcloths are also giant no-nos.

@Stephen: did your MRI tell you anything new?</description>
		<content:encoded><![CDATA[<p>The sun also rises. I&#8217;m pleased to report that after 16 months (?!) of recovery I have started to slowly reintroduce gentle bouldering into my regimen. I tightly taped my A2 area and buddy-taped that finger with my middle finger, set a few really easy routes with big jugs, took down crimps to avoid the temptation, and am starting out slowly, just a few minutes a day. So far, no pain while climbing and no pain later or the next day. As well, I&#8217;m adding more warm-up time and gentle stretching beforehand. Anyone have a link to, or a summary of, your stretching and warm-up approach?</p>
<p>@Bill: fly-catching&#8230; yeah, been there. That really smarts. I&#8217;m sure you already discovered that pulling up socks and wringing washcloths are also giant no-nos.</p>
<p>@Stephen: did your MRI tell you anything new?</p>
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		<title>By: Bill</title>
		<link>http://www.allclimbing.com/archive/2009/02/partial-rupture-to-a2-tendon-pulley/comment-page-2/#comment-345428</link>
		<dc:creator>Bill</dc:creator>
		<pubDate>Thu, 25 Nov 2010 16:05:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.allclimbing.com/?p=834#comment-345428</guid>
		<description>Stephen,

I was diagnosed with a partial tear to the A2 on my left middle finger 4 months ago without the benefit of an MRI. It was his opinion that MRI&#039;s are often inconclusive. The doctor, a hand surgery specialist, discouraged surgery even if it was a complete rupture and said that complications from the scar tissue could cause chronic pain and permanent loss of range of motion. I wore a thermoplastic pulley ring with a velcro closure, fashioned by their hand therapist, for several weeks and it seemed to keep me from injuring it further. 
Four months after the injury and I can touch my palm with the fingertip of that finger only after a 5-10 minute soak in warm water. I do that twice daily. Several hours later, it is right back where I started with little noticibale improvement. If I try to close it fully, without the warm water soak, the pain is mostly in the palm. It is comfortable to grasp a thick object like a steering wheel but impossible to grasp something thin like a rope. It slips right thru my fingers. Similar to Bonnie, I have noticed that the finger gets cold faster than the others. The doctor did say that it will take a long time to heal and if it tears again…back to square one if it&#039;s re-injured. I made the mistake a few weeks back of (instinctively) trying to catch a fly with that hand. I tried it without thinking. OUCH! that hurt. I&#039;ve seen comments from others here that they&#039;ve gone nine months before a partial tear completely healed. I am hopeful that it will heal fully and I&#039;ve adjusted to it as well as I can in the meantime. 

I&#039;m also thankful for the nine good ones I do have. Best of luck with it and have a Happy Thanksgiving.</description>
		<content:encoded><![CDATA[<p>Stephen,</p>
<p>I was diagnosed with a partial tear to the A2 on my left middle finger 4 months ago without the benefit of an MRI. It was his opinion that MRI&#8217;s are often inconclusive. The doctor, a hand surgery specialist, discouraged surgery even if it was a complete rupture and said that complications from the scar tissue could cause chronic pain and permanent loss of range of motion. I wore a thermoplastic pulley ring with a velcro closure, fashioned by their hand therapist, for several weeks and it seemed to keep me from injuring it further.<br />
Four months after the injury and I can touch my palm with the fingertip of that finger only after a 5-10 minute soak in warm water. I do that twice daily. Several hours later, it is right back where I started with little noticibale improvement. If I try to close it fully, without the warm water soak, the pain is mostly in the palm. It is comfortable to grasp a thick object like a steering wheel but impossible to grasp something thin like a rope. It slips right thru my fingers. Similar to Bonnie, I have noticed that the finger gets cold faster than the others. The doctor did say that it will take a long time to heal and if it tears again…back to square one if it&#8217;s re-injured. I made the mistake a few weeks back of (instinctively) trying to catch a fly with that hand. I tried it without thinking. OUCH! that hurt. I&#8217;ve seen comments from others here that they&#8217;ve gone nine months before a partial tear completely healed. I am hopeful that it will heal fully and I&#8217;ve adjusted to it as well as I can in the meantime. </p>
<p>I&#8217;m also thankful for the nine good ones I do have. Best of luck with it and have a Happy Thanksgiving.</p>
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