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A1 (?) booboo
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rockrock513


Sep 6, 2010, 8:55 AM
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A1 (?) booboo
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I have a hard knot on the base of my ring finger where the a1 is.

It is sore to the touch, but I have been doing pull ups and some finger hangs with no pain.

I don't recall injuring the finger, so I don't know what to think...

Anyone familiar with this?

Thanks


rockrock513


Sep 7, 2010, 4:19 PM
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Re: [rockrock513] A1 (?) booboo [In reply to]
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Nobody with a pulley injury have a knot at injury site?

Maybe it is something else...


edge


Sep 7, 2010, 4:41 PM
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Re: [rockrock513] A1 (?) booboo [In reply to]
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rockrock513 wrote:
I have a hard knot on the base of my ring finger where the a1 is.

It is sore to the touch, but I have been doing pull ups and some finger hangs with no pain.

I don't recall injuring the finger, so I don't know what to think...

Anyone familiar with this?

Thanks

Sounds similar to "trigger finger" only without the knot getting hung up when flexed through the sheath (or does it?)

Try a search for that and see if it sounds about right.


chris_220


Sep 7, 2010, 5:24 PM
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Re: [rockrock513] A1 (?) booboo [In reply to]
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could be a calcium deposit in your joint.
had that happen to me just smash your hand on a desk to disperse the calcium deposit...worked for me


sherpa79


Sep 7, 2010, 6:53 PM
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I had one after I injured that pulley. But that was very definitely recognizable. I could hear and feel it when it happened. My advice is to lay off the finger hangs for a while. You either injured it and didn't notice, or you will probably injure it soon. It could be you have some inflamation or scarring around minor tears in the pulley. Kind of like what happens with repeted minor sprains.
Anyway, keep off the fingerboard workouts for a while and just climb if it doesn't hurt to use it. Also, actively think about how to vary your hand positioning while climbing. When I was able to climb again after my injury I still couldn't crimp with it and it took a while to trust it.
When in doubt with a ligament. RICE.
Good luck.


onceahardman


Sep 7, 2010, 7:40 PM
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Chronically inflamed tissue will sometimes get calcium deposits forming within it.

I'm having knee surgery in two weeks to address this in me. Intermittent, but incredibly severe pain.

I don't recommend the "smash it on a desk" approach.


skyfurr


Sep 8, 2010, 12:59 AM
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Re: [onceahardman] A1 (?) booboo [In reply to]
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onceahardman wrote:
I don't recommend the "smash it on a desk" approach.

Why not? Surely a 'run-up' and karate chop technique could be a good option no? so long as your hand is face down at point of impact (and presuming you don't have a sledge hammer available)? Tongue

Seriously though, would surgery be the only other sensible option to deal with something like that?


squierbypetzl
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Sep 8, 2010, 1:08 AM
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Had the same thing on my middle finger, about 3mm from the medial line, appeared from seemingly nowhere. Also sore to the touch, occasionally hurt when climbing but especially (immediately) after pulling hard on plastic jugs or the like. Perhaps it had to do with the type of hold pinching right over the joint, but I can't recall.

It left with RICE, then flaired up again several months (a year?) later, and is now gone again. I heard gently massaging the area with a soft toothbrush after a few weeks rest helps avoid or break down scar tissue, but haven't confirmed it.

So, a few weeks rest, ice, maybe antiinflamatories, and elevation, should do the trick.


onceahardman


Sep 8, 2010, 3:52 AM
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If, indeed, this is a calcium deposit, smashing it will remove nothing, It will just turn a larger piece into several smaller pieces, which may solve the problem, but may worsen the problem.

I have managed loose bodies in my right knee for 32 years. They have now reached the point where they are no longer manageable. Yes, they can sometimes be managed through exercise or other PT. I'm not a big fan of surgery in general, but it is now clearly my best option. Probably will need a total knee in 5-10 years.


(This post was edited by onceahardman on Sep 8, 2010, 3:52 AM)


mgd


Jan 3, 2011, 9:21 AM
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I had the same thing. It's a ganglion cyst. The general cause of these cysts is unknown but I think climbers tend to get them because of the force they apply to their fingers. Depending on location they may or may not hurt. Mine was in my ring finger at the base of the A1 pulley and pulling on jugs hurt like a mofo! I chose to get mine surgically removed. It worked like a charm. No climbing for about a month or two after surgery but now I'm back at it.

Good luck.

-Matt


jnovakov


Jan 4, 2011, 7:59 AM
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I noticed the same thing on my A1 pulley of my index finger. It hurts if i put pressure on it but otherwise it doesnt really bother me... I dont know if I should be reallly concerned with this? And does anyone have a suggestion on how to tape for this (if it is a problem I mean lol)?


(This post was edited by jnovakov on Jan 4, 2011, 8:01 AM)


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