Climb Injury Free: Shoulder Impingement – Part 5 – Correct Your Movement

Go from pain, inflammation and tissue overload to gain full mobility, strength and eventually pain-free climbing movement.

By Dr. Jared Vagy | November 21st, 2017

Sasha Digiulian perfects her movement on Learning to Fly (8b/5.13d), Dardago, Italy. Photo: Jensen Walker, courtesy of Dr. Jared Vagy / “Climb Injury Free“.


The Rock Rehab Pyramid is a step-by-step rehabilitation and injury prevention plan designed specifically for rock climbers. The goal of the four-phase process is to take you from the pain, inflammation and tissue overload stage to gain full mobility, strength and eventually pain-free climbing movement. It is featured in the new book by Dr. Jared Vagy DPT, “Climb Injury-Free.”


The Rock Rehab Pyramid




Correct Movement


In Shoulder Impingement Part 4 we covered strength, the third phase of the Rock Rehab Pyramid. Now we’ll take a look at movement, the fourth and final phase of the Rock Rehab Pyramid. You can unload the painful and inflamed tissues, have complete range of motion and get back to full strength, but if you return to climbing without changing poor movement patterns, you will leave yourself susceptible to injury.

Climbing technique involves repetitive movement patterns. Over time, repetitive movements can lead to wear and tear of the tissue in the body. If you learn how to correct these faulty movement patterns, you give yourself the best opportunity to climb injury-free.

The video below, featuring Sasha DiGiulian, shows you three climbing movement techniques from the Rock Rehab Pyramid that can help you reduce the likelihood of shoulder impingement.


Shoulder Impingement – Movement Re-Education:

Dr. Jared Vagy is a doctor of physical therapy and professor at the University of Southern California. His book, “Climb Injury Free: A Proven Injury Prevention and Rehabilitation System” teaches you how to climb even stronger without getting hurt.

For more information, visit:

Notify of

Avulsion Fracture

A month ago, I thought I tore the A4 pulley in my ring finger. The x-rays and ultrasounds showed no tendon tear, however, but an avulsion fracture.

read more


I had an accident eight weeks ago where I fell from my skateboard. My wrist hurt for three to four weeks. I went to a hand doctor and had an MRI (without dye) that showed a TFCC tear.

read more


Bunion operations have progressed greatly in the last 20 years. What used to be basic carpentry is now more about engineering, and can produce both an aesthetically pleasing and functional outcome.

read more