Climb Injury Free: Shoulder Impingement – Part 2 – Pain, Inflammation and Tissue Overload

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

By Dr. Jared Vagy | October 31st, 2017

Jonathan Siegrist on the first ascent of I am the Walrus (5.14b) on Seal Rock at the Flatirons, outside of Boulder, Colorado. Photo: Cameron Maier, 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




Pain, inflammation and tissue overload


Pain, inflammation and tissue overload is the first phase of the Rock Rehab Pyramid. It is typically the phase when you first realize you are injured. Oftentimes you will ignore the pain, inflammation and overuse until you can no longer climb. The longer you stay in this phase without addressing your injury, the further you will damage your tissues and the more challenging it becomes to fully recover.

The video below, featuring Josh Levin, addresses the “Pain, Inflammation and Tissue Overload” phase of the pyramid to treat shoulder impingement.

Stay tuned for “Shoulder Impingement – Part 3 – Improve Mobility” next week!


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.

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