Locomotion is one of the cardinal functions of our musculoskeletal system. Tissue component surrounding the tendons allows us to move our limbs with ease avoiding any excess stress on them. Tendons control the movement of muscles by connecting them to the bone. Whereas, ligaments keep the bones in place by connecting them at joints preventing unreasonable movement of our body parts. This intricate network of bones and surrounding tissue works in perfect synchrony.
A disruption of this locomotor system can turn a privilege like walking or holding a glass into the most arduous task, especially during old age. Reflect on a senior member around you who may be suffering from Osteoporosis. This condition results in weak bones that are more prone to injury. Osis – degeneration of tissue (collagen fibers in this case) – results in the bone and tendons around the bone to degrade in their tissue component. In contrast, itis – inflammation of a tissue – is the body’s response to an injury to muscles, tendons, ligaments, cartilage and bone itself. Sometimes, longer periods of wear and tear of our joints or tissues (leading to repeated inflammation) cause chronic damage and ultimately, degeneration.
When we abruptly land on our foot and hear a snap, it is associated with a sprain. The ankle, along with a multitude of ligaments to support the joint, also has attachments to the tendons of the muscles of the leg. Hence, as non-practitioners of medicine, we do not have enough knowledge and experience to point out the difference. Doctors try to do their best to diagnose the problem. Its success depends on how accurately we dictate our medical histories. Once the diagnosis is confirmed, spotlight shifts to repair and rehabilitation, which depends on adequate treatment given in time with proper follow-up and patient compliance.
All the examples of extraordinary physical prowess (despite injuries) commence from a single point – Learning. Even if evolution is understood down to its very ingredients, we have to depend on our learning abilities. This learning process of our brain put simply, starts with imitation. As a child, we have seen our neighbours “jog” with bent vertebrae, landing on their heels. The runners among us start running like that trying to naturally correct their form. But sensory feedback in running is delayed (most often until after injuries) because we have worn “comfortable” shoes all our lives. In contrast, the Tarahumara people, a tribe settled in the high sierras of Northwestern Mexico, who run barefoot, have different biomechanics. As is clear from the text of Born to Run, a book written by Christopher McDougall, to this day they are faster and fitter than most ultramarathon runners in the world.
In this epoch of accessible climbing gyms, we learn to mimic all kinds of climbing habits. A larger gym-climbing population crimps on small holds with a closed hand grip, the thumb covering the fingers, acting as a lock to avoid any slipping. This is the fastest way leading to injured fingers. “The correct way of doing this, with open handgrips where the subjected force is the least, is often ignored as it takes months of patience to develop such a style of climbing,” Doctor Schweizer told me.
I was sitting in his office – bereft of any expectation– with a folder of my past diagnosis, and a taped finger. A different but old injury had restricted me from climbing regularly. After my blasé narrative, Dr. Schweizer asked me to remove the tape and prepare for an ultrasound, the first in a year of visiting doctors across three continents. A finger pulley injury – a tendon related injury often attributed to climbing – had left me with an awkward feeling in my hand. The ultrasound indicated that everything was intact. I didn’t believe him, skeptical of having countless unsatisfactory opinions and therapies. He smiled and said, "You shouldn't stop climbing." As a hand surgeon of Swiss origin, he has a rather unconventional manner of dealing with his patients. Perhaps because he is a climber himself.