Nerve compression syndromes in sport climbers

The aim of this study was to determine and evaluate nerve compression syndr omes of the upper and lower extremity in sport climbing. Although considera ble research has been conducted on orthopedic problems associated with spor t climbing, there has been little comprehensive evaluation of the associate d neurological problems. The retrospective study performed on 83 active spo rt climbers presenting with complaints of the upper or lower extremity show ed that 21 climbers (25.3%) were diagnosed with a nerve compression syndrom e, 14 climbers of the upper extremity, 7 climbers of the lower extremity. M ost nerve compression syndromes could be treated by combined conservative m odalities (nonsteroidal anti-inflammatory drugs, ice, splinting, physical t herapy, rest or decreased training with a rehabilitation training program) and changes in climbing patterns (scientific training planning with warming up and cooling down as well as stretching exercises, longer rest periods, different hand positions, appropriate climbing shoes). Surgical decompressi on was rarely necessary. Nerve compression syndromes must be included in th e general spectrum of medical problems associated with sport climbing.