Industry-leading physiotherapy
by Paul Houghoughi.

Combining decades of experience in the climbing and physio world with the latest evidence to deliver cutting-edge advice to our community.

Work with me 

  • My remote climbing service began in 2017 and went from strength to strength through word of mouth. In that time I've been crafting my approach; combining effective questioning with climbing specific testing that I have developed to accurately identify what's causing pain and more importantly why it happened in the first place. 

    I now work with climbers all over the world, and I am very proud of the service. Book an appointment here.

  • I work one-to-one with clinicians around the world to help them develop their clinical reasoning, treatment techniques and rehabilitation approaches both on and off the wall. 

    This is a bespoke service and sessions are completely tailored to suit your learning outcomes. If you would like to work with me then please click the link below with details.

  • 1. For Climbers 
    A range of workshops covering any area of the body that climbers commonly encounter problems. Sessions aim to demystify injuries that are often over-complicated in our industry, with a focus on how to continue to train around them and more importantly, prevent them from occurring in the first place.

    2. For Clinicians

    • Climbing specific injuries and rehab

    • Ultrasound imaging 

    3. For Setters
    Avoiding the overload trap 

    4. For Academies / Climbing Teams 
    I work with coaching squads and GB youth climbers regularly and offer on site screening for teams. 

Testimonials

  • Shauna Coxsey MBE

    “I have a lot to thank Huffy for… from World Cup gold medals, becoming an Olympian, my hardest sends on rock and most importantly having a body that feels strong and robust. I’ve returned to climb after many injuries, surgeries and pregnancy too. And it’s massively thanks to Huffy’s unmatched curiosity, unwavering passion and seemingly endless knowledge that I’ve returned stronger every single time. There’s no one I trust more to guide and support me when it comes to injury and recovery so I can have the confidence I need in my body to believe I can achieve my goals."

    Shauna Coxsey MBE

    Professional Rock Climber and Olympian

  • "After injuring my finger bouldering outside and finding out I fully ruptured my A4 pulley, I was naturally disappointed and thought this would be the end of my climbing for the foreseeable future. However, thanks to Paul’s advice, attention to detail and expertise, we were able to establish a simple yet effective rehab plan to overcome this injury.    Working with Paul has been great and I 100% recommend it as it has helped me immensely dealing with this injury."




    Arne Baele

    Boulderer , Belgium 

  • “I have worked with Paul to address several injuries over the past few years. He always gets to the bottom of the problem whilst focussing on maintaining performance around the rehab plan.”

    Sylvain Distin

    Professional Footballer and X fit athlete

  • “As a professional musician who has had endless injuries and operations, Paul Houghoughi has been invaluable in supporting me and keeping me at work. He is highly trained and a caring, intelligent man who will always think outside the box.”

    Jacoba Gale 

    Principal Viola no.3, Bournemouth Symphony Orchestra 

  • "I have worked with Paul for the last 4 years whilst training as an endurance runner. He’s helped me rehab from a calf tear, Achilles tendinitis & most recently a bone stress injury. I fully trust Paul in terms of diagnosis & treatment proposals. Injuries can be upsetting, so to know that you are receiving the best advice possible has been of great help to me during recovery periods. Without a doubt I would not have been able to progress as I have done in my sport without his input & guidance."

    Emily Hillar 

    England Masters Runner / Duathlete

  • "Having competed at a high level for many years I’ve had a few injuries that needed managing. Paul is very diligent and has helped me recover and come back stronger from every injury I’ve had.  From rehab to managing niggles mid-season I couldn’t recommend him more."

    Toby Roberts 

    Olympic Gold medallist, GB Climbing

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Finger pain isn't always simple. Concept adapted from a fantastic paper on the etiology of ACL injury. Tsarbou et al (2024) PMID: 39201070.
The dark side of the hand 🌒 If the palmar side of the hand is our power✊🏻, the dorsal side is our precision🤚🏻. Often overlooked and wrongly dismissed as a legitimate source of symptoms, there are many intricate structures on the back of the ha
Our hands are both incredibly resilient and beautifully intricate at the same time. When specific parts of the hand become painful symptoms can often (but not always) be replicated by touch. Here are some examples of hand pain that I frequently enc
The Paris Olympics 🇫🇷🇺🇦🇬🇧 I always thought Tokyo would be my first and only Olympic games, but guess I was wrong. A recent series of changes in the BMC presented the unlikely opportunity to fulfil a promise I made to @jenya_kazbekova a coupl