
Climbing - cervical spine
Matej Hodoušek / 28. 10. 2018
Both sport and traditional climbing are most often done in pairs. A climber and his belayer are always needed. All attention is focused on the climber, who is trying to solve the mystery of the first ascent. Belaying a climber is a resting phase, when they save their strength for the next climb, so it would be difficult for anyone to think that they should perform any activity during belaying other than that which is absolutely necessary for unbelaying the climber. Prolonged belaying and monitoring a climber often results in neck pain. Why is this so and how can it be prevented?
Neck pain is caused by the head being tilted too far back, that is probably clear to everyone. However, if we look at the picture on the right, we see that in both cases the head is more or less at the same angle, however in the first case the neck hurts and in the second it does not. So the problem is not in the tilt of the head, but in the segments below (i.e. in the curvature of the cervical and thoracic spine). A kyphotic (round) thoracic spine puts the cervical spine in a forward position instead of upward and the forward movement of the head limits its tilt

only on the suboccipital region (head joint), which thus reaches extreme positions and therefore hurts. The short muscles that the back bend performs are shortened and overloaded, can more easily block and often cause headaches. In contrast, the muscles in the front of the neck weaken and then do not have enough strength to keep the head and neck in an upright position, as in the picture on the right.
Rounding the thoracic spine brings other problems besides a twisted head. Closing the front of the chest shortens and stiffens the intercostal muscles, which results in impaired breathing. The retreat of the spine back between the shoulder blades results in the relaxation of the muscles that hold the shoulder blade in this area. When this is added to the upward extension of the shoulders so that we can rest our tilted head on the trapezius and thus assume a relief position, there is intense destabilization of the shoulder blade. This weakens all the muscles that hold the shoulder blade in place, in its middle and lower part. So only the upper fixators are holding it, and that is not enough. An unstable shoulder blade then represents a beautifully paved path to problems with the shoulders, elbows or wrists. Sure, it is only a matter of time before it reaches its destination. But then it is another journey and another. In the evening, you sit by the fire or in a camping chair and find that you are still in a crouched position with your head forward and your back round. And in fact, during the season you are in the rocks almost every weekend and on the wall during the week. So the time spent belaying is not exactly negligible.
Unfortunately, the problem of a twisted head does not end with the chest and continues. By bending the thoracic spine forward, the center of gravity of the entire body changes. So that we do not have to stand on tiptoe, our body automatically compensates for this and bends at the hips. This slightly tilts the entire chest, which is still round, and the pelvis drops, the stomach bulges out. This leads to pressure in the lumbar area, overloading and shortening of the lumbar erectors, which has a long-term negative impact on the intervertebral discs. The whole process, of course, gains intensity if we spend most of the day sitting or in a similar position, where the chest rounds, the head moves forward and twists, the hips bend and the hips are in a hunched position.
And yet so little is enough!!! When belaying, focus on how you stand, and instead of devastating your body, work on correcting it. The more you keep your back straight and your head up, the better for you. Try not to lean it only in the head joint, but to lean it back in a long arc from the thoracic and cervical spine. This head position may be uncomfortable and challenging at first, and that's how it is. What is comfortable and easy usually has a devastating effect on our body. Stand on both feet with equal weight and you will save your hips. Keep your shoulder blades as low as possible, away from your head, and you will work on the health of your shoulders.
Good luck with sports and climbing in particular!!!