Welcome to Flow State Monthly Newsletter!- March 2025
Hey! Anyone else feel like time is flying?! Alpine season will be here before we know it.
This past month I went to Salt Lake City to hang with Tyler Nelson (C4HP). He taught me how to Ultrasound Fingers. Take a look at what I saw the following week in the clinic:
Complete Rupture of A2 pulley
This client heard/felt a pop when their feet cut. The next day they had a good bit of swelling in the area where their A2 pulley is. This image shows the tendon moving away from the bone (black space) when pulling into half crimp.
Why is imaging important:
There’s no standardized treatment protocol for pulley injuries—research hasn’t shown one method to be clearly superior. What we do know is that recovery is highly individual, depending on your specific symptoms and response to rehab.
So why might imaging be helpful? While it won’t dictate your entire treatment plan, it can provide valuable insight into why you’re still experiencing nagging pain or why it’s important to stick with a 3-finger drag for a few more weeks. Understanding the structural details of your injury can help guide smarter decisions and ensure a more effective recovery.
Don’t let nagging finger pain stop you from getting ready for send szn. Book an appointment here.
New Blog Alert!!!!
4 Key Takeaways: Climbing While Pregnant
🧗 Climbing Isn’t Automatically Unsafe – There’s no one-size-fits-all rule! If you feel good and adjust as needed, climbing can still be a safe, beneficial way to stay active.
🤰 Your Body Knows Best – Pay attention to sensations like pelvic floor heaviness or discomfort. Modify intensity, movement, or rest as needed.
🛑 Minimize Impact, Not Movement – Reduce big jumps, avoid risky falls, and communicate with your belayer for soft catches.
💬 Community & Joy Matter – Climbing isn’t just physical—it’s social and mental too! If it brings you happiness, there are ways to keep it in your routine.
Did you know I have a clinic in Golden, CO too? This is were I treat Pelvic Floor Clients. Know anyone who may need Pelvic Floor Physical Therapy. Send them this link to book!
💡 What’s New: I recently sent Joy (stand start) V6 in Clear Creek! This is the highest grade I’ve bouldered outside and I did in two quick sessions. Check out the video here!
Ya’ll I can’t talk about this climb without talking about what led up to this! I have been consistently training since November. I have been feeling so smooth and strong! I promise if you give yourself 12 weeks of training you will see results. The best time to start is now! (or whenever you’re ready 😉)
📢 Let’s Connect: Come take a yoga class with me at Movement Climbing Gyms or Rise Yoga and Wellness! 🧘♀️ Ask me for a guest pass!
📍 Movement Golden: Monday Flow @ 12pm & Sunday Flow @ 10am
📍 Movement Englewood: Wednesday Alignment @ 6pm & Thursday Power Flow @ 6:30am
📍 Rise Golden: Friday Flow @ 6am
Have questions? Hit reply and let me know what’s on your mind! Also, follow along on Instagram @dr.juliana_merighi for more content between newsletters.
Flow On,
Dr. Juliana Merighi, DPT, OCS, CSCS