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Another cause that can be a contributing factor is physical or muscular initiated stress; this can be
related to posture in the way we stand, move, or even just sit at the computer work station checking
out emails; lifting something which is too heavy or any other activity (or inactivity) performed in a
way that puts strain on the muscular/skeletal system
There is plenty of advice available about posture; the correct positions for standing, sitting, walking,
carrying etc. but it can be difficult to adhere to these as the muscles are like elastic bands, they have
a memory and return to their original shape; how many times have you been made aware that you
must pull your shoulders back to maintain a good posture?
Many people are aware that they carry tension in the shoulders and do attempt to fix this by making
a conscious attempt to straighten up; this usually fails because of muscle memory and the natural
inclination of the body to move away from pain.
The shoulders may develop a hunched defensive position with the muscles pulling the rib cage
upwards preventing the lungs from being able to expand to full capacity; breathing is restricted to
the upper portion of the lungs reducing the oxygen intake to both muscles and brain.
It is fine while you consciously maintain that position but when you stop thinking about it, the
muscles go back to where they were before you started
Muscle soreness and stiffness are caused by micro tears in the muscle fibers from overuse; over the
long term a few minor muscle tears become chronic soreness as layer on layer of inflammation
builds up and gradually works its way to the surface and spreads
The shoulders may be sore to touch and have a slight hunch to them as the muscles have shortened
while moving away from the soreness.
They may get tension headaches.
The range of movement from left to right when the head is turned may be restricted.
Feelings of fatigue
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
http://aching-legs.org
Stress burnout and the legs contibution
Bending over
and lifting and
pulling stretches
neck, the back
As the back and shoulder
muscles stretch muscles.
longer, the chest It may tear some
muscles go fibers leaving
shorter and soreness and
inflammation
Shoulder soreness and stiffness, reduced range of movement and with this the reduced blood flow to
the brain contributing to stress levels; ; mental and muscle stresses are different things although
they may feel similar and be referred to in the same term, but both stresses give similar feelings and
symptoms.
Have someone standing directly behind the person to be tested and ask them to slowly and gently
turn the head to the left (or right) as far as it will go without causing any discomfort.
Do not force the head beyond which it can comfortably move, stop if it starts to hurt.
Now get them to take the head to the opposite side, again, note how much nose is visible.
It may be found that the range of movement is restricted to one side or the other but the restriction
can be on both sides.
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
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Stress burnout and the legs contibution
The muscles feel sore and burning due to a build up of inflammation in the muscle
structures.
These sore areas may also form a nasty little thing called ‘Trigger Points’
Trigger points are small areas fibers that have ripped and healed in the muscle body, they can cause
muscle weakness or if they become active can refer pain to different areas of the body.
If a sharp pain is experienced when the sore area is pressed, it could be a ‘trigger point’; if when the
point is pressed a dull aching pain is experienced in a different area, this is the referred pain from it.
When combined together with normal occupational, social and family stress over the long term, it
puts the person into a poor position of maintaining a career for as long as they would wish.
I now have to argue for a deeper type of massage for dealing with upper body soft tissue problems
because they are deep seated and so need some aggressive work to break up the fibers that are
causing the referred pain.
This is a specialized job and needs specialized training; I would suggest that a visit to a sports
massage therapist who knows about trigger point therapy and the stretching needed afterwards.
I would recommend going to these because they have studied stretching and reduction of soreness
in the sports person.
They are more aware of the stretching techniques needed than many other massage practitioners.
Increasing this range of movement should be left to someone who works at the level of the client
but they should be reminded they are not dealing with a trained sports person so should work within
the person’s limits.
Make them aware of this before having any work done.
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
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Stress burnout and the legs contibution
All it takes is a few of them to be damaged or ripped, and the muscle can become weak and then
other muscles in the same group have to work harder until it recovers and heals.
As the healing process takes place, the fibers can go out of alignment and stick together forming a
hard lump which is sometimes referred to as ‘knots’; these can turn into trigger points that cause
tension referred pain.
Working deeply into them can break up the fibers but it leaves them where they were before the
work started and nothing except that the interpretation by the brain of the sort of pain that is felt has
changed, so it feels better.
A change of pain can give a feeling that the problem has gone away and provide temporary relief;
by having someone pressing hard in the sore spots, the short-term type of pain will temporarily
block out the long-term pain and soreness from the brain.
The brain can only accept one kind of pain at a time so relief will be obtained but when the short-
term pain goes it allows the long-term pain to take over the same problems as before.
To give longer relief, the muscle fibers have to be re-aligned after breaking the ‘knot’ up as it
makes the muscle ‘lengthen’, relax and reduce pain.
If the body reacts with great feelings of relief as the muscles are stretched and tension is removed, it
is just muscular stress caused by workplace posture; if some tension can be relieved by massage that
is one problem less to cope with, accept that but go and see the appropriate other health professional
for help in dealing with any other issues.
Once the deep-seated work has been minimised then a return can be made to the gentler relaxation
forms of massage preferred.
*Note-Before doing any work around the neck area be aware that certain conditions do not lend
themselves to any type of massage or stretching work.
These conditions could include neck or venous problems, whiplash, age, rheumatoid arthritis, if
dizziness or lightheadedness is present or experienced, low blood pressure, viral infections, coughs
colds or flu. (Or any other upper body problems). Please check with the appropriate medical
authority before attempting to do them.
Mental stress-Work, home and muscle stress needs a different approach in dealing with it.
The person may get a certain amount of relief as the muscles are stretched out, and the breathing
altered as the rib cage is opened up and the shoulders are lowered.
But there is still depression and other areas which should be looked at by professionals.
Short-term stress (fear)
God made a human being so that in case of real or imagined danger, the adrenal medulla (the inside
part of the adrenal gland) produces adrenaline, a hormone, which is injected into the blood stream.
Adrenaline produces an "acute alarm" reaction in the body.
This acute reaction is generally short-term.
The heart beats faster and blood pressure is raised.
Blood is shunted from the stomach and skin to the muscles to provide physical strength for "fight or
flight."
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
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Stress burnout and the legs contibution
High-energy fats are dumped into the bloodstream, blood sugar level rises, breathing quickens, eyes
dilate and chemicals appear in the blood to clot blood rapidly in case of injury.
Legs under Stress-are not happy legs and can contribute to overall stress levels
Having just discussed some of the contributors from a soft tissue aspect in the upper body, an
equally important part that can also affect stress levels are the legs because everything from the
bottoms of the feet, up the legs to the top of the head is connected
Bottoms of
Legs and
the
Lower back
feet
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
http://aching-legs.org
Stress burnout and the legs contibution
For an idea on how leg stresses can affect your mental and physical well being see
http://www.hazards.org/standing
It is important to de-stress the legs before they go into long term distress and add to stress of the
upper body; doing this will remove at least one of the contributing stressors and allowing other
modalities such as medical treatment, counselling, lifestyle changes or whatever to deal with the
rest of the problems that is causing the statement ‘I feel stressed!’
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
http://aching-legs.org
Stress burnout and the legs contibution
Being a mechanically based pump, the system can be serviced or restarted using a manual system to
remove some of the fluid and pressure that has built up-once started, fresh blood can more easily
enter the muscle tissues and start the recovery process
The Calf Muscle Pump and the muscles that are its motors
The calf muscle pump is responsible for circulation in the lower legs-another name for it is the
peripheral heart because it is outside the body
Its main purpose is to move used blood from the lower legs back to the body for refreshment with
oxygen and other elements that the muscles need to maintain an optimum environment for efficient
working of the muscles
Old blood and fluid is taken out of the lower legs through the veins, fresh blood is supplied to the
muscles through the arteries
The calf muscle pump is made up of all the muscles in the legs, the motors that provide the power
for the pump are the calf muscles-these are made up of 2 basic movers-Soleus which is used for
standing upright, and Gastrocnemius used for running and jumping
Soleus Gastrocnemius
As the muscles move, they increase and decrease pressure on the vessel walls (the veins) opening
the one way valves to let the blood pass along them, and close to prevent the blood flowing back
towards the feet
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
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Stress burnout and the legs contibution
To keep the circulation in the lower legs going, a similar volume should be
pumped out of the legs as flows into them
Blood
On return to pumped from
body blood is heart through
renourished
arteries under
and recycled
pressure
Used blood is
Reaches feet
moved up the
Pressure runs
legs through
out
the veins
Calf muscles
act as pump
motors
By the time the blood reaches the feet, all the pressure has been used, and there is none left to return
the used blood back up the legs to the body against gravity again
The Veins
Used blood is sent back to the body by a pumping system made up of the leg muscles and veins
which have one way valves in them which prevents it going back down to the feet
Superficial veins act as a reservoir for blood, supplying it to the tissues as needed, they
also carry blood from the muscle tissues to the perforating veins.
Perforating veins that carry blood from the superficial veins through to the deep veins.
Deep veins carry used blood and lymph fluid away from the legs towards the heart.
Low-pressure High pressure
As muscles squeeze the vessels valves are open as they relax the valves close preventing leaks
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
http://aching-legs.org
Stress burnout and the legs contibution
In this way, a balance is kept between the fresh blood going into the lower legs and the old blood
leaving them on its way back to the body for refreshment and recycling again
When the muscles are not doing their job properly they become incompetent and the
pump becomes inefficient
Poor circulation means less movement of fluids which may become trapped in the lower legs; water
(or lymphatic fluid) may separate from the blood, migrate through the vessel walls and fill the tissue
spaces-as it can’t be pumped away quickly enough, the ankles swell (edema)
Used fluid build up restricts the supply of fresh oxygen filled blood to the muscle tissues without it,
they quickly fatigue become inefficient and reduces the circulation
Fresh Tight
blood calf
reduced muscles
Poor
blood
return
It is generally accepted that reversing the effects of gravity by having the legs higher than the body
to change the direction of fluid can help the legs to drain of fluid
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
http://aching-legs.org
Stress burnout and the legs contibution
This is where a process of getting the legs conditioned for walking by using Light
Manual Muscle Relaxation may be of more benefit to them
What is Light Manual Muscle Relaxation?
It is making the calf muscle pump work again to take some of the pressure away from the lower legs and let
fresh blood into the muscle tissues to help the legs recover
They have to get up and get back on the track or road on a constant basis whether they want to or not to
achieve their objective-the person with aching legs also has to get up and move on a constant basis whether
their legs have recovered or not www.hazards.org/standing
Fresh blood
Light Manual
moves through
Muscle
the arteries into
Relaxation
the muscle
applied
tissues
Tense tight
Used fluid
muscles are
moves through
calmed relaxed
the veins back to
and moved
the body
gently
Calf muscle fatigue, tight muscles, and poor lower leg circulation can chase each other around in a cycle that
is difficult to break out from-each is a self destructive part that props up the other parts of the cycle and it
will take a circuit breaker to disrupt the cycle of fatigue
Medically caused leg health should be referred to those best qualified to deal with it-the doctors, but there are
non-medically related problems that can be dealt with by some simple activities
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
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Stress burnout and the legs contibution
Such as knowledge about how the calf muscle pump works and using it to the
best advantage
What effect can Light Manual Muscle Relaxation have on the legs?
Can chance give you recovery results like these?
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
http://aching-legs.org
Stress burnout and the legs contibution
The above figures show what a leg service using the calf muscle pump can do for recovering the
legs-they are from the 1995 Colac (Australia) 6 day event-and show on a daily basis (Across the
page) the increase that was obtained using Light Manual Muscle Relaxation
More importantly it demonstrates the decrease in time needed for recovery when
increased fresh blood flow is obtained by working with the muscles not on them
Use Light Manual Muscle Relaxation the walk you have when you are not having a
walk
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
http://aching-legs.org
Stress burnout and the legs contibution
Note-never doing anything with the patient without first discussing with the managing
nurse/doctor and obtaining their permission or you may be interfering with any
treatment for their health problems
Some References
Michael’s methods of massage and blister care helped me to stay mobile throughout the race and to recover
quickly afterwards. His techniques are safe and gentle.
Unlike some treatments, which put the runners and walkers at risk of muscle tears or infection, Michael’s
techniques are gentle, safe, reassuring, and highly effective. They enhance comfort and flexibility, build
confidence, and promote success.
This booklet will help others to learn and practice Michael’s methods. It is recommended reading for
everyone who walks and runs and who wants to go further, go faster, or just to enjoy life more!!'
SANDRA BROWN 1996 Ladies 1000 Mile World Record Holder
1999 Ladies 100 mile Race walking World Record Holder
“I know that your massage kept a number of competitor<>s in the event. The cold weather of Saturday
afternoon and night certainly got to many of the walkers and your prompt action had them back in the race
after a short stop.
In years past, that would have ended up as a non-finish. A number of walkers were able to keep going for
the full 24 hours on the basis of your expert help.”
Tim Ericson Secretary Australian Centurions Club
'I have known Michael Gillan for many years and have always got quick relief for my aches and pains from
the stretching he performs'.
CLIFF YOUNG-75-80 24 Hour World Record Holder (150.07 kilometers)
A word from Jesper Olsen World Runner about Light Manual Muscle Relaxation
“If I hadn't had the qualified help from the excellent masseur Michael Gillan, taking several thousands of km
out of my legs, I could spare myself the effort!”
“My crew for the current stages, Michael Gillan, has proven to have other talents than the quite taxing job of
taking care of all the requirements of a really tired ultra runner!
He has since years back been working on a new approach to stretching and muscle-rebuilding for ultra
runners. I have the last two days tried his careful stretch and massage, and a bit to my surprise the muscles
are beginning to feel like before the start back in Greenwich, London!!
Usually I doesn’t take massage as the legs of an ultra runner will often be quite sore during the long time
events (and especially in an multi-year event like this...), and getting a massage can at times cause more
injury and cramping up than good. For example my last massage was some 12 000km ago when I ran the 12-
hour competition in Finland. And so far that has been the only one.
But Gillan came with best recommendations from my main contact in Australia, Phil Essam, who besides
being vice president in the Australian Ultra runners Association has heaps of good knowledge to share. And
this new kind of mild massage for ultra runners is definitely one of the good tips! There should be a fair
chance that I actually get fresh enough to do some decent running at the 6 Day Race that I have coming up in
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
http://aching-legs.org
Stress burnout and the legs contibution
Colac from the 21.November. I quite look forward to that, even though I can’t expect to make a top class
result :-)”
He won! 756.2 kilometers (Jesper holds the record for the longest run in history over 26000 kilometers and
the first person to run around the world Taken from www.worldrun.org
To: mgillan@hotmail.com
Subject: RE: Emailing: m gillan reference.doc
Date: Mon, 4 May 2009 16:48:31 +1000
Hi Michael,
For many years Coburg Harriers has conducted the Victorian 24 hour Track Championship and
the Australian Centurion 24 Hour Race Walk, the overall event being the Coburg 24 Hour Carnival,
which also includes a separate 6 Hour run/walk event.
This type of event is very demanding on Competitors, and each year, in addition to First Aid
support, we seek to have the services of a masseur who can work on tired legs and also treat
blisters in order to keep entrants on the track.
We have been privileged for many years to have had the voluntary services of Michael Gillan who
with his techniques is able to coax renewed life from extremely tired muscles and legs to get
athletes back on the track when they were thinking that they would have to retire.
Michael has a very well deserved reputation in the "Ultra" running and walking fraternity who look
forward to his presence at our events as they know he gets results without causing further injury
with his treatments.
It is rewarding to see exhausted competitors come from the track in the early hours of the
morning, convinced that they are unable to continue, only to see them return to the event after
being treated by Michael.
Our Organising Committee at Coburg is grateful to Michael for his dedication to the sport and can
commend his techniques to Athletes.
Yours Sincerely, Bernie Goggin Raceday Director / Referee Coburg 24 Hour Carnival 2009
http://www.coburgharriers.org.au/joomla1/component/option,com_frontpage/Itemid,1/
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
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Stress burnout and the legs contibution
Physiology References
(p.209)Physiology: a regulatory systems approach. Fleur L. Strand. Macmillan Publishing Co. Inc.ISBN 0-020979860-4
You can buy an expensive book on medical physiology or you can check up for further information
on Light Manual Muscle Relaxation at
When you refer to medical physiology and use it to work for you, it is possible to
achieve things that were previously left to chance-a faster recovery is one of them
Contact mgillan@hotmail.com
http://www.aching-legs.org
http://www.feet-and-legs.com/
http://www.aching-legs-relief.com
http://www.seniors.aching-legs-relief.com/
http://www.aching-legs.org/increased_working_years_legs_maintenance.html
http://www.promote-health.org
http://www.seniors.aching-legs-relief.com/older_parents_pre-movement.html
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
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Stress burnout and the legs contibution
http://www.stressstop.com/stress-tips/articles/fight-or-flight-the-evolution-of-stress.php
http://olin.msu.edu/thefightorflightresponsetostress.php
http://www.psychologistworld.com/stress/fightflight.php
http://www.pain-education.com/100222.php
http://www.triggerpointbook.com/
www.dstressdoc.com/Total%20Relaxation.htm
www.guidetopsychology.com/pmr.htm
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Copyright 2010 Michael Gillan Long Distance Recovery Specialist
http://aching-legs.org