Aching Legs and Stress

Stress burnout and the legs contibution

Stress and burnout (or dis-stress)Stress can have many causes and contributors, some people are able to handle it better than others and are able to deflect (or develop a coping strategy to deal with it) while others just go under and have to deal with the consequences that too much of it can bring

We all need it to keep our fight or flight systems healthy-it is good for you as it helps to keep you out of danger-problems arise when the stresses become ongoing, long term, or chronic and the body is subject to stressors (or causes beyond our control) that we can’t handle, we go into dis-stress

Stress is an abnormal condition that disrupts the normal functions of the body or mind; no two people are affected in exactly the same way, or to the same degree, but most people living in our highly industrialized society suffer from its effects at one or more times during their lives.

Symptoms range from mild headaches, occasional bouts of insomnia, overall restlessness, digestive problems, irritable bowel syndrome, constipation, and abdominal pain.Stress can be a single factor or a combination of them at work, home or other areas; many people would put their problems down to ‘stress’ of too much social, work, and environmental causes.

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

Posture can contribute to stress

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 startedMuscle 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

1Copyright 2010 Michael Gillan Long Distance Recovery Specialisthttp://aching-legs.org

http://aching-legs.org/


Muscular stress-Range of movement and shoulder defensive positions

If the neck is tight and the shoulders sore, the range of movement is limited and they stay in the one position putting the neck under tension and contributing to stress levels.

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.

*A Range of movement test

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.

Check to see how much outline of the nose is visible.Observe how far the head can turn before it hits a barrier to further movement.

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.


Bending over and lifting and pulling stretches neck, the back and shoulder muscles.

It may tear some fibers leaving soreness and inflammation

As the back muscles stretch longer, the chest muscles go shorter and



The muscles feel sore and burning due to a build up of inflammation in the muscle structures.

Muscle fibers may be joined together or crossed.

Sore muscle fibers Sore burning shoulder

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.

The overall pictureMuscular stress can be managed through physiotherapy, chiropractic, osteopathy and of course massage in its various forms, some of which are more effective than others.

Another option is to go for a sports massage

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.

Why deeper work with stretching is neededThe fibers of any muscle are usually running in one direction and the way they work is all or nothing; if the muscle is a healthy one it has full strength and can work at peak efficiency.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.


Areas of ripped fibers where trigger points may



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."

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.




Long-term stress (worry)When one perceives a real or imagined loss of control, the adrenal cortex (the outside part of the adrenal gland) produces cortisol, another hormone, which is injected in the bloodstream. Cortisol produces a "vigilance reaction" in the body. This is a chronic reaction - a long-term state.

Blood pressure rises slowly; body tissues retain sodium and other vital chemicals. High-energy fats and blood-clotting chemicals are released into the blood stream. Gastric acid production is increased to maximize digestion.

The immune system is repressed, making one more susceptible to disease.

Worry-induced illnessBoth conditions can trigger a heart attack. Excess stomach acid can cause ulcers; Atherosclerosis (hardening of the arteries) and continued high blood pressure can result due to continued stress. In short, fear, anxiety, over concern and worry causes the brain to command the adrenal gland to inject strong chemicals into the blood stream.

These chemicals act as a poison over a period.

Emotional stress can cause high blood pressure, toxic goiter, migraine headaches, arthritis, apoplexy (cardiovascular accident or stroke), heart trouble, gastrointestinal ulcers, and other serious diseases too numerous to mention.

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

You are one body not just 2 separate parts


Neck and arms

Legs andLower back

Head and upper back

Bottoms of the

feet



The legs and feet

If the feet are uncomfortable the way you stand, and walk or do anything else is affected-and the whole body is impacted by this discomfort, and because it is all related through skeletal bones, muscles, nerves, blood and everything else holding the body together, this can affect the way we feel in our work, family and social life

This may be in addition to the work, social, and environmental stresses we may already be experiencing, and a major cause of this can be from overworked legs that may be suffering from stresses of their own from too much standing, sitting, running, or walking

For an idea on how leg stresses can affect your mental and physical well being see http://www.hazards.org/standingIt 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!’

The Calf Muscle Pump

To keep the lower leg circulation working, the muscles rely on having a constant supply of fresh blood to the tissues to help prevent fatigue and to recover when they do

While the effects of the pump has a great effect on the physiological condition of the body, broken down into its various parts it is just a pump-not too sophisticated in the way it operates, except that it is made from living tissues rather than manufactured components

Basically the way it works is there are a series of flexible tubes (veins) to take fluid (used blood) from the lower legs back to the body against gravity-in the tubes are a series of one-way valves that open to let fluid pass through when the tube is squeezed by the motors (the calf muscles)

When the pressure on the tube is released, the valves close again to prevent the fluid going back down to the feet again

The calf muscles ability to keep working at applying and releasing pressure the tubes-once this stops, the fluid can’t be moved up the legs-the used fluid is allowed to just become static

Swollen ankles from lymph fluid (or water) separating from the static blood and migrating through the vessel walls into the tissue spaces instead of being pumped away can be the result inefficient use of calf muscles

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



http://www.hazards.org/standing


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

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

To keep the circulation in the lower legs going, a similar volume should be pumped out of the legs as flows into them

Lower Leg Circulation7

Copyright 2010 Michael Gillan Long Distance Recovery Specialisthttp://aching-legs.org

Soleus Gastrocnemius



Blood is sent to the lower legs under pressure through the arteries and vessels called arterioles and even smaller capillaries-as the vessel size reduces the pressure taking it there also decreases

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

There are three types of veins

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

Blood is forced upwards Blood is resting on the valve

As muscles squeeze the vessels valves are open as they relax the valves close preventing leaks

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

A result of calf muscle inefficiency


Blood pumped from heart througharteries under pressure

Reaches feet Pressure runs

out

Calf muscles act as pump

motors

Used blood is moved up the legs through the veins

On return to body blood isrenourished and recycled



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

Problems caused by calf muscle pump inefficiency include

Poor circulation Lymph system inactivity Venous return reduced

Because of gravitational pull, fluid always finds its own level

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

This is where a process of getting the legs conditioned for walking by using Light

Manual Muscle Relaxation may be of more benefit to themWhat is Light Manual Muscle Relaxation?


CalfMuscleFatigue

Tight calf

muscles

Poor blood return

Fresh bloodreduced



It is a Self-Service leg circulation system

It is system developed for ultra marathon runners and walkers leg recovery and has been tested on long distance events worldwide (ultra marathon is any distance over marathon-42.19 kilometers/26.385 miles)

Ultra marathon is very long distance competition where they have to run or walk as far as possible in a given time; it can be over 6 hours-24 hours-48 hours-6 days-16 days or even around the world www.worldrun.org

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

Light Manual Muscle Relaxation-the leg servicing system

Light Manual Muscle Relaxation-A Tested Trusted Environmentally Friendly Alternative

How Light Manual Muscle Relaxation leg servicing works




Using just these-and the knowledge of how to use them

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

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?


Light Manual Muscle

Relaxation applied

Tense tight muscles are

calmed relaxed and moved

gently

Used fluid moves through

the veins back to the body

Fresh blood moves through the arteries into

the muscle tissues



Can chance give you recovery results like these?

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

The advantages of using this system


FIGURES TAKEN FROM THE (1995 COLAC 6 DAY FOOTRACE)NAME Day 1 Day 2 Day 3 Day 4 Day 5 Day 6

237.2 113.6 130 106 126 108Kilometers539 284 325 265 315 270Laps

215.2 98.8 98 139.6 138.4 122.4Kilometers538 247 245 349 346 306Laps

M Taylor 174.4 128.8 143.6 123.6 120.8 89.2Kilometers436 322 359 309 302 223Laps

180.4 133.2 124 117.6 110 93.2Kilometers451 333 310 294 275 233Laps

P Gray 150 134 105.2 94.8 111.6 106Kilometers375 335 263 237 279 265Laps

138.4 108.4 106.8 116.4 106 107.2Kilometers346 271 267 274 265 268Laps

I Davis 168 119.2 90 116.4 72 98.8Kilometers420 298 225 291 180 247Laps

G Watts 131.2 96.4 99.2 104.4 92.8 133.6Kilometers328 241 248 261 232 334Laps

C Young 142 91.2 90 97.6 88 92Kilometers355 228 225 244 220 230Laps

D Kettle 138.2 86.8 90.8 95.2 94.4 84.8Kilometers332 217 227 238 236 212Laps

R Hill 128 80.8 99.2 70 95.6 96.4Kilometers320 202 248 175 239 241Laps

K Fisher 164 91.6 50 115.2 49.6 81.2Kilometers410 229 125 288 124 203Laps

G Pollard 120 74.8 73.6 68.4 69.6 61.2Kilometers300 187 184 171 174 153Laps

The above group came in for massage and stretching The group below did not or had their own massage people

141.6 112.8 104.8 101.6 98 96.4Kilometers354 282 262 254 254 245Laps

145.6 110.8 114.8 113.6 108.4 106Kilometers364 277 287 284 271 265Laps

152.8 110.8 126.4 113.6 114.8 95.2Kilometers382 277 316 284 287 238Laps

140.8 82 84 34 0 0Kilometers352 205 210 85Pulled out (Blisters)

127.2 98.4 74.8 0 0 0Kilometers318 246 187Pulled out 0Laps

N Mercer 166 16.4 0 0 0 0Kilometers415 16.4Pulled out 0 0Laps

Underlining in the top group shows where the results of Gentle Manual Muscle Relaxationwas starting to take effect. The inconsistencies in the results on a daily basis was caused by reverting back to conventional massage to see what happenedNote the higher injury and drop out rate in the bottom group.

A Krouglikov

T Rusek

B Beauchamp

D Parris

T Rafferty

G McConnell

G Audley

S Scanlon

J Timms



Do It Yourself recovery

No disrobing

Works with the muscles not on them

No oil used

Non invasive

User friendly

Using a simple but effective lower legs strategy will help to keep them moving during those enforced long hospital stays

All that is needed are the hands

The hands are the tools to close the isolation gap and increase lower leg circulation

When the talk has dried up, and the silence is deafening, let the hands communicate for you; give some constructive touch to both cross the isolation divide and help to minimize the long term effects of restricted movement in walking

Use Light Manual Muscle Relaxation the walk you have when you are not having a walk

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 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

Some references for Light Manual Muscle Relaxation

To: [email protected]: RE: Emailing: m gillan reference.docDate: Mon, 4 May 2009 16:48:31 +1000




Hi Michael,

COBURG 24 HOUR CARNIVAL

May 3rd 2009TO WHOM IT MAY CONCERN

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/

Physiology References

The calf muscle pump(p.209) Physiology: a regulatory systems approach. Fleur L. Strand. Macmillan Publishing Co. Inc.ISBN 0-020979860-4




(p.209)Physiology: a regulatory systems approach. Fleur L. Strand. Macmillan Publishing Co. Inc.ISBN 0-020979860-4

"Venous valve incompetence and varicose veins" 'Guyton-Textbook of Medical Physiology eighth edition-1991 W.B. Saunders Company-ISBN 0-726-3994-0

Effect of "Hydrostatic" Pressure on Venous Pressure ( P.165)'Guyton-Textbook of Medical Physiology eighth edition-1991 W.B. Saunders Company-ISBN 0-726-3994-0

Effect of Hydrostatic Factors on Arterial and Other Pressures (P.167) 'Guyton-Textbook of Medical Physiology eighth edition-1991 W.B. Saunders Company-ISBN 0-726-3994-0

Calf muscle pump inefficiency'Guyton-Textbook of Medical Physiology eighth edition-1991 W.B. Saunders Company-ISBN 0-726-3994-0' (P.177) 'Guyton-Textbook of Medical Physiology eighth edition-1991 W.B. Saunders Company-ISBN 0-726-3994-0

The Blood Circulatory System (P.150) 'Guyton-Textbook of Medical Physiology eighth edition-1991 W.B. Saunders Company-ISBN 0-726-3994-0

"The Lymphatic System(P.180) 'Guyton-Textbook of Medical Physiology eighth edition-1991 W.B. Saunders Company-ISBN 0-726-3994-0

"Pumping caused by external Compression of the LymphaticsGuyton-Textbook of Medical Physiology eighth edition-1991 W.B. Saunders Company-ISBN 0-726-3994-0 (p. 182)

‘Peripheral Nervous System’‘Textbook of medical Physiology” (Physiology- fourth edition-Robert M. Berne, Mathew N. Levy, Bruce M. Koeppen, Bruce A. Stanton-Mosby ISBN 0-8151-0952-0) (P.98)

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 themContact [email protected]

http://www.aching-legs.orghttp://www.feet-and-legs.com/http://www.aching-legs-relief.comhttp://www.seniors.aching-legs-relief.com/http://www.aching-legs.org/increased_working_years_legs_maintenance.htmlhttp://www.promote-health.orghttp://www.seniors.aching-legs-relief.com/older_parents_pre-movement.html

http://www.stressstop.com/stress-tips/articles/fight-or-flight-the-evolution-of-stress.phphttp://olin.msu.edu/thefightorflightresponsetostress.phphttp://www.psychologistworld.com/stress/fightflight.phphttp://www.pain-education.com/100222.phphttp://www.triggerpointbook.com/www.dstressdoc.com/Total%20Relaxation.htmwww.guidetopsychology.com/pmr.htm



http://www.guidetopsychology.com/pmr.htm

http://www.dstressdoc.com/Total%20Relaxation.htm

http://www.triggerpointbook.com/

http://www.pain-education.com/100222.php

http://www.psychologistworld.com/stress/fightflight.php

http://olin.msu.edu/thefightorflightresponsetostress.php

http://www.stressstop.com/stress-tips/articles/fight-or-flight-the-evolution-of-stress.php

http://www.seniors.aching-legs-relief.com/older_parents_pre-movement.html

http://www.promote-health.org/

http://www.aching-legs.org/increased_working_years_legs_maintenance.html

http://www.seniors.aching-legs-relief.com/

http://www.aching-legs-relief.com/

http://www.feet-and-legs.com/

http://www.aching-legs.org/




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Aching Legs and Stress