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Showing posts with label massage. Show all posts
Showing posts with label massage. Show all posts

Saturday, April 23, 2011

Should we let our bodies adapt to soreness and tightness without interference by stretching and massage?

"Hi Gary

 What interests me about running and muscle tightness and soreness is why does our body not adapt to that without us having to make a special effort to stretch more and to regularly have a deep tissue massage? You would imagine that muscle tightness is the bodies way of adapting to us running and that we should in time not have to do anything special if we run regularly? Could it not be that it’s the bodies way of holding vulnerable joints together more securely and adaptation of muscles to give less than without conditioning ie: to deal with the rigors of say running down hill?



If one were to consider animals in the wild that run a lot do they stretch a lot more than animals that don’t? Do animals that run a lot and over long distances have ankle and knee and IT band problems like us frail humans seem to? Or should we let our bodies adapt without interference ie; by not excessively stretching?"

Roger
__________________________________
Gary:
Duncan McLean: The Tartan Flash
World Champion sprinter at 92yrs
Thanks for the thought-provoking email, Roger.

The loss of flexibility and the hardening of muscles are natural but undesirable adaptations of vigorous physical activity and ageing that also happen to be preventable and reversible.

Athletes never retire - They just slowly grind to a painful halt.  

At which point they quietly disappear into anonymity, or announce their retirement, then are forgotten!

By about 40 years or so, I was a burned out athlete (No - That's not me in the photo). I was physically fit, or so I thought I was. I could run okay but was inconsistent, never quite being sure if I would run up to standard. Bad days became the norm. I recall one of my last cross country races. It was a veterans team relay race at Trentham in Lower Hutt. Our team, Victoria University, was the favourite. We were in the lead by the time it came to my leg. I blew! Despite doing everything right leading up to the day, warming well and not taking off too fast I was quickly reduced to little more than a fast walk. I let the team down badly, but there was nothing I could do. My heart and muscles just could not do any better that day.

I now understand what was happening: I was grinding to a halt. My body systems had had enough punishment and were shutting down. In fact, I would not be at all surprised if my heart was in fibrillation during that cross country race. It was time to retire and I did quietly slip away from the competitive cycling and running scenes. My heart was not in these frenetic past times any more. In the meantime, some of my more talented running and cycling associates dropped dead by their early 50's. Plenty of others are sporting worn joints and muscles so sore they can barely be touched.

These are the natural consequence of vigorous living. We should have no illusions of the adverse health consequences of extreme sport. If we leave Nature to run her course.

After all the first person to run the marathon, Pheidippides, dropped dead at the finish!

Until just the last 100 years or so, few people lived longer than 30-40 years of age. Pre-European Maori seldom lived longer than 30 years, for example. Wearing their teeth out chewing on foods like fern roots, saw to that. Life was harsh for most people worldwide. During my Grandfather's time over 50% of people were dead by 50 or 60 years of age - World wars, industrial accidents, infections and childbirth saw to that. Heavy physical activity, such as tilling the fields, was mostly the responsibility of "young" people. Those who lived to "old age" went for the rocking chair and not the racing bike!

Our biology is such that all of us have a good ten to twenty years of being able to sustain heavy physical activity as adults. Any longer than that and the muscles and joints begin to object; but the odds were, until recently, that we would be dead by then. If you look at animals, few live longer than 10 years and those that do tend to take life at a slow pace. While there may be periods of extreme exertion these are generally brief and seldom frequent. Biologically speaking, if our muscles, joints, tendons and heart manage to serve us for a good ten years then they have done their job. Mother Nature has endowed us with this length of time as high performance machines because that is all that has been needed for as long as Humans have been around for survival of the species.

If we look at phenomenal oldies like Duncan McLean, the Tartan Flash, his daily exercise was not exhausting. I interviewed Duncan in 1978. His exercise routine consisted of light calisthenics and walking - not daily running. If we look at 40yrs+ marathon champion, John Campbell, he gave up running as a junior to work on the fishing boats and returned to running in his late 30's. John still had ten good years left in his legs but not much longer. An earlier running sensation, Jack Foster, similarly left his run very late. Few athletes that train and compete as teenagers are still going strong at thirty. The vast majority are burned out by then.

Of course, there are exceptions, the most obvious to me is my sister, Lorraine, who competed at international level from 16 years old through to about 42 which I think is some kind of longevity record.

It is only in the last 50 years or so that "old" people are expecting to remain physically active beyond retirement. For as long as Human Beings have been around, there has never been any need for muscles and tendons to remain in pristine working order for 60, 70 or even 100 years. We simply never lasted that long! It wasn't that long ago that athletes were expected to retire by 30 years to become administrators or coaches.

If we are to continue to be physically active into very old age, biologically speaking, then we need a whole new set of strategies for physical conditioning and maintenance of health that do not necessarily apply hard and fast to youngsters.

For example: A twenty year old athlete can have a high carbohydrate, low nutrient diet and still perform very well for several years. A 50 year old athlete will almost immediately be getting into trouble if on a similar diet. The muscles and joints of a 20 year old can be smashed and bashed and recover quickly; but the damage is cumulative and will be paid for later on in life. This applies not just to gross damage, such as a torn tendon, but also to the repeated micro damage that is often referred to as "delayed onset muscle soreness" (DOMS). Repeated DOMS causes a gradual hardening and scarring of the muscle belly as the years pass, along with a gradual reduction in performance.

These muscles become more like inflexible leather straps than spongy, resilient muscle. Blood flow through them is reduced, blood pressure rises, the heart works harder, even at rest.

My sister, Lorraine, was always fussing over what she ate, she took dietary supplements daily and was constantly getting work done on her legs by various therapists. I used to think she was a bit of a crackpot, especially with regards to her diet and supplements. How things have changed! I was so wrong. She proved me to be very wrong. Her performances speak for themselves. I am now following down the same path and now have a second chance as an athlete. My performances over the last few years are testament of this. I am getting faster as I am getting older.

The stop watch does not lie!

If we want an athlete to perform well, without limiting aches, pains and fatigue, or risk of dropping dead, beyond thirty years of age, then we need to have a whole new set of rules in place beginning with:
  • First do not injure or hurt (including DOMS).
  • Balance exertion with rest and recovery.
  • Allow time for a young athlete to mature physically and emotionally before subjecting them to extremes of training and competition.
  • Do not inject, cut or medicate an injury unless absolutely necessary.  "Body - Heal Thyself".
  • Ensure a nutrient rich diet, including targeted supplementation (Hair Tissue Mineral Analysis).
  • Stretch daily
  • Massage, massage and even more massage!
It is an interesting observation of sports teams, such as at the Commonwealth Games that the most in demand service is massage. Every athlete wants a daily massage. Its an almost instinctive urge.  So much is massage in demand, that the physios and even the team doctors may have to help out. I would never go with a team as a massage therapist because I would never get to see anything day or night other than the inside of a bland treatment room. Talk about a "Bus Driver's holiday!" Massage, when done well, really does work, Not only does massage relax and soothe, it improves athletic performance. Especially when combined with targeted nutrition.

Massage and nutrition work by countering and even reversing many of the negative effects of vigorous activity combined with getting older. Every active person will benefit from a weekly deep tissue massage and a scientifically formulated nutrition plan.

Slowing down and seizing up is not entirely due to the process of "Ageing". Nutritional imbalances and the scarring of muscles are not "Ageing". If you opt to leave it all up to Mother Nature, be resigned to the inevitability that you will be old before your time.

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About this website
The advice in these articles is given freely without promise or obligation.  Its all about giving you and your family the tools and information to take control of your health and fitness.  Please give me your support by subscribing to my free email updates. Please shop at my Online Store. Please encourage your family and friends to do the same. While we may not always be able to compete with the big operators on price, we aim to more than compensate through personal service!



Your email address:

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Do you have a question?  Email Gary: gary@myotec.co.nz. Include any relevant background information to your question.  Please be patient and be aware that I may not be able to answer every inquiry in detail, depending on workloads (My paying clients take precedence!). I will either reply by email or, most likely, by way of an article (Personal identifying details will be removed before publication).

Tuesday, January 04, 2011

Shoulder pain while running

Trapezius muscle.Image via Wikipedia
Hi there Gary. Whilst I'm out running I tend to get sore shoulders from time to time. Its not a major but very annoying. It dosn't matter if I'm running 5km or 25km. Thanks for your time. Shane
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Gary:
Sit and get somebody strong  to dig their thumbs or elbow into the shoulder muscles (trapezius) it should be obvious that there are painful lumps (knots) within the muscle belly.  These will be the source of your pain.
When running, the trapezius is under static pressure.  If there is already any restriction of blood flow due to muscle knots, then the muscle may be thrust into a state of acute lack of oxygen (ischaemia) and this will be felt as intense cramping in the neck and shoulder and even coldness and numbness extending down to the fingers.
If this is felt during a run, stop and do some arm and shoulder rotations similar to what a swimmer will do as part of their warmup.  Do some neck limbering while you are at it.  If possible, give your shoulders a quick self massage then continue the run.
Longterm prevention requires a weekly deep tissue massage of the affected muscles for as long as there are any hints of any knots.
There may also be a need for magnesium and pyridoxine supplementation.  The best way to determine any dietary needs and to not waste your money is the Hair Tissue Mineral Analysis which you can order through me.
Please tell us how you get on with applying this advice.
_______________________________________
About this website
The advice in these articles is given freely without promise or obligation.  Its all about giving you and your family the tools and information to take control of your health and fitness.  Please give me your support by subscribing to my free email updates. Please shop at my Online Store. Please encourage your family and friends to do the same. While we may not always be able to compete with the big operators on price, we aim to more than compensate through personal service!

Your email address:

Powered by FeedBlitz
Do you have a question?  Email Gary: gary@myotec.co.nz. Include any relevant background information to your question.  Please be patient and be aware that I may not be able to answer every inquiry in detail, depending on workloads (My paying clients take precedence!). I will either reply by email or, most likely, by way of an article (Personal identifying details will be removed before publication).

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Tuesday, August 31, 2010

A soccer player with a chronic groin injury

Anterior Hip MusclesImage via Wikipedia
I was reading up on cortisone shots and came across a post on your blog from 2006. Here is a little back story on my injury. I am 20 years old and I play in the premiere soccer league in XXX. I play for XXX FC. I went through a period earlier this year where I was training twice a day 5 days a week with a game on the weekend. Of course I kept pushing through fatigue and muscle soreness thinking I was young and that my body could take it, what ignorance! Anyway I developed a niggle in my left groin at the insertion point for the adductor longus, this was about 2.5 months ago now.
So I handled it with strengthening exercies and a neoprene sleave. This seemed to do the trick. Then one day I felt a sort of pull at the insertion point and what resulted was a lot of weakness in my left groin. There was no real pain and hasn't been throughout this whole thing, just discomfort, and a dull ache. This happened 6 weeks ago. So I saw my physio, XXXX, and I also went to the XXXX Sports clinic that is tied with XXX University, I saw XXXX. Their diagnosis was a groin strain, that had not quite developed into tendonitis yet.

Monday, December 01, 2008

I am a massage therapist with overuse injuries affecting my wrists and arms


Hi Gary,
I was just doing some research online about the risks of cortisone injections and came across your web page. I was wondering if you could give me your opinion about my wrist problems?

I'm a 26 yr. old female massage therapist. I've been working as a massage therapist for the past 3 years. I have been having a lot of pain on the ulnar side of my wrist next to the carpal bones.
 Ulnar deviation is very painful while I'm working and just doing everyday activities. I just took three months off to rest my wrist to see if the pain would go away. It did a little... but not too much. I have been receiving ultrasound treatments, but they don't seem to do too much. I had nerve conduction testing done because I was having some numbness, but the doctor said my nerves were fine. I'm extremely flexible so the doctor thinks the extreme range of motion in my wrists leaves me vulnerable to injury when I'm massaging. I need to build strength, but I also have tennis elbow from doing massage. Every time I try to use bands to do light strength training, the tennis elbow is aggravated. I feel like I'm stuck in a big catch-22. I just went back to work this week and the pain is right back to what it used to be. My doctor said the next thing we could do is cortisone injections. I'm going back to school to get into a different career because I know I won't be able to do massage for much longer. I wanted to be able to work my way through school by doing massage just part time. Even if I can't do that, I want the pain to go away so i can at least do everyday activities pain
 free.

I wanted to know if there are any other options other than cortisone injections to help relieve my pain? I massage it and stretch it. Warm up before doing massage and ice after. Wear a wrist brace to bed at night. Wear a magnetic bracelet during the day. I would really appreciate any advice you could offer.

Thank you,
Lisa
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Gary:
Lisa, I usually massage several clients daily, so I can identify with the problems you have.
  Massage can be a tough workout; especially when working on gristly male athletes who have run themselves into the dirt!  I do not do relaxing massages - they are hard work designed to restore diseased muscles, tendons and ligaments to a healthy state.  To answer your questions, let me explain how I manage to cope....

I recall it taking the best part of 6-8 months to get my arms up to scratch and this was on top of a background of decades of competitive sport, including kayaking and constant gym work.  there were times that I struggled with tendonitis in the wrists and even now the finger joints are not 100%.  Massaging full-time is repetitive, exhausting and every bit as tough on the upper body as, say doing an all day paddle down a river.

Here is how I cope:
  • I try to limit massages to no more than 4-6 hours per day
  • I try to space the males out so that I do not get too many of them in a row
  • I have a quick snack between clients just as I would if I was competing in an all day multisports event
  • I am a stickler for good nutrition, including tissue salts and the occasional dose of joint food, otherwise how can my body recover and heal?  You can find heaps of information on this website about nutrition
  • My partner, Alofa, is very strong and very good at massage.  Twice or more a week, she gets stuck into my arms and shoulders to work out the knotts and inflammation that builds.  Without this ongoing maintenance massage work, I would be disabled with tendonitis and arthritic joints
  • If I take a break from doing massage, the longest has been about 10 days - any longer and the body deconditions and the risk of injury is high if one then dives back into it full-time
Lisa, if you look at the arms and hands of an experienced professional massage therapist, you will see strong, well defined muscles, tendons and ligaments and huge, profuse blood vessels.  It
 takes years to build these.  I will make the observation that many, if not the majority of young women and men nowadays are fragile as compared to what I recall of my 20's.   Young people generally do not eat well due to low fat diets.  Lack of sunshine ensures general fragility including weak bones and sinews.
  These young people are consequently not well suited for hard manual labour.  You may very well be one of these young people with the extreme range of

 motion being an indicator that this may be the case.  

Picture: Moller family portrait, with the strongest legs belonging to the teenage daughter - Point is strong muscles, sinews and bones like these are less common nowadays

I am not about to tell you to give up.  Better still; train and eat like an athlete preparing for Olympic competition:  Get onto a nutrient rich diet, get regular massages on your upper body and arms and pace yourself.  Restrict massage to every second day with 2 days complete break during a week.  I would not bother about trying to do additional strenghtening exercises.  Use the massage sessions as your workouts and concentrate on recovery and growth between sessions (workouts).

Cortisone is not an option unless you want to become a long term client of mine!   Read my articles about cortisone injections.
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Email Gary: gary at myotec.co.nz (Replace the "at" with @ and remove spaces). Please include any relevant background information to your question.

Tuesday, March 11, 2008

Is building the core muscles the best option for sacroiliac pain relief?


"I have been suffering from sacroiliac joint pain for over a year. Some times the pain is worse than others.

Most recently I went to a Spine Therapy Center and received considerable relief from a few chiropractic maneuvers two doctors performed. A follow-up physical therapy consultation earlier this week included several core muscle-focused exercises, which I am doing twice a day and just about anytime I think about it (sitting at my office desk, etc.).

The Physical Therapist said the adjustments the doctors and he made also would realign my spine and pelvis, but the core muscles must be built up again, particularly on my left side, where the joint pain persists. My muscles on that side are “inhibited” according to the therapist. My next PT visit is Monday morning.

As a backup if the pain persists I am scheduled for an injection on Wednesday. I am naturally concerned about the injection (which prompted me to visit your site) and will probably cancel that appointment if the longer term risks appear to outweigh the benefits.

My lifestyle -- I am a runner and continue to run four days a week (soft surface, 3-mile jogs – nothing too strenuous). Regime includes going to the gym two days a week for light weight resistance work.

I want the pain to go away, but I don’t want the problems that could surface later, nor do I want the risk of diabetes, which is something I have heard is possible with such injections. Does the approach on building the core muscles seem the best option for relief?"

Donna
________________________________
Gary Moller comments:
Donna, while core conditioning is definitely the flavour of the month right now, I do not think it will do much at all for you. Neither will an injection. If it is a cortisone-based one, it may give temporary relief at the cost of lasting relief.

That you are a runner (even "non-strenuous") says it all: The most likely cause of your ongoing pain is that various muscles, including your low back, gluteals, iliotibial band and more are probably in spasm. Traditional forms of PT, including manipulation may give temporary relief, as might medications and stretching. (I am making assumptions based on many years of working with runners and other athletes who run their bodies ragged). But you need to go much further than is offered by these treatments: You need to discover the underlying metabolic causes which may be due to a mineral imbalance, a depletion of a few key amino acids, fatty acids or a set of vitamins. Any of these will cause muscles and joints to lock up.

Good nutrition begins with ensuring that your body tissue salts (minerals) is just right - not too much and not too little of each - and then ensuring that your body has adequate supplies of vitamins, fatty acids and amino acids in more or less that order.

I suggest you begin your quest for pain-free health and vitality by completing the Active Elements Assessment. Take care when answering each question and make liberal use of the "Comments" section to give me plenty of background information.

You will also benefit from seeing an experienced massage therapist who should spend the best part of an hour massaging each group of muscles that are found to be knotted and inflamed. This should commence about a week or so after you begin any nutritional interventions because, if you are nutritionally deficient in any way, the benefits of the massage will be compromised. One massage every 4-6 days for several sessions should see huge improvements if you get the nutrition side sorted.

Wednesday, November 21, 2007

Body PH (acidity) and health


Degenerative diseases, including cancer, heart disease, osteoporosis, arthritis, kidney and gall stones, and even tooth decay are associated with excess acidity in the body.

Acidity in the body can result from several factors coming together to overwhelm the body's natural mechanisms to maintain a slightly alkaline environment of about PH 7.4. These include physical and emotional stress, poor circulation through muscles, limbs and organs, various medications and a poor diet.

So, if you are in a stressful job, unhappy at home, competing hard in sport and eating a diet that is high in acid producing foods you may be setting yourself up for ill health or injury.

The body has a mechanism which maintains a constant pH 7.4 in the blood, this works by depositing and withdrawing acid and alkaline minerals from other locations including the bones, soft tissues, body fluids and saliva. Therefore, the pH of these other tissues can fluctuate greatly. The pH of saliva offers us a window through which we can see the overall pH balance in our bodies.

Some minerals are highly acidic in nature, forming acids like hydrochloric acid, phosphoric acid and sulphuric acid. Others are alkaline, forming base solutions such as calcium, magnesium and sodium hydroxide. These counter the acid forming minerals.

The ideal PH for the human body is in the 7.5-7.1 range.

The range from 6.5 (weakly acidic) to 4.5 (strongly acidic) represents states from mildly deficient to strongly deficient, respectively. Most children are pH 7.5. Over half of adults are pH 6.5 or lower, reflecting the gradual rundown that happens with a stressful life, inadequate diet and the accumulating effects of injury and illness. Cancer patients may have a very low pH of 4.5. Cancer cells thrive in a acid environment.

While I would never go so far as to suggest that an acid environment causes disease, it certainly is associated with ill health, including sore muscles, sore bones, stress and generally feeling tired and unwell. It becomes a "chicken or the egg" question. But who cares? Who cares when the solutions to an acid body are so simple and a person invariably feels damn good when body PH is restored to about 7.5.

A low PH is very common in sports people who are over-trained, eat poorly and who have tight and tense muscles.

The first step is to get your body PH tested. I can do this for you if you are in Wellington using a simple saliva PH Litmus test. Once we know what we are dealing with, we can then set about correcting matters. This usually consists of:
  • Eliminating or reducing acid foods from the diet
  • Eating more alkaline foods in the diet
  • Taking an alkaline supplement from the Floradix range of tonics
  • Rest
  • Massage
The massage is a fascinating one. Tense muscles store acidic metabolic wastes that slowly leak into the rest of the body, poisoning it. If I test body PH before massaging a stressed and toxic body, PH is generally lower than 7.4. Immediately following a massage, the PH can drop several more points, indicating that the body has been flooded with acidic metabolic toxins. This helps explain why a person may feel a little ill for a couple of days after a massage. It also explains why they end up feeling great if they stick to the plan and do several massage sessions on the trot. They feel great because their body has been steadily squeegied of metabolic toxins.

Foods that are acid and alkaline:
  • Strongly Acid foods include: meat, fish, soft drinks
  • Mildly Acid: grains, legumes, nuts
  • Mildly Alkaline: fruits, vegetables, berries, dairy
  • Strongly Alkaline: green leafy vegetables, cabbage, brocolli, spinach, sprouts and cucumber

About PH
"Some problems that can indicate acidosis include: bladder and kidney conditions, immune deficiency, diabetes, weak brittle bones and lactic acid build up. PH is behind the body's electrical system, intracellular activity and the way our bodies utilise enzymes, and minerals, and vitamins. That is why pH is one of the first things to be looked at if you are experiencing an imbalance in your body. Decades ago Dr. Otto Warburg, the only physician to ever win two Nobel prizes, proved that cancer can not exist in an alkaline/high pH environment.

We can eat more alkalinic foods which include brocoli, carrots, dried figs, celery, grains and many fruits. On the other hand, the active ingredient in the soft drink Coke is phosphoric acid. Its pH is 2.8 and it will dissolve a nail in about four days. The phosphates in soft drinks bind to calcium and we can't absorb it. The typical Western diet is largely composed of acidic or acidifying elements (proteins, cereals, sugars). Alkaline foods such as vegetables are eaten in much smaller quantities; their alkaline content is insufficient to neutralize surplus acids.

Stimulants like tobacco, coffee, tea, and alcohol are also extremely acidifying. When we get angry or stressed we are also making the body ph more acidic. Our ph changes not just from the foods we eat, but due to our emotional states". Source: Your Body's ph And It's Relation To Your Health

Sunday, July 08, 2007

Finding a good masseur

I often use massage when helping clients with their injury problems like shin splints and low back pain. It is one of the most effective tools for prevention and recovery from muscluloskeletal injuries.
One of the most frequent requests received is who else, other than myself, can I recommend as a good masseur. This is never easy to answer because there is never one masseur that suits every one and it is impossible to recommend someone in a place other than Wellington. The advice I give is to shop around until you find a masseur who "does it for you". In making this recommendation, I offer a few rules of thumb:
  • Ask about their qualifications. Ideally, they should have completed a course that is recognised by the local qualifications authority. However, this is not always the case and you must not be too quick to judge. In some instances, some the best massage therapists I have ever found are either self taught or come out of places like the Pacific Islands, China and Eastern Europe with wierd qualifications (or none at all) that will never receive official recognition in the West.
  • Time spent massaging = quality.One of the reasons most physical therapy treatments don't work is because proper treatment takes time. If the therapy (including massage) is less than 30 minutes, or if the therapist relies on fancy machines, drugs and potions, then it probably is not good enough for you. Effective massage requires time spent with the hands on the body. An hour is a good start and 40 minutes ongoing would be acceptable.
  • Choose somebody with strong hands. A proper massage is not a tickle and rub: It requires strength and stamina to progressively work into the knotted ligaments, muscles and tendons and to soften and separate them from surrounding structures. This takes time and a lot of energy by the masseur.
  • Stay away from masseurs that hurt. While it is essential that the masseur works to break down knots, scars and trigger points, this should be a progressive process. If the masseur dives right in to pummel out a painful trigger point with their elbow and various torture tools, this will only cause the muscle to tense and tighten. A good masseur will carefully and progressively work on the painful spots for as long as 1/2 and hour at a time, steadily increasing the pressure as the muscle relaxes and the knots soften. While this process can be very unpleasant you must be able to relax the muscles; if you feel yourself tensing, crying out in pain, or tears are welling, then the masseur is overdoing it.
  • No manipulation! Especially if this is to the neck or any other part of the spine. The only exception is if it is done by a trained professional who has several years of formal training in the procedure. The best professionals for doing this procedure safely and effectively are chiropractors and osteopaths. I am very wary of others, including most physiotherapists and doctors with additional qualifications in spinal manipulation. Their hours of formal training in this potentially hazardous procedure simply do not compare to the training undertaken by a chiropractor or osteopath. When it comes to spinal manipulation, my advice is to stick to the experienced specialist.
  • Give it time. Apply the 21 day rule. This means 2-3 massages per week for 3 weeks. If the massage is going to be beneficial, you will know for sure by 21 days. By 21 days, any knots, trigger points and injuries should be noticeably improved; you will be feeling great and will be moving and exercising much more freely and for longer. Ongoing 1-2 massages per week of the hard working areas is one of the most effective ways to keep tthe musculoskeletal system working well.
  • Check out your diet while you are at it. If you are troubled with painful knots and general aches and pains, you may have depleted your body of essential nutrients, including B vitamins and minerals, including magnesium. By doing a course of boosting your body's stores of various nutrients, you might be amazed at the difference this makes to how your body feels, especially the way your body handles stress and hard physical activity. All of what you need is available from my store.
Save yourself some money: Once you have learned what works for you by seeing a trained professional and once you are on top of your problems, why not coach your partner or a friend how to do, say, your knotted shoulders? Then return the favour. This sort of contra deal is always welcomed!

Tuesday, May 15, 2007

Buttock pain caused while training for and running a marathon

XXXX told me to send you an email to ask if you could possibly let me know any stretches etc that I can do to remedy an area that is sore. The position of it is on the right side of the body below the hip bone and a hand width towards the buttock. I have recently completed the Rotorua Marathon and it hasnt stopped hurting yet. It doesnt hurt all the time, just in certain positions or twists of the body. I read your "Training for a Marathon" guide and I think it came on when I was training in the country and running on the side of the road (bad camber). I do have a weak core (ie because of 3 births), use orthotics and have tight butt muscles (prev unstretched). I think my diet is ok. I would really appreciate your advise.
Many thanks, Caroline
________________________________________
Gary Moller comments:
Caroline, the pain you describe is most likely due to spam of muscles deep in the buttock. It is probably the piriformis that is most affected (But let's not get carried away with the fancy names - it is still just a pain in the butt!). This is probably the most common chronic injury issue that runners ask me about.

Fixing the problem is a three-pronged approach of stretching, nutrition and massage. While working on your core strength is worth doing, it is unlikely to be of direct benefit (As an aside, I think core strength is an over-rated thing that serves mostly to keep a lot of fitness instructors employed teaching and supervising an ever-increasing array of complex exercises).

Exercises
Caroline, you need to get my book on Back Pain (http://www.myotec.co.nz/ ) and to do the hip and low back exercises with emphasis on the exercises that you will find on pages 59, 65, 70, 72, 95 and 96. Exercise 72 is the most important and you may find that this really hits the painful spot of the butt muscle. Hold each stretch for several seconds at about the point of mild discomfort, relaxing the body. Release the stretch a little for a second or two and then reapply the stretch and repeat the cycle several times, swapping now and then between legs. One good set of stretching per day is more than sufficient.





Nutrition
You can just about guarantee that you are low in various essential minerals, including calcium and magnesium. It does no harm and probably does much good to do a course of mineral supplementation because one of the symptoms of mineral depletion is muscle pain and spasm. I recommend either a course of Nutra-Lifer Calcium Complete or, better still, a course of Floradix Calcium-Magnesium formula. While Floradix is more expensive, its quality and bioavailability is unsurpassed. You should also take a vitamin D supplement, like Red SEal Cod Liver oil, or Thompson's Vitamin D capsules, through winter because low vitamin D prevents proper use of minerals by your cells.(All available through http://www.myotec.co.nz/ ).

Massage
I strongly recommend a course of massage of the affected muscles. A good massage therapist will locate the tender and knotted parts and progressively massage them and the surrounding areas to break the spasm, soften up the knotts and encourage circulation through the affected areas. This can be quite painful and takes about an hour per session and must be repeated several times every fourth day. The first few sessions may leave you sore and tired over the next few days. Done right, along with the nutrition and stretching, you should notice a steady improvement by way of less pain and better function from about the third session onwards. By about 21 days, you should be back to striding freely. I provide this massage service here in Wellington.

Let us know how you get on Caroline.


Wednesday, March 28, 2007

Why does running ruin flexibility so much more than does cycling?

If you do a lot of distance running you may be aware that there is a progressive loss of flexibility of the running muscles. This is a progressive process that slowly reduces the long flowing stride of adolescent years to a painful looking middle-aged hobble that looks more akin to a tip-toe through the tulips than an awesome display of sustained athletic prowess. No matter how diligent one is with stretching, the battle to maintain flexibility seems to be a lost cause.

Although cycling is a highly repetitive and restrictive action, there is little consequent loss of flexibility (Mind you, some of the worst sporting posture one will ever see are found in cycling; but this is mostly due to muscle imbalances and sloppy habits).


The differences are due to the differing effects of concentric versus concentric exercise on the body.

All exercise is a combination of concentric and eccentric exercise. What varies is the content.

Concentric = shortening muscle by its own contraction

  • Muscle relaxes while lengthening
  • No tearing of muscle tissue – no muscle soreness
  • Blood flow through the muscle is enhanced
  • Risk of muscle and tendon injury is very low
  • Recovery is 24-36 hours
Eccentric = contracted muscle is forcefully lengthened
  • Blood flow is occluded
  • Contracting muscle is forcefully lengthened
  • Causes delayed onset muscle soreness
  • Risk of muscle and tendon injury is high
  • Recovery is 3-5 days
When the tissue that was damaged from eccentric exercise is repairing, fresh collagen is being laid down. The tendency is for this to cause the muscle to lose elasticity and length.
Cycling is close to 100% concentric exercise, as are sports like rowing and swimming. Running, on the other hand, is probably 50% eccentric and this rises to almost 100% when running downhill. Walking is much less eccentric in nature than running, so it is much safer to do.
Eccentric versus concentric explains why a cyclist can ride hard day after day without apparent ill effects and why swimmers can train for hours every day of the week. Because running is highly eccentric in nature the damage to tendons and muscles is high necessitating great care with ensuring adequate recovery between training sessions. This is why a good running programme seldom has you running hard or long on consecutive days.
How do we prevent this progressive loss of flexibility and painful knots (trigger points) in muscles and tendons?



How to maintain flexibility when running a lot
  • Do not run hard on consecutive days - do other activities in between that take the muscles and joints through their full range of movement. This can be Yoga, dancing, gym work or simple calisthenics, for example
  • Do not run hard out downhills, especially on hard pavements - this is just too damaging to the muscles and tendons
  • Do running drills at least once a week in running training that take the muscles and joints through their full range of motion (Running goach, Arthur Lydiard, made good use of hill bounding and other drills to produce athletes with awesome strength and power)
  • Stretch daily, preferably after a long hot bath and do so Yoga-style. Refer to these exercises. And these ones.
  • Ensure your body has plenty of antioxidants, including vitamin C inside to soak up damaging free radicals that are produced by damaging eccentric exercise. Additional omega oil in the form of flax seed and fish oil may assist with prevention and repair, as will joint food formulas which are beneficial for all connective tissue of the body
  • Take supplementary magnesium and B vitamins to assist with relaxing the muscles and nerves.
  • Have a deep tissue massage of the running muscles up to three times per week, concentrating on softening any hard and painful knots