
Physiological Conditions Created During and After Exertion
(Training, Workouts, Competition)
During Exertion:
High levels of exercise produce high levels of metabolic waste which the body can not clear completely during exercise. This is a cascading effect. The longer the duration of high exertion exercise, the greater the accumulation of metabolic waste and water. Simply put, the increasing accumulation of waste and water in the muscle causes a decrease in performance and an increase of muscle fatigue. In the endurance racing community, this is known as VO2 max and Lactate Threshold but research has shown the Lactic Acid is not the only culprit to fatiguing muscles and deceasing performance. Many element make up metabolic waste, the two most notable are lactic acid and carbon dioxide. There is a long list of other elements that need to be removed as well, to allow muscle to perform at their peak. Athletes that efficiently excise these elements via the venous and lymphatic system can usually perform at a higher level (at or near lactate threshold) with greater endurance.

Much of the training for endurance athletes is to increase their lactic threshold and VO2 max so as to maintain very high levels of activity just below the thresholds. In effect, they are training to burn less and perform more. Less they burn, the longer one can go and the slower the build-up of metabolic waste in the muscle causing fatigue. They are training their bodies to clear as much as they burn. Unfortunately for most, the clearing function cannot keep-up with the burn rate of the fuel delivered. It is a fact of life that the arterial system is designed to deliver lots of fuel for the Fear-Flight response but the venous system does not have corresponding capacity to keep up for long duration. The arterial system has much more capacity than we can use under most circumstances. The problem is getting the waste removed so that fatigue does not set in or getting the waste removed quickly so that we are ready to perform in the shortest time possible. We are designed to flee and then have adequate time to recover. How much time to recover is a challenge for the endurance athlete.

About The Arteries and Veins:
Arteries deliver fuel in the form of blood and plasma, veins remove deoxygenated blood, water, CO2 and other metabolic waste molecules from the muscle and surrounding tissue. Arteries pump and veins do not. Arteries have the benefit of the heart to pressurize the system and have smooth muscle that rhythmically pump blood throughout the body and into the capillary where O2, water, nutrients such as proteins, glucose, amino acids, hormones, minerals, everything a cell needs to survive and synthesize energy is delivered. Water, CO2, Lactic Acid (in muscle tissue) and a myriad of other metabolic waste molecules are the absorbed into the veins or lymphatic system. Vein take up 80 to 90% of the fluid and micro-molecular waste. Veins rely of skeletal muscle activity to move the deoxygenated blood and fluid back to the heart, lungs and organs for processing. The Calf muscle and the bottom of the Foot are the primary pumps in our legs. Exercise is essential to remove large amounts of fluid and waste from tissue and muscles. What keeps the venous system moving while at rest is breathing and contraction of the abdominal respiratory muscles. Replicating the muscle pumps in the legs, while at rest, is key to enhancing recovery.
After Exertion:
When the athlete stops exercising, venous return decreases significantly, slowing the evacuation of Lactic Acid, Carbon Dioxide, other Metabolic Waste and water. The challenge is to continue the process of clearing these elements after exercise has stopped so as to NOT allow the accumulation of these waste to sit in the muscle for long periods of time. By clearing these elements quickly, better O2 perfusion occurs as does the delivery of plasma through capillary action of blood flow. Plasma and O2, are the lifeblood of health cells. The more cells get, the healthier they are. The accumulation of Lactic Acid, Carbon Dioxide, water and the other metabolic waste blocks the perfusion of new “food” to the cells. Lactic Acid clears relatively quickly (in a matter of a couple of hours or less), but many of the elements in Metabolic Waste can take a much longer time, so long that soreness can increase or even onset up to 48 hours later. Thus, clearing these elements quickly and efficiently through improved and energized venous return is essential for healthy cell proliferation and activity.
Active Recovery Vs. Passive Recovery
Active Recovery is generally defined as light aerobic exercise such brisk walk, jog, low intensity cycling, some forms of yoga, any exercise that is minimal in intensity. The point is to clear lactic acid quickly and energize the all levels of the venous system. Because this type of recovery involves exercise, it is relatively poor at respiratory recovery and processing large quantities of CO2 as well as restoring Glucose, amino acid levels and replenishing other essential elements in the muscle.
Passive
Recovery employs R.I.C.E. - Rest, Ice, Compression and Elevation. Rest allows the
muscles to be replenished with glucose, amino acids and other essential elements
relatively quickly especially in conjunction with ice baths and Hot-Cold contrast
therapy. Ice and contrast therapy is the passive technique to keep the blood flow
energized to delivery larger quantity of nutrients to the muscles. Compression
in the form of Hydrotherapy or compression garments serves recovery in two ways,
first to increase pressure in the interstitial space and increase osmosis of fluid
into the venous system and secondly to increase CO2 uptake into the blood. Elevation
further promotes venous flow by means of gravity.
The RecoveryPump® delivers the best of both worlds as it temporarily increases circulation at all levels of the venous system, Deep Veins, Saphenous veins, Superficial and Perforator veins and reduces soreness and fatigue, simulates muscle massage all while at REST, using COMPRESSION and can be done with legs ELEVATED.

Using Active vs. Passive Compression:
A lot of athletes are using passive compression as a major part of their Recovery process. The use of compression stocking are common place in the endurance sports but like in the medical field, they are effective at preventing conditions from getting worse but are minimally effective at evacuating fluid and blood without ambulation. Compression garments do increase the pressure in the interstitial spaces, the area between the skin and the muscle which helps increase absorption of collected fluids back into the veins. If a walk, stationary bike at low intensity, Yoga or other exercise program is part of your recovery routine, using compression garments during these activities will work well. For those that stand for long periods of time, or are attached to a desk, the compression garments do help to prevent pooling of blood and fluid but one must ambulate to remove the excess. We are advocates of using stockings after use of the RecoveryPump® System so as to maintain the therapeutic value of the therapy having temporarily increased venous return and reduced swelling.

The
RecoveryPump® mimics the action of the Calf and Foot Pumps in our legs when we exercise.
The nature of the pumping action of the RecoveryPump is considered Active Recovery
as stated in the science and studies conducted on the subject of Sports
Recovery (see studies on this subject at the top of the page) but achieves the benefits
of Passive Recovery because the therapy is conducted at rest. Until Pneumatic Compression
was introduced to endurance sports, Active Compression involved light exercise,
preferably weight bearing ambulation. Even this level of exerciseaccompanied
with passive compression (Garments), takes considerable time to clear the muscle
because there is significant delivery of “fuel” from the cardio-vascular response
to this activity.
Using Active Compression for Recovery- temporarily increase circulation
and reduce soreness and fatigue. Massages muscles.
Using Passive Compression (Garments) for Recovery- prevents pooling of
blood and fluid, increases circulation in superficial veins, helps to maintain gains
throughout the day.
Used together makes for a great combination!
Contact Hillary for Pro Pricing
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Compression Pumps in Athletics | |
| IPC Sports Recovery Enhancement2.pdf | |
| Intermittent compression after exercise.pdf | |
| IPC Effect on stiffness, soreness strength.pdf | |
Sports Physiology | |
| 2.1 Study_Exercise Recovery.full.pdf | |
| 2.2 Bbloodflow thru Calf.pdf | |
| 2.3 Exercise, Lactate and Anaerobic Threshold.pdf | |
Abstracts - Sports Physiology and Recovery (For full text studies of these abstracts, please contact Doug Weatherby to order) | |
| Various - Exercise Physio Abstracts.pdf | |