Breaking the Cycle: How Exercise Can Improve Symptoms of May-Thurner Syndrome

AvatarByGenny Wilkinson Priest

May-Thurner syndrome, also known as iliac vein compression syndrome, is a relatively rare condition that affects the circulation in the lower extremities. It occurs when the left iliac vein, which carries blood from the legs back to the heart, becomes compressed by the overlying right iliac artery. This can lead to various symptoms such as leg pain, swelling, and even blood clots. While medical treatments such as stents or anticoagulants are commonly used to manage this condition, there is emerging evidence suggesting that exercise may also play a crucial role in improving outcomes for those with May-Thurner syndrome. In this article, we will delve deeper into how exercise can benefit individuals with this condition and provide practical tips on incorporating physical activity into their daily lives. So let’s get moving towards a better understanding of May-Thurner syndrome and exercise!

What is May-Thurner Syndrome?

May-Thurner Syndrome (MTS) is a rare vascular condition that affects the iliac veins, which are located in the pelvic region. This syndrome occurs when the left iliac vein becomes compressed by the right iliac artery, causing a partial or complete obstruction of blood flow. This compression can lead to the development of blood clots in the affected area, which can cause serious health complications if left untreated.

How does Exercise impact May-Thurner Syndrome?

Exercise plays an important role in managing May-Thurner Syndrome and its associated symptoms. Regular physical activity can help improve blood flow and reduce the risk of blood clots forming in the affected area. It also helps to strengthen the muscles surrounding the veins, promoting efficient blood circulation and reducing discomfort caused by MTS.

Types of Exercises Recommended for MTS Patients

While exercise is beneficial for people with MTS, it’s essential to consult with your healthcare provider before starting a new workout routine. Each case of MTS is unique, and your doctor will guide you on which exercises are suitable for you based on your current health condition.

1. Low-impact Cardiovascular Exercises
Low-impact cardiovascular exercises like brisk walking, swimming, or biking can help improve blood circulation without putting too much pressure on your affected veins. These exercises also provide a low-intensity workout for people with limited mobility due to pain or swelling caused by MTS.

2. Strength Training
Strength training exercises assist in building muscle strength and improving overall body function. For people with MTS, focusing on strengthening leg muscles like quadriceps and hamstrings is vital as these muscles surround the iliac veins and help promote healthy blood flow. Leg presses, squats, and lunges are some examples of strength training exercises that can benefit individuals with MTS.

3. Stretching Exercises
Stretching exercises help to improve flexibility and reduce the risk of injury. People with MTS can benefit from stretching exercises that target the hips, thighs, and gluteal muscles. These stretches can also help relieve tension in the pelvic region and promote blood flow to the affected area.

4. Yoga
Yoga is an excellent form of exercise for people with MTS as it combines gentle movements with deep breathing techniques. This low-impact exercise can help improve balance, flexibility, and overall blood circulation while reducing stress levels. However, it’s essential to consult with a certified yoga instructor who is familiar with MTS before starting any yoga practice.

Tips for Exercising with May-Thurner Syndrome

1. Start Slowly
If you’re new to regular physical activity, it’s crucial to start slowly and gradually increase the intensity over time. Pushing yourself too hard can lead to injury or worsen the symptoms of MTS.

2. Stay Hydrated
Staying hydrated is essential for everyone, but it is especially crucial for individuals with MTS as dehydration can lead to thickening of blood, making it more prone to clotting.

3. Listen To Your Body
If you experience any discomfort or pain during exercise, stop immediately and consult your doctor. Exercising should not cause additional strain or discomfort in your affected veins.

4. Wear Proper Attire
Wearing comfortable and loose-fitting clothing during exercise can help promote proper blood flow in the affected area while reducing any constriction caused by tight clothing.

5. Take Breaks
If you feel tired or experience increased discomfort during a workout session, take breaks as needed. Regular breaks can help prevent overexertion and provide an opportunity for your muscles to recover.

Precautions while Exercising with May-Thurner Syndrome

While exercising is beneficial for people with MTS, there are certain precautions that need to be taken to ensure safety and reduce the risk of complications.

1. Avoid High-Impact Exercises
High-impact exercises like running or heavy weight-lifting can put strain on the affected veins and increase the risk of blood clots. It’s best to avoid these types of exercises if you have MTS.

2. Don’t Sit or Stand for Prolonged Periods
Individuals with MTS are advised not to sit or stand in one position for an extended period. This can cause blood to pool in the affected area, increasing the risk of blood clots. If you have a desk job, take frequent breaks to stretch your legs or go for a short walk.

3. Be Cautious with Inversions
Some yoga poses involve inversion, where your head is below your heart. This position can put pressure on the affected veins and should be avoided by people with MTS.

In conclusion, regular exercise has numerous benefits for individuals with May-Thurner Syndrome, including improved blood circulation and reduction of symptoms associated with this condition. However, it’s essential to consult with your healthcare provider before starting any new exercise routine and take necessary precautions to ensure safety

Understanding May-Thurner Syndrome

May-Thurner Syndrome, also known as iliac vein compression syndrome, is a condition that affects the lower extremities of the body. It occurs when the left iliac vein, which is responsible for transporting blood from the left leg to the heart, becomes compressed by the overlying right iliac artery. This results in reduced blood flow and can lead to a number of severe health complications if left untreated.

The condition was first described by Dr. May and Dr. Thurner in 1957, hence its name. It is estimated that May-Thurner Syndrome affects approximately 2-5% of the population, with women being more prone to developing it compared to men. Although it can occur at any age, individuals between 20 and 50 years old are most commonly affected.

Causes of May-Thurner Syndrome

The exact cause of May-Thurner Syndrome is still not fully understood. However, some risk factors have been identified that increase one’s chances of developing this condition. Some of these risk factors include:

1. Genetics – Some studies have shown that there could be a genetic component associated with May-Thurner Syndrome, with certain families having a higher incidence.

2. Pregnancy – During pregnancy, hormonal changes occur which can lead to an increase in the size of blood vessels and put pressure on the iliac veins.

3. Trauma – Injuries or surgeries involving the pelvic region can result in compression or damage to the left iliac vein.

4. Prolonged sitting or standing – Individuals who spend long periods sitting or standing without movement may be at a higher risk of developing this condition as it puts pressure on the veins and restricts blood flow.

5.Hormonal contraception use – Studies have shown that hormonal birth control methods such as birth control pills or patches can increase one’s risk of developing May-Thurner Syndrome.

Symptoms of May-Thurner Syndrome

May-Thurner Syndrome can manifest with symptoms ranging from mild to severe, and these may vary from person to person. Some common signs and symptoms that may indicate the presence of this condition include:

1. Swelling or edema in the affected leg(s) – This occurs as a result of reduced blood flow and can be accompanied by pain.

2. Pain in the lower extremities – The affected leg may experience a dull ache or cramping sensation, which worsens with physical activity.

3. Skin discoloration – The skin in the affected leg may appear discolored, usually reddish or bluish, due to lack of proper blood flow.

4. Varicose veins – These are swollen, twisted veins that commonly occur in the legs and are caused by a backflow of blood.

5. Ulcers – In extreme cases, the affected leg(s) may develop ulcers as a result of prolonged inadequate blood supply.

Treating May-Thurner Syndrome

The treatment for May-Thurner Syndrome is aimed at alleviating symptoms and restoring proper blood flow to the affected leg(s). The treatment options mainly include non-invasive procedures such as:

1. Anticoagulant therapy – This involves taking medication that helps reduce the risk of blood clots in individuals with May-Thurner Syndrome.

2. Angioplasty and stenting – A minimally invasive procedure where a catheter is inserted into the blocked vein, followed by insertion of a small mesh tube (stent) to keep the vein open.

3. Thrombolysis – A procedure where clot-dissolving medication is injected directly into the blocked vein using a catheter.

4. Bypass surgery – In rare cases where other treatment options have failed, bypass surgery may be recommended to redirect blood flow around the blocked vein.

Role of Exercise in Managing May-Thurner Syndrome

Exercise plays a crucial role in managing May-Thurner Syndrome. Regular physical activity helps improve blood circulation, strengthen muscles and joints, and prevent complications associated with this condition. When engaging in exercise, some important factors to consider include:

1. Low impact activities – Individuals with May-Thurner Syndrome are advised to engage in low-impact exercises such as walking, cycling, and swimming that do not put too much strain on the lower extremities.

2. Gradual progression – Exercise should be started slowly and gradually increased to avoid overworking the affected leg(s). It is recommended to consult a healthcare professional before starting any new exercise routine.

3. Proper warm-up and cool-down – Warming up before exercise helps prepare the body for physical activity while cooling down after exercise helps reduce muscle soreness and prevents injury.

4. Compression stockings – These are specialized stockings that improve blood flow in the legs and can be worn during exercise to help reduce pain and swelling.

5. Listen to your body – If any form of exercise causes discomfort or pain, it is advisable to stop immediately and consult a healthcare professional.

Lifestyle Changes

In addition to regular exercise,

1. What is May-Thurner Syndrome?
May-Thurner Syndrome is a condition where the iliac vein, located in the pelvic region, becomes compressed by the adjacent artery, causing obstruction of blood flow and potential blood clots.

2. How common is May-Thurner Syndrome?
May-Thurner Syndrome is a relatively rare condition, affecting around 2-5% of the population. However, it is often underdiagnosed and can lead to serious complications if left untreated.

3. Can exercise worsen symptoms of May-Thurner Syndrome?
While exercise does not directly cause May-Thurner Syndrome, certain physical activities that put pressure on the affected area may exacerbate symptoms. It is important to consult with a doctor before starting any new exercise routine.

4. What types of exercises are recommended for individuals with May-Thurner Syndrome?
Low-impact exercises such as walking, swimming, and cycling are generally safe for individuals with May-Thurner Syndrome as they do not put excess pressure on the affected area. It is also important to incorporate strength training exercises to improve overall cardiovascular health.

5. Are there any exercises that should be avoided for those with May-Thurner Syndrome?
High-impact exercises such as running and jumping should be avoided for individuals with May-Thurner Syndrome as they can increase the risk of blood clots in the legs. Additionally, weightlifting or other activities that require straining may also aggravate symptoms.

6. Can exercising help improve symptoms of May-Thurner Syndrome?
Regular exercise can help improve blood flow, reduce swelling in the legs, and alleviate symptoms associated with May-Thurner Syndrome. However, it should always be done under the guidance of a healthcare professional to ensure safety and effectiveness.

In conclusion, May-Thurner Syndrome (MTS) is a rare condition where the left iliac vein is compressed by the right iliac artery, leading to venous insufficiency and potentially dangerous blood clots in the legs. While exercise may seem counterintuitive for those with MTS, it has been proven to have numerous benefits in preventing and managing this condition.

Through regular exercise, individuals with MTS can improve their overall circulation and reduce the risk of developing blood clots. Low-impact activities such as walking, swimming, and cycling can also help manage symptoms such as pain and swelling in the legs. In addition, incorporating strength training exercises can improve muscle tone and prevent venous stasis.

It is important for individuals with MTS to consult with their doctor before starting an exercise routine. They can provide personalized recommendations based on the severity of their condition and any other existing health issues. It is also crucial to listen to your body and make modifications as needed to avoid aggravating symptoms.

Aside from physical benefits, regular exercise also has mental health benefits for those with MTS. It can improve mood, reduce stress and anxiety levels, and increase overall well-being. This is especially important for individuals with chronic conditions who may experience increased emotional distress.

In conclusion,

Author Profile

Avatar
Genny Wilkinson Priest
Genny Wilkinson Priest began her journey into Ashtanga yoga in 2000 while working as a journalist in her native New York City. Initially drawn to the practice for its physical benefits, Genny soon discovered the profound mental advantages, especially during the challenging period following the 9/11 terror attacks.

Which she covered as a journalist for Reuters. Her professional career took her to Singapore, where she wrote for Time Magazine, and then to Paris, before she finally settled in London.

As her family expanded to include four boys, Genny decided to leave full-time journalism to immerse herself in yoga studies. She achieved certification as a Shri K Pattabhi Jois Ashtanga Yoga Institute Authorised Level 1 teacher, a British Wheel of Yoga teacher, and a Yoga Alliance-certified teacher.Genny’s passion for yoga philosophy led her to pursue a Master’s Degree in the Traditions of Yoga and Meditation at SOAS in London.

From 2024, Genny Wilkinson Priest has started writing an informative blog on the “Niche Name” niche. She writes informative posts and answers queries on topics that people seek in the niche. This transition marks a significant shift from her previous focus on journalism and traditional media to a more interactive and digital form of communication.

Genny’s blog aims to provide valuable information and foster a community of yoga enthusiasts who can learn and grow together. Her extensive background in both journalism and yoga practice ensures that her content is both authoritative and engaging.