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Re: Preventing Iliac Artery Endofibrosis - Cycling Overuse Injuries [trishkarter]
Sorry, I thought the other thread had more of a discussion on recovery. As little red said, there will be some individual variation in recovery. I had iliofemoral bypasses on both legs at the same time (not patches because it was too blocked and I also have a DVT history), so I had one center (abdominal) incision and one groin incision in each leg. The center incision hurt for a couple of months, which is normal. My surgeon was very specific about not swimming for six weeks, mostly because my abdominals had been cut open, and then I was only allowed about 1000 yards/workout for a few more weeks. I started riding the trainer for ~20 minutes after about 6 weeks, rode outside at about 8 weeks. Before I started riding, I saw a good bike fitter (Phil Casanta at Hypercat Racing) -- told him my situation, he researched it, and gave me a position that opened up my hip angle as much as possible, to about 110 degrees on my road bike. I still had pain the first couple of weeks of outside riding but that did go away. I rode a 5:20ish century 5 months after surgery. I think I started running after about 8 weeks as well, but just a couple of miles at a time.

The bane of vascular surgery is intimal hyperplasia, which, simply put, is the formation of scar tissue inside the repaired artery. It's a normal healing process, but if it's significant enough, it will block the artery again. Most of that is largely out of your control, but avoiding any additional injury to the intervention site can only be helpful. You really want to do all you can to prevent additional stress there before it's all healed. Taking a slow return is important to that healing process.

I also had a lot of muscular imbalances related to 25+ years of having this issue. I worked with (and am still working with) a very good MAT (Muscle Activation Technique) guy (Blair Ferguson, Ventura, CA) to get things firing correctly again. That has been a lifesaver for me.
Last edited by: HeidiC: Dec 15, 14 9:14

Edit Log:

  • Post edited by HeidiC (Cloudburst Summit) on Dec 15, 14 9:14