So I've been trying to sort out some recovery issues for about two years now. It's been a frustrating process. I've done blood panels, worked with nutritionists, nothing would resolve my muscle fatigue issues at higher efforts. Someone on ST mentioned I should explore Illiac Artery Endofibrosis as a possible cause. Unfortunately, they were right.
I did an Ankle Brachial Index on my bike this morning at the vascular surgeons office and sure enough, it came out positive. I have mixed feelings about this. Obviously, I'm bummed - No more racing bicycles for me. On the other hand, I'm a bit relieved. Tryng to live the roadie lifestyle with this has been painful and demoralizing.
I've pretty much decided not to pursue a surgical correction for a couple of reasons:
1. My V02 Max is 50. I'll never be able to go out and crush peoples souls even when I'm at 100%.
2. The corrective surgery is REAL surgery and carries risks - not just immediately after the surgery but there's a risk of infection for the rest of my life.
3. Even after the surgery, there's no assurance that the problem won't come back.
4. I'm 41 and my days of racing would be numbered anyway.
5. My vascular surgeon seems to think that doing nothing may allow the problem to correct on it's own (though racing would make it come back).