Educational resource for female professional cyclists on arterial flow restriction in one or both legs due to kinking and/or endofibrosis of their iliac arteries
More than 20% of professional cyclists develop complaints during their career due to a vascular disease of the pelvic artery.
Many riders may have a vascular problem, but not know it, as the condition is not well-known and symptoms are often associated with the normal physiological process of exhaustion during cycling.
If the cause is not found and diagnosed, riders think they lack the talent and consider quitting, ending their professional cycling career.
Read our presentation below to understand more about this condition and hear directly from female cyclists who have EIAE.EIAE_TCA
Medical Professionals utilised by the cyclists we researched*
*This is purely informational and not a recommendation. Source: TCA EIAE Survey April 2021
- United Kingdom
- Professor Robert Hinchliffe (North Bristol NHS Trust, UK)
- Mr Andrew Weale (North Bristol NHS Trust, UK)
- Dr Adam Howard (Ramsay Oaks Hospital, Colchester University Hospital and Ipswich Hospital, UK)
- Mr Andrew Tambyraja (Royal Infirmary of Edinburgh as a Consultant Vascular Surgeon, Scotland)
- Mr Andrew McKinley, Belfast Royal Victoria Hospital, Northern Ireland
- Dr. Gian Franco Veraldi in University Hospital of Verona, Department of Vascular Surgery
- Margaret C Tracci, MD (UVA, Charlottesville, VA)
- Peter B. H’Doubler, Jr., MD (Emory Saint Joseph's Hospital in Atlanta, GA)
- Dr. Kenneth J. Cherry, M.D. (Sentara Vascular Associates at Sentara Norfolk General Hospital in Norfolk, VA USA)
- Dr. Michael Lee, M.D. and Dr. Jason Lee (Stanford Healthcare, Bay Area, USA)
- Dr Phillip J. Church, M.D., (Seton hospital on 38th street in Austin, Texas)
Further Reading: Rider blogs / news articles
- Charlotte Colclough - "During a race in August 2017, my left leg went very numb and weak. After this it was very obvious something was wrong. Just walking upstairs would bring on extreme burning from lactic acid. At rest it was OK but any sort of exercise brought on the burning.”
- Simone Boilard - “It all started in early 2019 when I couldn't push on my bike anymore. At first it was just a feeling of heavy legs.”
- Pauline Ferrand-Prevot - Ferrand-Prevot was first diagnosed with the problem, which limits blood flow in the affected area, at the end of the 2018 season after a long stretch of feeling unable to put normal amounts of power into her leg.
Further Reading: Medical Papers
- Iliac Artery Flow Limitations in Endurance Athletes (Andrew R. Getzin and Marc Richard Silberman)
- Endofibrosis and Kinking of the Iliac Arteries in Athletes: A Systematic Review (G. Peach, G. Schep, R. Palfreeman, J.D. Beard, M.M. Thompson, R.J. Hinchliffe)
- Arterial endofibrosis in professional cyclists (G.F. Veraldi, M. Macrì, P. Criscenti, l. Scorsone, C.C. Zingaretti, M. Gnoni, l. Mezzetto)
- Mid-Term Results of External Iliac Artery Reconstruction in Avid Cyclists: Analysis of Twenty-five Patients (AD. Politano, MC. Tracci, N Gupta, KD. Hagspiel, JF. Angle, KJ. Cherry)
- Results of external iliac artery reconstruction in avid cyclists (Presented at the 2011 Vascular Annual Meeting of the Society for Vascular Surgery, Chicago, Ill, June 16-18, 2011)
- Ankle to brachial systolic pressure index at rest increases with age in asymptomatic physically active participants
- Endofibrosis of Iliac Arteries in High-Performance Athletes: Diagnostic Approach and Minimally Invasive Endovascular Treatment
- Ankle to brachial pressure index in normal subjects and trained cyclists with exercise-induced leg pain (Taylor AJ, George KP)