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Preventing Exercise-Induced Vasculitis

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Exercise-induced vasculitis occurs due to heavy strenuous exercises. Read this article to learn more.

Medically reviewed by

Dr. Ashaq Hussain Parrey

Published At May 30, 2023
Reviewed AtMay 6, 2024

Introduction

People hit the gym, trying to improve their health and wellness. But instead of feeling better, they find themself worse than when they started. People experience joint pain, muscle aches, and sometimes even fever. This could be caused by exercise-induced vasculitis.

Exercise-induced vasculitis (EIV) is a disorder that causes inflammation of the blood vessels due to excessive exercise or physical activity. It can impact people from all walks of life, from athletes to casual fitness enthusiasts. If left untreated, it can lead to serious complications. This is why it is important to understand its causes and symptoms and how to prevent them.

What Is Exercise-Induced Vasculitis?

Exercise-induced vasculitis, or EIV, is a harmless form of cutaneous small vessel vasculitis that usually appears after prolonged and strenuous workouts, usually in athletes. It is an inflammation of the blood vessels that occurs when the endothelium (the thin, inner layer of cells lining the arteries) suffers damage due to physical activity. This can range from running to weightlifting and can even occur in less strenuous activities, such as cycling and yoga.

The symptoms of exercise-induced vasculitis may vary but commonly include redness or purplish skin discoloration around the neck, upper arms, or chest. People may also experience pain or itching in these areas. All cases are self-limiting and typically resolve within a few days.

What Are the Causes of Exercise-Induced Vasculitis?

Exercise-induced vasculitis is an autoimmune disorder when the body's antibodies mistakenly attack the blood vessels. Several things can trigger the disorder.

  1. First, high-intensity workouts are known to increase pulse and respiration rates while reducing oxygen supply to the body, leading to inflammation of the blood vessels.

  2. Second, high-intensity interval training (HIIT), in particular, is more likely to lead to vasculitis symptoms due to its short bursts of intense activities.

  3. Other potential causes include medications and supplements taken before or during an intense workout and environmental conditions such as extreme temperatures or high humidity.

  4. Additionally, individuals with a history of autoimmune disorders such as lupus or rheumatoid arthritis may be more prone to developing exercise-induced vasculitis due to weakened immune systems.

What Are the Symptoms of Exercise-Induced Vasculitis?

If someone thinks they might have exercise-induced vasculitis, the first thing to look out for is symptoms. Exercise-induced vasculitis comes in many forms, and the signs can be different for everyone, but there are some common signs that people should watch out for:

  1. Skin redness, heat, or swelling in the affected area.

  2. Pain in the affected area.

  3. Tenderness or soreness when touched.

  4. Burning sensations or itching of the skin.

  5. Fatigue and overall feeling of being unwell.

  6. Joint pain or stiffness.

  7. Numbness or tingling sensation in the affected area.

  8. Swelling of lymph nodes near the affected area.

  9. Low-grade fever.

  10. Weight loss or loss of appetite.

  11. Headache, dizziness, and muscle ache after exercise.

On experiencing any of these symptoms while exercising, it is important to stop and consult with a doctor right away to rule out exercise-induced vasculitis and get treatment so that it does not become a more serious condition like inflammation or a clotting disorder like deep vein thrombosis (DVT).

How to Prevent Exercise-Induced Vasculitis?

Exercise-induced vasculitis can be debilitating, so it is important to help people prevent and treat this inflammatory joint condition before it progresses. Here are some tips to help prevent and treat exercise-induced vasculitis.

  • Warm-Up Properly: Ensure the body is warm and ready for the workout by doing a proper warm-up before starting. A warm-up should include dynamic stretches like lunges, leg swings, and arm circles. This helps increase the range of motion, lubricate the joints, and activate the muscles. Also, do light cardio, such as walking or jogging, to increase circulation throughout the body.

  • Listen to the Body: When exercising, it is important to always listen to the body when it needs a break. For example, if people feel pain or discomfort in any affected areas, they should stop immediately and rest for a few minutes until the pain subsides. Also, drink plenty of water before, during, and after each workout so that the body stays hydrated.

  • Wear Appropriate Clothing: Wearing clothing that supports the joints is imperative when preventing exercise-induced vasculitis. Choose clothing with extra padding in areas like the knees when jogging or running long distances; this will provide supportive cushioning for the joints so they do not have too much impact when exercising or running on hard surfaces.

What Are the Complications of Exercise-Induced Vasculitis?

Even though exercise-induced vasculitis is generally benign, it can still cause some unpleasant side effects, so taking the proper steps to prevent the condition is important. In some cases, exercise-induced vasculitis can cause joint pain, fatigue, and muscle and joint discomfort. In addition, it can even lead to more serious issues like high blood pressure, anemia, and an increased risk of infection.

Fortunately, there are several steps that people can take to help prevent exercise-induced vasculitis:

  • Speak with the Doctor: If one plans to embark on a new fitness journey or increase the intensity of the current routine, it is important to talk to the doctor first. They can offer advice tailored to the situation and help in setting realistic expectations.

  • Warm Up and Cool Down: Starting any exercise routine with a thorough warm-up will help prepare the body for the strain people endure. Simultaneously, cooling down will help the body gradually return to its resting state after a workout. This will minimize sudden spikes in blood pressure that could trigger an exercise-induced vasculitis flare-up.

  • Manage Stress Level: Maintaining healthy stress levels is always important regardless of whether or not people experience exercise-induced vasculitis. In addition, engaging in stress-relieving activities like yoga or meditation can help reduce body tension and the likelihood of a flare-up.

Conclusion

Knowing the risk of exercise-induced vasculitis is important if people engage in strenuous physical activity. Therefore, on experiencing any of the symptoms mentioned, people should immediately seek medical attention. Furthermore, the best way to prevent EIV is to limit exercise activity to reasonable levels and to hydrate and refuel the body after exercising properly.

Taking precautions can reduce the risk of exercise-induced vasculitis and help people live a healthy and active lifestyle. While exercise-induced vasculitis can have serious complications, early diagnosis, and treatment can help reduce the risk of long-term damage and help people return to a normal, active lifestyle.

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Dr. Ashaq Hussain Parrey
Dr. Ashaq Hussain Parrey

Rheumatology

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