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Blog

What Causes May-Thurner Syndrome?

Posted July 06, 2023
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Introduction

Having leg pain, swelling or even heaviness in your pelvic area? You might be experiencing symptoms of a relatively unknown condition known as May-Thurner Syndrome. Defined as the compression of the left iliac vein by the right iliac artery, this malady often goes undetected until more serious complications arise.

This blog post is here to shed light on what causes May-Thurner Syndrome and how understanding these causes can guide effective treatment decisions. Curious to know more? Let's dive into it!

Understanding the Causes of May-Thurner Syndrome

In unraveling the causes of May-Thurner Syndrome, it's crucial to focus on its major contributor: an anatomical issue, not a genetic one. This ailment occurs primarily due to compression of the left iliac vein by the overlying right iliac artery.

Essentially, this is a mechanical problem interfering with efficient blood flow. The involuntary narrowing down of space between these two large vessels results in venous outflow obstruction.

Over time, this obstruction can escalate into an increased risk for terrifyingly dangerous blood clots.

Syndrome symptoms often include leg pain or heaviness and swelling that may strike as fatigue sets in. The presence of varicose veins could be tied back to this syndrome but isn't always consistent amongst sufferers.

Additional body stresses such as scoliosis, recent childbirth or multiple births, long-term birth control use and persistent dehydration can compound risk factors for developing May-Thurner Syndrome - MTS certainly doesn't discriminate based solely on vein structure alone! The very existence and function (or malfunction) of our bodies have a consequential impact on life expectancy when contending with conditions like MTS.

Explain the underlying causes of MTS, focusing on the anatomical compression of the left iliac vein by the overlying right iliac artery

Unpacking the causes of May-Thurner Syndrome (MTS) is crucial in understanding this somewhat complex condition. Central to MTS is the anatomical compression of the left iliac vein by the overlying right iliac artery, often referred to as iliac vein compression.

In essence, we're dealing with a plumbing problem in our body's circulatory system; an artery is placing undue pressure on a vein causing disruption to normal blood flow.

MTS falls under venous outflow obstruction disorders - a category characterized by blockage or restriction in veins carrying deoxygenated blood back toward the heart. Apart from mechanical factors caused by physical structures such as arteries and bones compressing veins, there are also various risk factors that make some individuals more susceptible than others.

For instance, being female, being of child bearing younger in age and having a family history of venous disorders can increase one's chances of developing MTS.

This kind of vascular traffic jam leads to numerous complications if left untreated. The reduced blood flow may increase the likelihood of deep vein thrombosis (DVT), which involves formation of harmful clots within veins affected by MTS symptoms like leg pain and discoloration.

Understanding these underlying causes makes it easier for medical professionals to provide targeted treatment options such as anticoagulation therapy or even surgical intervention when necessary.

Discuss risk factors, such as female gender, younger age, and a family history of venous disorders

Diving into the risk factors of May-Thurner Syndrome (MTS), it's evident that certain demographics are more susceptible. Notably, women rank high on this list; they are five times more likely to develop MTS than their male counterparts.

This disparity is further augmented when you factor in certain conditions like postpartum periods and multiparity or birth characteristics such as oral contraceptive usage.

Young age also plays a significant role in MTS propensity. It prominently targets people aged between 18-50 years old, placing younger individuals within this bracket at a higher risk of developing venous disorders like deep vein thrombosis (DVT).

Such instances may lead to serious complications such as blood clots residing in the legs if not addressed promptly.

Similarly, genetics can't be ignored when discussing MTS risks. If you have a family history of venous disorders, chances are your likelihood for developing MTS might just spike up. Additionally, other medical conditions like scoliosis could increase susceptibility towards this syndrome.

The understanding of these specific risk factors is fundamental in predicting potential DVT occurrences and for crafting informed treatment strategies.

Address the importance of understanding the causes to guide treatment decisions and prevent further complications

Understanding the causes of May-Thurner Syndrome is crucial in guiding treatment decisions and preventing further complications. This rare vascular disorder occurs when the left iliofemoral vein is compressed by the right common iliac artery against the vertebral body.

The compression can lead to chronic pelvic pain, increased risk of deep vein thrombosis (DVT), and other long-term health effects if left untreated. By recognizing the causes, medical professionals can develop effective treatments that target the underlying issue of venous compression while managing associated symptoms.

Additionally, understanding these causes helps prevent future complications such as blood clot formation and allows for proactive blood clot treatment strategies. If you are experiencing symptoms related to May-Thurner Syndrome, seeking medical advice is essential for proper diagnosis and appropriate treatment tailored to your specific needs.

 

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Dr. Sanjiv Lakhanpal

Dr. Sanjiv Lakhanpal

Dr. Sanjiv Lakhanpal published in several medical research journals through the Lakhanpal Vein Foundation to help educate and raise awareness for vascular disease. He has been practicing medicine for 25 years, and is the founder of The Center for Vascular Medicine.

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