Infrared Sauna Workouts Can Improve Circulation and Reduce Arteriovenous Fistula

February 8, 2026

In my research for this week's blog post, I came across an infrared training benefit that prompted me to dig a little deeper. This benefit is improved blood circulation and specifically how infrared energy and heat absorption can help with arteriovenous fistula (AVF) which is an abnormal connection between an artery and a vein that allows blood to bypass the normal capillary network, causing high-pressure arterial blood to flow directly into veins that are not designed to handle it.

This circulation shortcut can disrupt normal circulation, increase venous pressure, reduce oxygen delivery to surrounding tissue, and place added strain on the heart and vascular system. Infrared sauna exposure may help by gently penetrating tissue with radiant heat that promotes vasodilation, improves endothelial function, and enhances microcirculation through capillary recruitment. By increasing nitric oxide signaling, reducing inflammation, and improving vessel elasticity, infrared heat encourages blood to distribute more evenly through healthy pathways rather than favoring abnormal high-flow channels. While not a medical treatment for AVF, infrared sauna use may serve as a supportive, non-invasive strategy to improve overall vascular balance and circulatory efficiency when used appropriately.

Infrared exposure on its own can positively influence vascular health by improving blood flow and supporting tissue repair, which are relevant when discussing abnormal circulation patterns such as arteriovenous fistulas. However, pairing infrared exposure with exercise inside an infrared sauna may significantly amplify these effects by combining thermal stress with mechanical and metabolic demand. This dual stimulus creates a more powerful signal to the cardiovascular system than passive heat alone.

When you exercise inside an infrared sauna, the body experiences an intentional increase in heart rate and circulation on top of infrared-induced vasodilation. Muscular contractions from isometric postures actively pump blood through capillary networks, encouraging flow through normal microcirculatory pathways rather than relying on high-flow shortcuts. This is particularly important in situations where abnormal shunting exists, because exercise promotes capillary recruitment and improves the pressure balance between arteries and veins. The result is a stronger physiologic incentive for blood to move efficiently through healthy pathways instead of abnormal connections.

Exercise inside infrared heat also increases shear stress along vessel walls, which is a critical driver of endothelial adaptation. Healthy shear stress stimulates nitric oxide production and improves vessel elasticity, helping arteries and veins better regulate diameter and pressure. Over time, repeated exposure to this combined stimulus may reinforce normal vascular signaling and reduce the dominance of maladaptive flow patterns. In contrast to passive heat, movement ensures that these benefits are distributed systemically rather than remaining localized.

Metabolically, working out in an infrared sauna places a controlled demand on mitochondria while simultaneously improving oxygen delivery and waste removal. Infrared heat enhances cellular efficiency and reduces oxidative stress, while exercise increases ATP turnover and metabolic signaling. Together, these effects support healthier vascular cells that are more capable of repair, remodeling, and long-term adaptation. Healthier vascular tissue is better equipped to stabilize vessel walls and respond appropriately to changes in flow demand.

Another advantage of infrared sauna workouts is the time-efficient cardiovascular load they create. Because heat elevates heart rate at lower mechanical intensities, meaningful circulatory stimulation can be achieved more rapidly and without excessive joint stress. Zero impact training with HOTWORX isometrics and HIIT yield high level results without the wear and tear on the joints. This makes infrared sauna exercise more accessible for greatly improved circulation and cardiovascular conditioning.

Ultimately, exercising inside an infrared sauna represents an advanced application of infrared exposure. By layering isometrics and/or HIIT onto heat and infrared energy absorption, the body receives a stronger, more integrated message to improve blood flow regulation, endothelial health, and vascular resilience. For individuals focused on optimizing circulation and supporting long-term vascular balance, HOTWORX infrared sauna workouts can offer a way to extract significantly more benefit from infrared exposure than passive use alone.

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Stephen P. Smith, MA

CEO and Creator of HOTWORX, Author, Former National Collegiate Bodybuilding Champion and Arena Football Player, Certified Professional Trainer

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