If you begin to experience any of these symptoms, don’t wait-head to the ER immediately, says Dr. Rhabdomyolysis shows itself through intense muscle pain, spasms, weakness, stiffening, swelling, and dark urine. What are the symptoms and what should you do if you have them? Avoid exercise conditions that could also cause heat stroke, and gradually work your way up to new workouts. You can also protect yourself by diligently hydrating before, during, and after workouts (follow these rules). “You have to be aware of muscle strain-when that becomes extreme or unusually painful, that’s when it could happen.” “If you know you’re going way beyond your limits or doing something you’ve never done before, you’re at risk,” he says. The best way to avoid it, he says, is to be aware of how hard you’re pushing yourself in a workout. “By the time it’s fully happening to you, it’s too late to stop it.” Rhabdomyolysis often sneaks up on you there’s not one moment of pain that clues you in. So, whether you’re new to a workout or you’ve done it hundreds of times, it’s about the level of exertion. Interestingly, Nelson says, fitness level does not impact the chances of someone getting rhabdomyolysis. “It’s really strenuous acts, for a duration you wouldn’t normally do.”Īnd take note if you’re into indoor cycling: Researchers recently reported an uptick in rhabdomyolysis after spinning workouts, and the risk may be especially high after your very first spin class. “For exertional rhabdomyolysis, think of activities that engage the large muscle groups to an extreme degree, like long, hard and fast runs, Crossfit, rucksack marching, football practice, triathlons, marathons,” says Nelson. Men are also more likely to get the condition than women. Obesity, tobacco use, muscle enzyme deficiency and, a recent study found, sickle cell trait, can all increase your chances of developing rhabdomyolysis. Alan Nelson, Ph.D., MPAS, who studies the condition at Stanford University School of Medicine. Wang.ĭehydration and high temps while you work out can increase your risk, says D. The condition can also develop from trauma (such as getting hit by a car or having a limb crushed) cocaine, amphetamine, antipsychotic, statin, or cholesterol medicine use or electric shock, says Dr. Garay experienced exertional rhabdomyolysis, meaning he pushed himself extremely hard-to a point of muscle exhaustion and damage. Rhabdomyolysis can happen for many reasons. This muscle damage and tissue breakdown can lead to kidney damage or failure if left untreated. This can cause problems in the kidneys, as this molecule is large and difficult to pass through the body’s filtration system, says Gordon Wang, M.D., a family medicine physician in Punta Gorda, Florida. When muscles are severely damaged, the protein myoglobin is released into the bloodstream. Fortunately, it can be treated-as long as you take action fast. “I thought, ‘No way, this can’t be happening to me.’”įor Garay, the rhabdomyolysis diagnosis came as a total shock, as it does for most guys. “I was completely surprised because I work out often,” says Garay. Garay suffered from rhabdomyolysis (rhabdo for short), a breakdown of muscle tissue that can potentially cause kidney damage or failure. “I ended up staying there for five days.” “I told my wife we needed to go to the hospital,” says Garay. Play icon The triangle icon that indicates to play ( Here's what it means if your urine is red, green, blue, or some other weird color.) It wasn’t until three days after the initial workout, when he peed a Coca-Cola color, that he realized something was very wrong. When it became difficult for him to straighten out his body after sitting at his desk, he tried foam rolling. The next day, he was sore, but he figured it was just the usual residual stiffness from a tough workout. I think those are what sent me over the edge.” “I did do the GHD sit-ups very fast, but my core is my strength. “During the workout I was drinking water, and I didn’t feel pain or anything to stop me from continuing,” he says. It was a particularly rough workout (100 GHD sit-ups were just one component), and his Miami gym’s AC was broken, but Garay felt good. The 37-year-old real estate agent had been doing Crossfit for a year when he completed a regional event over Memorial Day weekend two years ago. Robert Garay had no reason to suspect that a Crossfit workout would lead to a trip to the ER-but it did.
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