any rhabdomyolysis victims?! help please!

lalainap19
lalainap19 Posts: 165 Member
edited November 28 in Fitness and Exercise
Hey there I got rhabdo in November last year, but I have not worked out since I got the rhabdo in my quads and I wanted to see what exercises u did to ease back in, like should I just start with cardio for a month I'm just terrified to get it again. My quads don't feel %100 they are a little weak every now and then in the cold but idk if that will ever go away. Any input helps thanks!

Replies

  • kshama2001
    kshama2001 Posts: 28,052 Member
    What did the doctor who treated you for rhabdo recommend?
  • jimmmer
    jimmmer Posts: 3,515 Member
    Presumably you didn't have it severely enough to have kidney damage?

    From what I hear it's entirely possible to recover as long as you didn't do irreversible damage to your kidneys.

    Just don't be a numpty and rush back into hardcore exercise. Take your time. What's the rush. Consult with the medical staff who treated you and construct a plan to ease you back and regain the strength in your quads.
  • thinklivebefree
    thinklivebefree Posts: 328 Member
    Stay away from crossfit
  • lalainap19
    lalainap19 Posts: 165 Member
    kshama2001 wrote: »
    What did the doctor who treated you for rhabdo recommend?
    He didn't give me much info just whenever I feel better I can start again I'm just not sure how to start and what exercises to do to not get it again.
  • queenliz99
    queenliz99 Posts: 15,317 Member
    Stay away from crossfit

    ^^ this and listen to what your treating doctor advised.
  • jimmmer
    jimmmer Posts: 3,515 Member
    lalainap19 wrote: »
    kshama2001 wrote: »
    What did the doctor who treated you for rhabdo recommend?
    He didn't give me much info just whenever I feel better I can start again I'm just not sure how to start and what exercises to do to not get it again.

    Have a read of this:

    http://yourlivingbody.com/return-to-physical-activity-after-rhabdomyolysis/

    specifically
    Last of all, don’t be an idiot. Pay attention to nutrition. Hydrate yourself accordingly and give special attention to electrolytes and protein supplementation. Also, avoid drugs, alcohol, and caffeine as these can all precipitate recurrent rhabdomyolysis. If you take statins for cholesterol control, talk with your doctor as taking statins also puts you at an increased risk for developing rhabdomyolysis. In addition to nutrition, pay attention to your environment. Avoid excessive cold or excessively hot environments and most importantly avoid activities that will lead to excessive muscle failure so you don’t end up where you once were.
  • lalainap19
    lalainap19 Posts: 165 Member
    jimmmer wrote: »
    lalainap19 wrote: »
    kshama2001 wrote: »
    What did the doctor who treated you for rhabdo recommend?
    He didn't give me much info just whenever I feel better I can start again I'm just not sure how to start and what exercises to do to not get it again.

    Have a read of this:

    http://yourlivingbody.com/return-to-physical-activity-after-rhabdomyolysis/

    specifically
    Last of all, don’t be an idiot. Pay attention to nutrition. Hydrate yourself accordingly and give special attention to electrolytes and protein supplementation. Also, avoid drugs, alcohol, and caffeine as these can all precipitate recurrent rhabdomyolysis. If you take statins for cholesterol control, talk with your doctor as taking statins also puts you at an increased risk for developing rhabdomyolysis. In addition to nutrition, pay attention to your environment. Avoid excessive cold or excessively hot environments and most importantly avoid activities that will lead to excessive muscle failure so you don’t end up where you once were.

    This helped me so much thanks!

  • PteFabulous
    PteFabulous Posts: 16 Member
    Just ease back into it as tolerated and drink lots of water. Definitely don't start out by running a marathon, but start slow and increase activity based on how you feel.
  • Upstate_Dunadan
    Upstate_Dunadan Posts: 435 Member
    queenliz99 wrote: »
    Stay away from crossfit

    ^^ this and listen to what your treating doctor advised.

    That's just a stupid comment. CrossFit doesn't cause Rhabdo. Not having common sense, more often than not, does.
  • Cherimoose
    Cherimoose Posts: 5,208 Member
    I'd do a full-body routine for a while, not a body part split, which is more damaging.
    Ramp up slow - one set per muscle group the first week, 2 sets the 2nd & 3rd week, and 3 sets after, assuming blood tests are normal.
    Ample calorie intake, ample carbs, to minimize muscle breakdown. Don't work out in a fasted state. :+1:
  • queenliz99
    queenliz99 Posts: 15,317 Member
    edited January 2016
    9d63aamgdfnm.gif
    queenliz99 wrote: »
    Stay away from crossfit

    ^^ this and listen to what your treating doctor advised.

    That's just a stupid comment. CrossFit doesn't cause Rhabdo. Not having common sense, more often than not, does.



    What about my comment? Common sense says she should stay away from CrossFit. If it happened once it could happen again.
    1.gif 935.7K
  • Upstate_Dunadan
    Upstate_Dunadan Posts: 435 Member
    queenliz99 wrote: »
    9d63aamgdfnm.gif
    queenliz99 wrote: »
    Stay away from crossfit

    ^^ this and listen to what your treating doctor advised.

    That's just a stupid comment. CrossFit doesn't cause Rhabdo. Not having common sense, more often than not, does.



    What about my comment? Common sense says she should stay away from CrossFit. If it happened once it could happen again.

    I don't see anywhere Op said they got this from doing Crossfit. Did I miss that?

    I'd go by what the doctors say. My point is there are plenty of other strenuous activities that can cause this, not just CF. I have no problem if the recommendation is to stay away from all strenuous activity, but if it's just to ease back into things and not push too hard too quickly, that's easily doable in CF through scaling. A good coach would be able to ease someone into the workouts. Scaling is why a 300+ pound morbidly obese person can do CrossFit.
  • kshama2001
    kshama2001 Posts: 28,052 Member
    edited January 2016
    queenliz99 wrote: »
    9d63aamgdfnm.gif
    queenliz99 wrote: »
    Stay away from crossfit

    ^^ this and listen to what your treating doctor advised.

    That's just a stupid comment. CrossFit doesn't cause Rhabdo. Not having common sense, more often than not, does.



    What about my comment? Common sense says she should stay away from CrossFit. If it happened once it could happen again.

    I don't see anywhere Op said they got this from doing Crossfit. Did I miss that?

    I'd go by what the doctors say. My point is there are plenty of other strenuous activities that can cause this, not just CF. I have no problem if the recommendation is to stay away from all strenuous activity, but if it's just to ease back into things and not push too hard too quickly, that's easily doable in CF through scaling. A good coach would be able to ease someone into the workouts. Scaling is why a 300+ pound morbidly obese person can do CrossFit.

    Ya, you missed her earlier thread: http://community.myfitnesspal.com/en/discussion/10294984/help-please-rhabdo/p1 which included this link from another poster: http://crossfitimpulse.com/rhabdo-and-crossfit/
  • queenliz99
    queenliz99 Posts: 15,317 Member
    kshama2001 wrote: »
    queenliz99 wrote: »
    9d63aamgdfnm.gif
    queenliz99 wrote: »
    Stay away from crossfit

    ^^ this and listen to what your treating doctor advised.

    That's just a stupid comment. CrossFit doesn't cause Rhabdo. Not having common sense, more often than not, does.



    What about my comment? Common sense says she should stay away from CrossFit. If it happened once it could happen again.

    I don't see anywhere Op said they got this from doing Crossfit. Did I miss that?

    I'd go by what the doctors say. My point is there are plenty of other strenuous activities that can cause this, not just CF. I have no problem if the recommendation is to stay away from all strenuous activity, but if it's just to ease back into things and not push too hard too quickly, that's easily doable in CF through scaling. A good coach would be able to ease someone into the workouts. Scaling is why a 300+ pound morbidly obese person can do CrossFit.

    Ya, you missed her earlier thread: http://community.myfitnesspal.com/en/discussion/10294984/help-please-rhabdo/p1

    Thank you, beat me to it!
  • Upstate_Dunadan
    Upstate_Dunadan Posts: 435 Member

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.
  • queenliz99
    queenliz99 Posts: 15,317 Member

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.

    But how do you know most CF gyms won't let let you just jump in? We have 3 CF gyms open within a 1 mile radius of my home within the last year. I would say chances are your statement is sweeping.
  • 3dogsrunning
    3dogsrunning Posts: 27,167 Member
    edited January 2016
    queenliz99 wrote: »

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.

    But how do you know most CF gyms won't let let you just jump in? We have 3 CF gyms open within a 1 mile radius of my home within the last year. I would say chances are your statement is sweeping.

    I've done CF and I've travelled to other CF gyms in other countries. I have CF friends online. I haven't heard of it happening. Not to say it doesn't happen, but as a general rule, CF boxes have to follow the CF guidelines to be able to be "CrossFit". There are always those that will skirt or outright break the rules but I'm willing to be that it is the exception, not the rule.

    FTR - the only person I've ever known to end up with Rhabdo had just finished an Ironman triathlon. You can get it from any type of sport, not just CrossFit.
    If we are warning OP away from CrossFit on the basis of having come down with rhabdo, we should also warn her away from running, rowing, cross country skiing and she probably shouldn't apply for the military as it happens during basic training sometimes as well.
  • queenliz99
    queenliz99 Posts: 15,317 Member
    queenliz99 wrote: »

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.

    But how do you know most CF gyms won't let let you just jump in? We have 3 CF gyms open within a 1 mile radius of my home within the last year. I would say chances are your statement is sweeping.

    I've done CF and I've travelled to other CF gyms in other countries. I have CF friends online. I haven't heard of it happening. Not to say it doesn't happen, but as a general rule, CF boxes have to follow the CF guidelines to be able to be "CrossFit". There are always those that will skirt or outright break the rules but I'm willing to be that it is the exception, not the rule.

    FTR - the only person I've ever known to end up with Rhabdo had just finished an Ironman triathlon. You can get it from any type of sport, not just CrossFit.
    If we are warning OP away from CrossFit on the basis of having come down with rhabdo, we should also warn her away from running, rowing, cross country skiing and she probably shouldn't apply for the military as it happens during basic training sometimes as well.

    That is even better advice, thank you. Rhabdo sounds ridicoulsy dangerous, if I were her living to a ripe old age sounds much better.
  • Wheelhouse15
    Wheelhouse15 Posts: 5,575 Member
    queenliz99 wrote: »

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.

    But how do you know most CF gyms won't let let you just jump in? We have 3 CF gyms open within a 1 mile radius of my home within the last year. I would say chances are your statement is sweeping.

    I've done CF and I've travelled to other CF gyms in other countries. I have CF friends online. I haven't heard of it happening. Not to say it doesn't happen, but as a general rule, CF boxes have to follow the CF guidelines to be able to be "CrossFit". There are always those that will skirt or outright break the rules but I'm willing to be that it is the exception, not the rule.

    FTR - the only person I've ever known to end up with Rhabdo had just finished an Ironman triathlon. You can get it from any type of sport, not just CrossFit.
    If we are warning OP away from CrossFit on the basis of having come down with rhabdo, we should also warn her away from running, rowing, cross country skiing and she probably shouldn't apply for the military as it happens during basic training sometimes as well.

    Exercise induced rhabdo is extremely rare, it's normally the result of an accident, disease or drug use.

    OP, out of curiosity, what was the genesis of your rhabdo? Was it a physcial injury?
  • 3dogsrunning
    3dogsrunning Posts: 27,167 Member
    queenliz99 wrote: »

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.

    But how do you know most CF gyms won't let let you just jump in? We have 3 CF gyms open within a 1 mile radius of my home within the last year. I would say chances are your statement is sweeping.

    I've done CF and I've travelled to other CF gyms in other countries. I have CF friends online. I haven't heard of it happening. Not to say it doesn't happen, but as a general rule, CF boxes have to follow the CF guidelines to be able to be "CrossFit". There are always those that will skirt or outright break the rules but I'm willing to be that it is the exception, not the rule.

    FTR - the only person I've ever known to end up with Rhabdo had just finished an Ironman triathlon. You can get it from any type of sport, not just CrossFit.
    If we are warning OP away from CrossFit on the basis of having come down with rhabdo, we should also warn her away from running, rowing, cross country skiing and she probably shouldn't apply for the military as it happens during basic training sometimes as well.

    Exercise induced rhabdo is extremely rare, it's normally the result of an accident, disease or drug use.

    OP, out of curiosity, what was the genesis of your rhabdo? Was it a physcial injury?

    Yes, I realize that. Which is why I was stating if we are going to avoid activity out of fear of it there are many we should avoid.
    I am not sure what the risk of re-occurance is or if it is greater if you have experienced it before.
  • jimmmer
    jimmmer Posts: 3,515 Member
    edited January 2016
    Basically, a general recommendation to stay within the envelope while continuing to push it would do most people for most activity they care to try.

    Make 80%ish of your effort moderate intensity (up to 80%ish effort) and sparingly test where your new limits lay. Continually testing the limits of a quality normally doesn't build that quality outside of the short term

    All out, all the time - is a poor training programme whether you are a runner, lifter, team sport athlete, martial artist, crossfitter, etc... a short, and injury filled career awaits you with a few hard stalls along the way.
  • Wheelhouse15
    Wheelhouse15 Posts: 5,575 Member
    queenliz99 wrote: »

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.

    But how do you know most CF gyms won't let let you just jump in? We have 3 CF gyms open within a 1 mile radius of my home within the last year. I would say chances are your statement is sweeping.

    I've done CF and I've travelled to other CF gyms in other countries. I have CF friends online. I haven't heard of it happening. Not to say it doesn't happen, but as a general rule, CF boxes have to follow the CF guidelines to be able to be "CrossFit". There are always those that will skirt or outright break the rules but I'm willing to be that it is the exception, not the rule.

    FTR - the only person I've ever known to end up with Rhabdo had just finished an Ironman triathlon. You can get it from any type of sport, not just CrossFit.
    If we are warning OP away from CrossFit on the basis of having come down with rhabdo, we should also warn her away from running, rowing, cross country skiing and she probably shouldn't apply for the military as it happens during basic training sometimes as well.

    Exercise induced rhabdo is extremely rare, it's normally the result of an accident, disease or drug use.

    OP, out of curiosity, what was the genesis of your rhabdo? Was it a physcial injury?

    Yes, I realize that. Which is why I was stating if we are going to avoid activity out of fear of it there are many we should avoid.
    I am not sure what the risk of re-occurance is or if it is greater if you have experienced it before.

    I guess my post was a bit off on tone, I was agreeing with you. :) I don't know if there is any research on the reinjury rate since it's so rare. I would imagine all information is anectodal but probably wouldn't be too much of an increased risk.
  • jimmmer
    jimmmer Posts: 3,515 Member
    queenliz99 wrote: »

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.

    But how do you know most CF gyms won't let let you just jump in? We have 3 CF gyms open within a 1 mile radius of my home within the last year. I would say chances are your statement is sweeping.

    I've done CF and I've travelled to other CF gyms in other countries. I have CF friends online. I haven't heard of it happening. Not to say it doesn't happen, but as a general rule, CF boxes have to follow the CF guidelines to be able to be "CrossFit". There are always those that will skirt or outright break the rules but I'm willing to be that it is the exception, not the rule.

    FTR - the only person I've ever known to end up with Rhabdo had just finished an Ironman triathlon. You can get it from any type of sport, not just CrossFit.
    If we are warning OP away from CrossFit on the basis of having come down with rhabdo, we should also warn her away from running, rowing, cross country skiing and she probably shouldn't apply for the military as it happens during basic training sometimes as well.

    Exercise induced rhabdo is extremely rare, it's normally the result of an accident, disease or drug use.

    OP, out of curiosity, what was the genesis of your rhabdo? Was it a physcial injury?

    Yes, I realize that. Which is why I was stating if we are going to avoid activity out of fear of it there are many we should avoid.
    I am not sure what the risk of re-occurance is or if it is greater if you have experienced it before.

    I guess my post was a bit off on tone, I was agreeing with you. :) I don't know if there is any research on the reinjury rate since it's so rare. I would imagine all information is anectodal but probably wouldn't be too much of an increased risk.

    http://missyleone.com/wp-content/uploads/2011/08/Return-Physical-Activity-after-Exertional-Rhabdomyolysis.pdf

    seems to be a bit thin on the ground, mate.
    Three major issues must be addressed after an athlete
    recovers from ER. First, who is at risk for recurrence and
    requires further evaluation? Second, for those athletes not
    requiring further evaluation, when can they safely return to
    sport? Finally, should any restrictions be placed upon the
    athlete, and if so, for how long? To our knowledge, no
    standard guidelines exist to determine return to play after an
    episode of ER. Although several authors have recommended
    resuming play once symptoms resolve, no consensus exists
    regarding what is an acceptable CK level or what the rate of
    progression should be (17-19). The authors, from a military
    perspective, endorse the following return to play process
    (Table). We recognize that this approach may be viewed as
    overly conservative in a sports environment; however, in
    caring for a large and heterogeneous population, this
    approach minimizes the opportunity for missing the individual(s)
    at risk for recurrent ER.
    An athlete who experiences clinically relevant ER should
    first be risk-stratified as either low or high risk for a
    recurrence. To be considered "suspicious for high risk," at
    least one of the following conditions must exist or be
    present:
    a. Delayed recovery (more than 1 wk) when activities
    have been restricted
    b. Persistent elevation of CK (greater than five times the
    upper limit of the normal lab range) despite rest for at least
    2 wk
    c. ER complicated by acute renal injury of any degree
    d. Personal or family history of ER
    e. Personal or family history of recurrent muscle cramps
    or severe muscle pain that interferes with activities of daily
    living or sports performance
    f. Personal or family history of malignant hyperthermia,
    or family history of unexplained complications or death
    following general anesthesia
    g. Personal or family history of sickle cell disease or trait
    h. Muscle injury after low to moderate work or activity
    i. Personal history of significant heat injury (heat stroke)
    j. Serum CK peak ~ 100,000 UL -1.
  • Wheelhouse15
    Wheelhouse15 Posts: 5,575 Member
    edited January 2016
    jimmmer wrote: »
    queenliz99 wrote: »

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.

    But how do you know most CF gyms won't let let you just jump in? We have 3 CF gyms open within a 1 mile radius of my home within the last year. I would say chances are your statement is sweeping.

    I've done CF and I've travelled to other CF gyms in other countries. I have CF friends online. I haven't heard of it happening. Not to say it doesn't happen, but as a general rule, CF boxes have to follow the CF guidelines to be able to be "CrossFit". There are always those that will skirt or outright break the rules but I'm willing to be that it is the exception, not the rule.

    FTR - the only person I've ever known to end up with Rhabdo had just finished an Ironman triathlon. You can get it from any type of sport, not just CrossFit.
    If we are warning OP away from CrossFit on the basis of having come down with rhabdo, we should also warn her away from running, rowing, cross country skiing and she probably shouldn't apply for the military as it happens during basic training sometimes as well.

    Exercise induced rhabdo is extremely rare, it's normally the result of an accident, disease or drug use.

    OP, out of curiosity, what was the genesis of your rhabdo? Was it a physcial injury?

    Yes, I realize that. Which is why I was stating if we are going to avoid activity out of fear of it there are many we should avoid.
    I am not sure what the risk of re-occurance is or if it is greater if you have experienced it before.

    I guess my post was a bit off on tone, I was agreeing with you. :) I don't know if there is any research on the reinjury rate since it's so rare. I would imagine all information is anectodal but probably wouldn't be too much of an increased risk.

    http://missyleone.com/wp-content/uploads/2011/08/Return-Physical-Activity-after-Exertional-Rhabdomyolysis.pdf

    seems to be a bit thin on the ground, mate.
    Three major issues must be addressed after an athlete
    recovers from ER. First, who is at risk for recurrence and
    requires further evaluation? Second, for those athletes not
    requiring further evaluation, when can they safely return to
    sport? Finally, should any restrictions be placed upon the
    athlete, and if so, for how long? To our knowledge, no
    standard guidelines exist to determine return to play after an
    episode of ER. Although several authors have recommended
    resuming play once symptoms resolve, no consensus exists
    regarding what is an acceptable CK level or what the rate of
    progression should be (17-19). The authors, from a military
    perspective, endorse the following return to play process
    (Table). We recognize that this approach may be viewed as
    overly conservative in a sports environment; however, in
    caring for a large and heterogeneous population, this
    approach minimizes the opportunity for missing the individual(s)
    at risk for recurrent ER.
    An athlete who experiences clinically relevant ER should
    first be risk-stratified as either low or high risk for a
    recurrence. To be considered "suspicious for high risk," at
    least one of the following conditions must exist or be
    present:
    a. Delayed recovery (more than 1 wk) when activities
    have been restricted
    b. Persistent elevation of CK (greater than five times the
    upper limit of the normal lab range) despite rest for at least
    2 wk
    c. ER complicated by acute renal injury of any degree
    d. Personal or family history of ER
    e. Personal or family history of recurrent muscle cramps
    or severe muscle pain that interferes with activities of daily
    living or sports performance
    f. Personal or family history of malignant hyperthermia,
    or family history of unexplained complications or death
    following general anesthesia
    g. Personal or family history of sickle cell disease or trait
    h. Muscle injury after low to moderate work or activity
    i. Personal history of significant heat injury (heat stroke)
    j. Serum CK peak ~ 100,000 UL -1.

    Thanks for the link. I'm not sure who would have a family history of ER! :confused:

    ETA: looks like they are using a very generous definition of ER here as well. I'm thinking of servere cases where people get so sick they can barely move so it might be more common than I've given it credit, but I also imagine not too many people would present for medical attention or be diagnosed with it even if they did unless it was very serious.
  • jimmmer
    jimmmer Posts: 3,515 Member
    edited January 2016
    jimmmer wrote: »
    queenliz99 wrote: »

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.

    But how do you know most CF gyms won't let let you just jump in? We have 3 CF gyms open within a 1 mile radius of my home within the last year. I would say chances are your statement is sweeping.

    I've done CF and I've travelled to other CF gyms in other countries. I have CF friends online. I haven't heard of it happening. Not to say it doesn't happen, but as a general rule, CF boxes have to follow the CF guidelines to be able to be "CrossFit". There are always those that will skirt or outright break the rules but I'm willing to be that it is the exception, not the rule.

    FTR - the only person I've ever known to end up with Rhabdo had just finished an Ironman triathlon. You can get it from any type of sport, not just CrossFit.
    If we are warning OP away from CrossFit on the basis of having come down with rhabdo, we should also warn her away from running, rowing, cross country skiing and she probably shouldn't apply for the military as it happens during basic training sometimes as well.

    Exercise induced rhabdo is extremely rare, it's normally the result of an accident, disease or drug use.

    OP, out of curiosity, what was the genesis of your rhabdo? Was it a physcial injury?

    Yes, I realize that. Which is why I was stating if we are going to avoid activity out of fear of it there are many we should avoid.
    I am not sure what the risk of re-occurance is or if it is greater if you have experienced it before.

    I guess my post was a bit off on tone, I was agreeing with you. :) I don't know if there is any research on the reinjury rate since it's so rare. I would imagine all information is anectodal but probably wouldn't be too much of an increased risk.

    http://missyleone.com/wp-content/uploads/2011/08/Return-Physical-Activity-after-Exertional-Rhabdomyolysis.pdf

    seems to be a bit thin on the ground, mate.
    Three major issues must be addressed after an athlete
    recovers from ER. First, who is at risk for recurrence and
    requires further evaluation? Second, for those athletes not
    requiring further evaluation, when can they safely return to
    sport? Finally, should any restrictions be placed upon the
    athlete, and if so, for how long? To our knowledge, no
    standard guidelines exist to determine return to play after an
    episode of ER. Although several authors have recommended
    resuming play once symptoms resolve, no consensus exists
    regarding what is an acceptable CK level or what the rate of
    progression should be (17-19). The authors, from a military
    perspective, endorse the following return to play process
    (Table). We recognize that this approach may be viewed as
    overly conservative in a sports environment; however, in
    caring for a large and heterogeneous population, this
    approach minimizes the opportunity for missing the individual(s)
    at risk for recurrent ER.
    An athlete who experiences clinically relevant ER should
    first be risk-stratified as either low or high risk for a
    recurrence. To be considered "suspicious for high risk," at
    least one of the following conditions must exist or be
    present:
    a. Delayed recovery (more than 1 wk) when activities
    have been restricted
    b. Persistent elevation of CK (greater than five times the
    upper limit of the normal lab range) despite rest for at least
    2 wk
    c. ER complicated by acute renal injury of any degree
    d. Personal or family history of ER
    e. Personal or family history of recurrent muscle cramps
    or severe muscle pain that interferes with activities of daily
    living or sports performance
    f. Personal or family history of malignant hyperthermia,
    or family history of unexplained complications or death
    following general anesthesia
    g. Personal or family history of sickle cell disease or trait
    h. Muscle injury after low to moderate work or activity
    i. Personal history of significant heat injury (heat stroke)
    j. Serum CK peak ~ 100,000 UL -1.

    Thanks for the link. I'm not sure who would have a family history of ER! :confused:

    Since they indicate that it's related to genetic stuff like sickle cell trait, family history of hyperthermia, family history of muscle cramps... I guess, it stands to reason that families that have those, probably have a history of ER if they are active as well?
  • Wheelhouse15
    Wheelhouse15 Posts: 5,575 Member
    edited January 2016
    jimmmer wrote: »
    jimmmer wrote: »
    queenliz99 wrote: »

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.

    But how do you know most CF gyms won't let let you just jump in? We have 3 CF gyms open within a 1 mile radius of my home within the last year. I would say chances are your statement is sweeping.

    I've done CF and I've travelled to other CF gyms in other countries. I have CF friends online. I haven't heard of it happening. Not to say it doesn't happen, but as a general rule, CF boxes have to follow the CF guidelines to be able to be "CrossFit". There are always those that will skirt or outright break the rules but I'm willing to be that it is the exception, not the rule.

    FTR - the only person I've ever known to end up with Rhabdo had just finished an Ironman triathlon. You can get it from any type of sport, not just CrossFit.
    If we are warning OP away from CrossFit on the basis of having come down with rhabdo, we should also warn her away from running, rowing, cross country skiing and she probably shouldn't apply for the military as it happens during basic training sometimes as well.

    Exercise induced rhabdo is extremely rare, it's normally the result of an accident, disease or drug use.

    OP, out of curiosity, what was the genesis of your rhabdo? Was it a physcial injury?

    Yes, I realize that. Which is why I was stating if we are going to avoid activity out of fear of it there are many we should avoid.
    I am not sure what the risk of re-occurance is or if it is greater if you have experienced it before.

    I guess my post was a bit off on tone, I was agreeing with you. :) I don't know if there is any research on the reinjury rate since it's so rare. I would imagine all information is anectodal but probably wouldn't be too much of an increased risk.

    http://missyleone.com/wp-content/uploads/2011/08/Return-Physical-Activity-after-Exertional-Rhabdomyolysis.pdf

    seems to be a bit thin on the ground, mate.
    Three major issues must be addressed after an athlete
    recovers from ER. First, who is at risk for recurrence and
    requires further evaluation? Second, for those athletes not
    requiring further evaluation, when can they safely return to
    sport? Finally, should any restrictions be placed upon the
    athlete, and if so, for how long? To our knowledge, no
    standard guidelines exist to determine return to play after an
    episode of ER. Although several authors have recommended
    resuming play once symptoms resolve, no consensus exists
    regarding what is an acceptable CK level or what the rate of
    progression should be (17-19). The authors, from a military
    perspective, endorse the following return to play process
    (Table). We recognize that this approach may be viewed as
    overly conservative in a sports environment; however, in
    caring for a large and heterogeneous population, this
    approach minimizes the opportunity for missing the individual(s)
    at risk for recurrent ER.
    An athlete who experiences clinically relevant ER should
    first be risk-stratified as either low or high risk for a
    recurrence. To be considered "suspicious for high risk," at
    least one of the following conditions must exist or be
    present:
    a. Delayed recovery (more than 1 wk) when activities
    have been restricted
    b. Persistent elevation of CK (greater than five times the
    upper limit of the normal lab range) despite rest for at least
    2 wk
    c. ER complicated by acute renal injury of any degree
    d. Personal or family history of ER
    e. Personal or family history of recurrent muscle cramps
    or severe muscle pain that interferes with activities of daily
    living or sports performance
    f. Personal or family history of malignant hyperthermia,
    or family history of unexplained complications or death
    following general anesthesia
    g. Personal or family history of sickle cell disease or trait
    h. Muscle injury after low to moderate work or activity
    i. Personal history of significant heat injury (heat stroke)
    j. Serum CK peak ~ 100,000 UL -1.

    Thanks for the link. I'm not sure who would have a family history of ER! :confused:

    Since they indicate that it's related to genetic stuff like sickle cell trait, family history of hyperthermia, family history of muscle cramps... I guess, it stands to reason that families that have those, probably have a history of ER if they are active as well?

    Perhaps, knowledge of ER seems to be very thin gruel right now. If it's not being recognized and diagnosed properly, the symptons are often vague and generic in mild cases, then it's hard to get a good idea on how it should be treated and what the incident rate really is.
  • lalainap19
    lalainap19 Posts: 165 Member
    queenliz99 wrote: »

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.

    But how do you know most CF gyms won't let let you just jump in? We have 3 CF gyms open within a 1 mile radius of my home within the last year. I would say chances are your statement is sweeping.

    I've done CF and I've travelled to other CF gyms in other countries. I have CF friends online. I haven't heard of it happening. Not to say it doesn't happen, but as a general rule, CF boxes have to follow the CF guidelines to be able to be "CrossFit". There are always those that will skirt or outright break the rules but I'm willing to be that it is the exception, not the rule.

    FTR - the only person I've ever known to end up with Rhabdo had just finished an Ironman triathlon. You can get it from any type of sport, not just CrossFit.
    If we are warning OP away from CrossFit on the basis of having come down with rhabdo, we should also warn her away from running, rowing, cross country skiing and she probably shouldn't apply for the military as it happens during basic training sometimes as well.

    Exercise induced rhabdo is extremely rare, it's normally the result of an accident, disease or drug use.

    OP, out of curiosity, what was the genesis of your rhabdo? Was it a physcial injury?

    I went to the gym with my friend and did not work out all year it was my first time and we did leg day, I was dumb did not think did not stretch pushed myself to not look weak in front of my friend and on top of that I fasted so it was a combination of them all, I got exercise induced rhabdo in my quads worst pain and cramps ever, I got this last November and I've been preparing myself to get back in the gym and stretch and not over do it. Cross fit does not cause rhabdo pushing yourself too hard causes rhabdo idk why people are saying I was doing cross fit, I read about a man who did 100 push ups and got it, its rare but it can happen for many reasons.
  • Wheelhouse15
    Wheelhouse15 Posts: 5,575 Member
    lalainap19 wrote: »
    queenliz99 wrote: »

    Ahh, I see. Well what the Op said in that post is the exact thing the article warned about

    Per the article -
    Next, rhabdo usually strikes someone who has been away from intense exercise for a while and then jumps back in with too much volume and intensity. Someone who has been very fit in the past and has taken six months off must ramp up volume slowly as he returns to intense exercise. This type of athlete has the mind and the determination to push himself beyond his body’s capabilities—where rhabdo lives.

    and per Op in the other thread -
    I worked out for 1 intend hour on Tuesday evening legs only. I have not worked out in the gym for about 1 year.

    I still wouldn't rule CrossFit out. That's not what caused this. Not scaling and taking it easy first time back after a year is. I would question whether the Coach new this was a first timer back in the gym and whether there was any caution to take things easy. Most CF gyms won't let you just jump into a WOD. There are fundamental classes you need to take before you get anywhere near a true WOD.

    But how do you know most CF gyms won't let let you just jump in? We have 3 CF gyms open within a 1 mile radius of my home within the last year. I would say chances are your statement is sweeping.

    I've done CF and I've travelled to other CF gyms in other countries. I have CF friends online. I haven't heard of it happening. Not to say it doesn't happen, but as a general rule, CF boxes have to follow the CF guidelines to be able to be "CrossFit". There are always those that will skirt or outright break the rules but I'm willing to be that it is the exception, not the rule.

    FTR - the only person I've ever known to end up with Rhabdo had just finished an Ironman triathlon. You can get it from any type of sport, not just CrossFit.
    If we are warning OP away from CrossFit on the basis of having come down with rhabdo, we should also warn her away from running, rowing, cross country skiing and she probably shouldn't apply for the military as it happens during basic training sometimes as well.

    Exercise induced rhabdo is extremely rare, it's normally the result of an accident, disease or drug use.

    OP, out of curiosity, what was the genesis of your rhabdo? Was it a physcial injury?

    I went to the gym with my friend and did not work out all year it was my first time and we did leg day, I was dumb did not think did not stretch pushed myself to not look weak in front of my friend and on top of that I fasted so it was a combination of them all, I got exercise induced rhabdo in my quads worst pain and cramps ever, I got this last November and I've been preparing myself to get back in the gym and stretch and not over do it. Cross fit does not cause rhabdo pushing yourself too hard causes rhabdo idk why people are saying I was doing cross fit, I read about a man who did 100 push ups and got it, its rare but it can happen for many reasons.

    Cross fit was what brought the exercise induced version into the spotlight so it gets a lot of the blame and that has a lot to do with the mentality of cross fit culture to always push, but as you say, it's the pushing beyond safe limits and not that it's cross fit technique itself that's the problem.

    What has your doctor advised? Has he or she sent you to a sports medicine specialist who can help with reintroducing exercises?
  • JoRocka
    JoRocka Posts: 17,525 Member
    OMG- if you're doctor didn't give you enough information- go find another effing doctor- not a forum full of keyboard jockeys.
  • Wheelhouse15
    Wheelhouse15 Posts: 5,575 Member
    JoRocka wrote: »
    OMG- if you're doctor didn't give you enough information- go find another effing doctor- not a forum full of keyboard jockeys.

    Solid advice as always, Jo!
This discussion has been closed.