p90x puts man in hospital

People should see a doctor before starting new exercise regime especially when really unfit...

Yeah, but who really does that? I mean, maybe if you are older and/or have health problems but most youngish, healthyish people just charge on ahead.

I've heard of similar things happening when a PT pushed someone too hard. You have to ease into things until you can tell the difference between your head stopping you or your body saying STOP.

its a shame people are blaming the actual exercise program for this.
the guy clearly over exerted himself and didnt modify/stop when his body was pushed to the limit.
he clearly neglected Tony Hortons advice from the videos!

ok

Good post. I have never, nor would I ever feel the need to do px90. There are plenty of simple exercises that are healthy and get your heart rate up where you don't need to overdo it. Some of them are fun, like roller skating or hiking, which burn a lot of calories.

Fyi, my grandmother who never learned to drive a car, walked everywhere. About 5 miles a day on average. No other exercise, just walking. Ate real food, not processed, in normal amounts. Drank a little coffee and a little wine. She lived to 96 years of age and was always slender.

The equation is pretty simple. And one doesn't really need do more than walk...albeit walk a lot, and simply not eat too much. Some light weights are a good idea too, especially for women as they start to age.

I don't think this article was written to give P90X a bad name at all.

I think it was written to give exposure to the guy's website. But I'm a cynic that way.

I was under the impression that rhabdomyolysis occurs due to inadequet hydtation during intense exertion.
Also the articl doesn't disclose if tests were done to establish an autoimmune cause. ER is notorius for fixing them up as best as they can then sending them off to the relevant specialists who will determin the exact nature of the disease process.

I think the problem wasn't doing extreme exercize, but probbaly something more to do with de-hydration/ an autoimmune dispossition/ previous injury. Maybe even alcohol/ drug abuse or he is taking medication. There are too many factors which can't be ignored when trying to determins the exact nature of the extreme rhabdomyolysis, thats assume that the cause wasn't solely extreme exercize or that the extreme exercize was a catalyst to the actual cause .

Also I've started Insanity with no prior fitness level and apart from the pulled muscles here and there, I've not expereices anythign such as rhabdomyolysis....

While on the subject - Be aware of the risks of taking NSAIDS.


1. NSAIDs slow tissue healing.
2. NSAIDs can damage your kidneys

http://myrunningdoc.blogspot.com/2010/05/nsaids-why-runners-should-think-twice.html

And

Running, Rhabdomyolosis, and Renal Failure
http://www.ultrarunning.com/ultra/9/9_1/running-rhabdomyolosis-an.shtml

Thanks for citing, will have to read later!

I just saw this. NSAIDs are nastey things. If you do take them make sure you take advise from a doctor or nurse as you will need to line your stomach i.e. eat before or when you take them (I'm not 100% sure if that is accurate so plz plz check with the pros)

I think the problem wasn't doing extreme exercize, but probbaly something more to do with de-hydration/ an autoimmune dispossition/ previous injury. Maybe even alcohol/ drug abuse or he is taking medication. There are too many factors which can't be ignored when trying to determins the exact nature of the extreme rhabdomyolysis, thats assume that the cause wasn't solely extreme exercize or that the extreme exercize was a catalyst to the actual cause .

Also I've started Insanity with no prior fitness level and apart from the pulled muscles here and there, I've not expereices anythign such as rhabdomyolysis....

The problem was he was going too hard. It has nothing to do with dehydration. JDS, an elite MMA fighter almost experienced the same exact thing because he pushed himself too hard. You have to know your limits. You have to know the difference between sore and hurt. This is why you go slow, or/and consult with a doctor before trying to get into a lifting routine if you're completely new. I guess this guy wasn't new, just stupid.

edit: this has nothing to do with P90x, or any exercise routine. It's about knowing when to stop.

P90x is fine.. It has PLENTY of warnings telling people to consult a physician before starting the program. Don't try to be a hot shot and do things you aren't ready for. The dude is lucky nothing else happened that could have caused him more serious of injuries.

I did the underling of this program, "Power 90", and that was pretty intense for me. At the time, I was also out of shape and used to be an "athlete". However, it's just common sense to stop when it hurts. Several times during the video, Tony Horton encourages taking a break or getting a drink of water...just pause the video. Even saying that if you're unable to do a move or weights, try it like this instead or reduce the resistance/pounds. And as he said those things, I'd evaluate...well, ok, I can't do all those push-ups, I'll use my knees instead to take of the strain off. It's easy to be 1000% motivated when you start, but you have to know your limitations. Even though I used to be in shape and athletic, I knew this. The programs Horton has created are good, but as always, follow the instructions or things like this happen.

I think the problem wasn't doing extreme exercize, but probbaly something more to do with de-hydration/ an autoimmune dispossition/ previous injury. Maybe even alcohol/ drug abuse or he is taking medication. There are too many factors which can't be ignored when trying to determins the exact nature of the extreme rhabdomyolysis, thats assume that the cause wasn't solely extreme exercize or that the extreme exercize was a catalyst to the actual cause .

Also I've started Insanity with no prior fitness level and apart from the pulled muscles here and there, I've not expereices anythign such as rhabdomyolysis....

The problem was he was going to hard. It has nothing to do with dehydration. JDS, an elite MMA fighter almost experienced the same exact thing because he pushed himself too hard. You have to know your limits. You have to know the difference between sore and hurt. This is why you go slow, or/and consult with a doctor before trying to get into a lifting routine if you're completely new. I guess this guy wasn't new, just stupid.

edit: this has nothing to do with P90x, or any exercise routine. It's about knowing when to stop.

Rhabdomyolysis is caused by dehydration during extreme exercize. I don't know the exact mechanism, but I'm guessing it has something to do with the fact that the blood supply isn't sufficient due to reduced hydration, which causes problems with muscle metabolism. Then some crazy stuff happens which results in the release of myoglobin which then is excreted through the urine.
An MMA fighter would be subject to crush injuries which would lead to direct muscle cells damage which then results in crazy stuff happenign to ions and swelling etc. etc. then rhabdomyolysis.

Sorry my explination of the diseae is terrible as I only have a vague understanding. However the two incidences are seperate and thus have different causes. Although there are always anomalies

I'm sure that dehydration does play a major role with the actual disease... but it can be avoided, that's the point. He didn't know when to stop. I think the article even stated that he felt really sore after day 1, and then pushed through it for day 2... I don't remember if he did a day 3 or not, I think he may have. That's just dumb on his part.

Agreed. You'd think a buisnessmans who's nature is to weight up risk with benefit would now when to stop.

Good post. I have never, nor would I ever feel the need to do px90. There are plenty of simple exercises that are healthy and get your heart rate up where you don't need to overdo it. Some of them are fun, like roller skating or hiking, which burn a lot of calories.

Fyi, my grandmother who never learned to drive a car, walked everywhere. About 5 miles a day on average. No other exercise, just walking. Ate real food, not processed, in normal amounts. Drank a little coffee and a little wine. She lived to 96 years of age and was always slender.

The equation is pretty simple. And one doesn't really need do more than walk...albeit walk a lot, and simply not eat too much. Some light weights are a good idea too, especially for women as they start to age.

That's nice for you and your grandmother, but plenty of people want to push themselves. IMO they shouldn't be discouraged from doing so as long as they are smart about it.

I started out walking and that was great, but now I want to see what my body is capable of doing. So I consulted my doctor, and started lifting heavy, and now I'm starting to jog as well. Maybe it isn't "necessary" but life isn't always about just doing what's necessary.

Good post. I have never, nor would I ever feel the need to do px90. There are plenty of simple exercises that are healthy and get your heart rate up where you don't need to overdo it. Some of them are fun, like roller skating or hiking, which burn a lot of calories.

Fyi, my grandmother who never learned to drive a car, walked everywhere. About 5 miles a day on average. No other exercise, just walking. Ate real food, not processed, in normal amounts. Drank a little coffee and a little wine. She lived to 96 years of age and was always slender.

The equation is pretty simple. And one doesn't really need do more than walk...albeit walk a lot, and simply not eat too much. Some light weights are a good idea too, especially for women as they start to age.

That's nice for you and your grandmother, but plenty of people want to push themselves. IMO they shouldn't be discouraged from doing so as long as they are smart about it.

I started out walking and that was great, but now I want to see what my body is capable of doing. So I consulted my doctor, and started lifting heavy, and now I'm starting to jog as well. Maybe it isn't "necessary" but life isn't always about just doing what's necessary.

No need to be snarky. I didn't use the word necessary. Nor would I discourage someone who wanted to do different things. I like to do a lot of activities myself, including running, hiking, roller skating, ice skating, swimming, etc. My only point is one need not go to extremes for fitness. And an active lifestyle in the long run is what is important, walking or otherwise. I can see my grandma walking 5 miles in her 90's, and it was good for her. I'm not sure how many people look to this program that are out of shape for a quick fix, but my hunch is a lot. People already active probably are already happy with what they re active doing. People that are not may be prone to hurt themselves doing a very intense program in a short time, as did the person the article is written about. Being active, in some manner, is a lifetime goal. That was more the point I was trying to make.

Good post. I have never, nor would I ever feel the need to do px90. There are plenty of simple exercises that are healthy and get your heart rate up where you don't need to overdo it. Some of them are fun, like roller skating or hiking, which burn a lot of calories.

Fyi, my grandmother who never learned to drive a car, walked everywhere. About 5 miles a day on average. No other exercise, just walking. Ate real food, not processed, in normal amounts. Drank a little coffee and a little wine. She lived to 96 years of age and was always slender.

The equation is pretty simple. And one doesn't really need do more than walk...albeit walk a lot, and simply not eat too much. Some light weights are a good idea too, especially for women as they start to age.

That's nice for you and your grandmother, but plenty of people want to push themselves. IMO they shouldn't be discouraged from doing so as long as they are smart about it.

I started out walking and that was great, but now I want to see what my body is capable of doing. So I consulted my doctor, and started lifting heavy, and now I'm starting to jog as well. Maybe it isn't "necessary" but life isn't always about just doing what's necessary.

No need to be snarky. I didn't use the word necessary. Nor would I discourage someone who wanted to do different things. I like to do a lot of activities myself, including running, hiking, roller skating, ice skating, swimming, etc. My only point is one need not go to extremes for fitness. And an active lifestyle in the long run is what is important, walking or otherwise. I can see my grandma walking 5 miles in her 90's, and it was good for her. I'm not sure how many people look to this program that are out of shape for a quick fix, but my hunch is a lot. People already active probably are already happy with what they re active doing. People that are not may be prone to hurt themselves doing a very intense program in a short time, as did the person the article is written about. Being active, in some manner, is a lifetime goal. That was more the point I was trying to make.

We get posters here (especially lately) who seem to look down on anyone who is passionate about what the exercise they are doing, especially if what they are doing is Crossfit or one of the more extreme workouts. I don't do Crossfit (or P90x) myself but it makes me bristle when someone seems to be saying that pushing hard is bad and they should settle for less. If that was not the underlying tone of your post then I apologize, but that's how it came off to me. It'd be like if someone wanted to go to law school and they were told that all they really need is community college. For some goals, walking is a perfect fit. If you're just trying to lead a healthy/active lifestyle then walking is great. But if you want to transform your body and push it as far as it will go then that isn't going to cut it. My feeling is that most people who start P90x want the latter.

I agree that this sort of workout probably is seen as a quick fix for many, but there are just as many who are looking at it as a way to push themselves harder. I don't think everyone who is already active is necessarily happy doing the same thing forever. People get bored and want to change things up, or realize that they aren't getting the results they want.