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Old 11-04-2008, 11:18 AM   #1
Shawn Hansen
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Possible Mild Rhabdo?

As i write this, im currently home sick and trying to figure out what happened.

I have been crossfitting for several months, and consider myself to be in better than average shape compared to most folks at my local "gym". The gym owner has decided to do a trial run of crossfit classes to see if there is interest so i thought id try it out. This was this past Saturday.

During the warmup (it wasnt the CFWU) they had us doing several lower body exercises inclusing walking lunges with 1 dumbell, switching hands to promote core balance. Well i made a mistake and brought out too much weight (for me i guess 40# db). You see i didnt know it was the warmup, i thought it was the workout so i was using larger weights than everyone in the class. Needless to say i started to hit physical failure and my legs were on fire like i dont remember in recent times. After the warmup i was FRIED.

The workout consisted of 5 rounds of:
5 Dumbell Squat press (similar to thruster)
10 Burpees
20 Squats
Run around the gym (includes uphill run)

As you can guess, ive been sore since then. So sore in fact that i cant recall being this sore in recent YEARS. Even though ive been crossfittting for months, and even often times doing as Rx'd. Saturday night my quads were cramping up on me and walking was not too painful but i would definitely say labored...as if my own bdoyweight was too heavy for my legs. Sunday the soreness really set in and i didnt want to do ANYTHING all day. Getting up out of a chair was a chore. Monday i went to work (construction) and lets just say i was moving slow and in pain ALL day.

Here it is tuesday, the soreness is slightly better but if i sit around for more than 5 minutes then moving is really painful and i woke up with a 101.5 degree fever. Could this be a case of mild Rhabdo? As of now my fever has just come down to 99.9. Im not having trouble urinating, though it is pretty yellow atm.

I love crossfit, one of it greatest assets is its ability to build mental toughness. But, i have to wonder if that could be a slight negative as well. Training your mind to ignore your bodys signals to quit and keep pressing on can be a tad dangerous im thinking. Squeeking out those last 4 reps or so until your body actually fails...i think thats what did it to me.

Thoughts? Should i keep a close eye on this? Or just rest up and forget about it?

-S
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Old 11-04-2008, 11:23 AM   #2
Brian Bedell
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Re: Possible Mild Rhabdo?

I'm not a dr., but it's my understanding that one sign of rhabdo is your pee will be brown, or "coke" colored. You really should go to the dr. if you think it's a problem, I'm not a big fan of the internet or "armchair" diagnosis.
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Old 11-04-2008, 11:27 AM   #3
Melissa Urban
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Re: Possible Mild Rhabdo?

+1 for Brian's advice.

On top of the serious soreness and pain, the fact that you woke up with a fever would be enough to get me to a doctor. Make sure you explain your concerns and request that they test the level of creatine kinase (CK) in your blood.
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Old 11-04-2008, 12:00 PM   #4
Shawn Hansen
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Re: Possible Mild Rhabdo?

Thanks for the responses. Interesting that you would mention the bloodwork. I just had bloodwork done (full metabolic panel) to check my thyroid, i take small dose of thyroid hormone. My doctors assistant called me up and gave me the results about 2 weeks ago, and told me i had impaired kidney function. When i came in to speak to my doctor about the results i inquired about that, and he said my levels of Creatinine were abnormally high, which might suggest that my kidneys are functioning poorly. But, because he knows my activity level and that i have significantly higher muscle mass than your avg couch potatoe that it wasnt a problem. He assured me based on the results that my kidneys were fine.

Hmm now im wondering if i should get a new doctor.
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Old 11-04-2008, 01:23 PM   #5
Tina Dobson
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Re: Possible Mild Rhabdo?

I would def. go to another doctor, a specialist (urologist/nephrologist, etc.) to make sure. A high level of C doesn't necessarily mean poor kidney function, and a normal C level doesn't mean normal kidney function. I have had kidney issues for years that have no discernible reason.

I had mild rhabdo when I first started. Luckily it felt weird to me immediately and I stopped. I was sick and sore in just the weirdest way. Anytime you have a fever of 100 or more you should be concerned and get to the doc asap. I'm a novice, but from what I have heard, the worst thing you can do with rhabdo is wait to see a doc.
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Old 11-04-2008, 09:06 PM   #6
Frank E Morel
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Re: Possible Mild Rhabdo?

Quote:
Originally Posted by Shawn Hansen View Post
Thanks for the responses. Interesting that you would mention the bloodwork. I just had bloodwork done (full metabolic panel) to check my thyroid, i take small dose of thyroid hormone. My doctors assistant called me up and gave me the results about 2 weeks ago, and told me i had impaired kidney function. When i came in to speak to my doctor about the results i inquired about that, and he said my levels of Creatinine were abnormally high, which might suggest that my kidneys are functioning poorly. But, because he knows my activity level and that i have significantly higher muscle mass than your avg couch potatoe that it wasnt a problem. He assured me based on the results that my kidneys were fine.

Hmm now im wondering if i should get a new doctor.
Yes, a revisit to the MD for this new issue would be a wise thing, and not the family doc, as it will take awhile for everything to fall, into place, if you have rhado.. a couple days later when the results come back.. your worse off. So, I hate advocating trips to the ER but really this instance it wouldnt be a bad idea to do so. The fever could be related or not to rhado but bloodwork is going to be tell all on this, Same time, your creatinine level is going to be tested at that time aways. And your fever will be looked at too..
Question, how is high was the result? and its also the quality of urine made needs to be looked at.. there are plenty of people with kidney failure and on hemodialysis for it, still make urine.. but its not toxin rich.. its just a bit of water vs zero urine production.
so more problem solving is needed.

Again, your fever could be related to the elevated CR - a silent urine/kidney infection that was not picked up and now is showing up or not? v You warrant another look at. But for an md, to say "your kidneys maybe functioning poorly" and NOT having you redo your bloodwork sooner than later, offer a referral to a kidney specialist, or even offer some plain old insight as what maybe going on... is worth dumping.

Reader's digest version?
1--go to the er... RE eval your fever ( fever evals are extensive.. cxr, urine, blood work)... and CK -- explain that you have Doing HIGH Intensity exercise that has be known for Rhado.
2--Discuss your Abnormal results with the MD there in the ER and ask for a Referral to a kidney doctor if your CR is still high.
3-- GEt a new primary if you feel that its necessary for getting better quality care.. Its no different that expecting a auto mechanic to deliver you good work on your care. You are paying good money for your health.
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Last edited by Frank E Morel; 11-04-2008 at 09:11 PM..
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Old 11-05-2008, 09:22 AM   #7
Neil Khant
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Re: Possible Mild Rhabdo?

Go in, see a DR.

Best case, your fine.

Worst case, your not. But at least you will get treated.

This is not something you want to mess with.
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Old 11-05-2008, 10:05 AM   #8
Rayna McGinnis
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Re: Possible Mild Rhabdo?

you definately want to see a doctor but just a thought here...

Anytime you do a work out, especially crossfit type work outs, you are breaking down muscle tissue and your CPK levels go up. That's how we get stronger.

When i was in the hospital with Rhabdo, my CPK levels were at 70,000 and that was day 5 after the work out. Doctors are pretty sure they were peaking at about 100k. When they realeased me from the hospital, they were at about 23k. They considered that safe enough to send me home. The SAFE level of CPK levels is anything below 200. So if you did a work out the day before you had the blood work done, and your CPK levels were at 500k, then that would indicate muscle damage, but the way my doctor explains it was, that would just be my body healing.

So it's normal for your CPK levels to spike a little after a work out.

Besides that--- I think you should go to the doctor. I do believe that Rhabdo happens more in work outs like GHD sit ups and negatives on pulls ups and runners, but It's better to be safe than sorry. I kept pushing it off until I was so swallon I couldn't even wear pants and my skin hurt. I thought I just pulled a muscle and it was swelling, so i was ignoring it until Monday so I could go see the doctor.

Compartment syndrome + Rhabdo = not a good time.

Also- as far as the brown pee goes... DON'T WAIT FOR THIS... brown pee is a sign of rhabdo yes... most often seen in car accidents and burn victoms. My surgeon told me after the fact that about 1 in 10 exercise induced rhabdo victims get brown pee. So most crossfit rhabdo victims are never going to see this sign.

As far as poor kidney function goes... even with CPK levels that high, my kidney function was never impaired. If i had wait a few more days, it probably would have...

Also-if your pee is yellow- you are dehydrated and not drinking enough water. This could also be why your CPK levels were so high and your test results were messed up. You need to drink enough water to have clear to pale yellow pee... everyday... especially work out days. Not drinking enough water INCREASES your risk of Rhabdo and once you have it you should be drinking enough water to make sure your urine is clear. You're system needs flushed out and your kidney's need the water to help flush it.

okay.. that was long winded enough- just trying to put some facts out there. Rhabdo is not something you want to mess with and the longer you wait the more your asking for IV fluids and a nice uncomfy hospital bed next to a lonely old lady/man who wants to tell you their life story every hour on the hour...
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