Eichner, E. Randy MD, FACSM. F1000Res. Ad Choices, A Woman Developed Rhabdomyolysis After 15 Minutes of Indoor Cycling. I knew something was really wrong with me. The Impossible Dream of Working Out When You're a Mom With a New Baby, A Mom of 4 Died When a Migraine Was Actually an Aneurysm: What You Should Know, Melissa Etheridge Smokes Pot With Her "Grown" Kids—But Experts Say It Could Be Harmful. A quick Google search turned up a story about a 30-year-old woman who had similar muscle pain after a cycling class and was hospitalized with something called rhabdomyolysis… In some cases it has been triggered by over-doing it at the gym, but it has also been reported following car crash injuries, and even as a side effect of taking certain drugs, according to Nesochi Okeke-Igbokwe, a doctor who previously spoke to INSIDER about a separate exercise-induced case . #rhabdo #rhabdomyolysis #rhabdofromspinning #canspinningcauserhabdo #spinninginstructor #fitnesspodcast #nutritionpodcast #healthpodcast #JoeCannonPodcast #overworking #exerciseinjury #corporatewellness #corporateFitness #overtraining #fitnessinjuries … Battista et al. Rhabdomyolysis After Ankle Strain and Light Cycling. Rhabdomyolysis patients often show symptoms within 24 to 72 hours, Udayan Bhatt, M.D., a physician in the Ohio State University Medical Center's Division of Nephrology, tells SELF. When Lauren Peterson grew nauseated after 15 minutes of an indoor cycling class, she didn't think anything was terribly wrong. Myoglobin-induced vasoconstriction is observed only in acidic medium [26] . COVID-19 is an emerging, rapidly evolving situation. Kim D, Ko EJ, Cho H, Park SH, Lee SH, Cho NG, Lee SY, Jeong HY, Yang DH. 2015 Dec;13(2):58-61. doi: 10.5049/EBP.2015.13.2.58. Harper J, Wong E. Muscle soreness in a fit young woman: the patient exercised regularly, so what caused swelling and soreness after a single exercise class? Ulster Med J. Any strenuous muscular exercise may trigger rhabdomyolysis. Accessibility Spinning is a popular indoor stationary cycling program that uses group classes as a motivational tool. No potential conflict of interest relevant to this article was reported. "I was scared. This last cause is key to understand, as many people will specifically associate indoor cycling with the condition. Moreover, in literature there are some rhabdomyolysis cases due to the practice of indoor cycling (Montero et al., 2009; Young and Thompson, 2004). Exertional rhabdomyolysis (ER) is frequently reported in athletes and military recruits; however, infrequently it has been reported after spinning class. most CK levels in rhabdomyolysis were symptoms first appear in the second The patient was released on the sixth below 100,000 U/L. Although there are various causes and factors of the condition, as of late an article has surfaced specifically associating the condition with indoor cycling. -. Hernández-Contreras ME(1), Torres-Roca M, Hernández-Contreras V, Rosa Salazar V, Mar García-Méndez M, García-Pérez B, Molina-Boix M. Author information: (1)Short Stay Unit, Internal Medicine Department, Virgen de la Arrixaca University Hospital, Murcia, Spain - maencarna79@gmail.com. And for people who do CrossFit, that could mean doing high-intensity intervals back-to-back for a long time with too little rest in between sets. eCollection 2018. Exertional Rhabdomyolysis after Spinning. Case Report: Exertional rhabdomyolysis in a spin class participant with sickle cell trait. Symptoms may include muscle pains, weakness, vomiting, and confusion. It’s important for anyone who exercises to be aware that over-exertion doesn't give your body the time it needs to rest and recover, and there is a risk of severely straining your muscles to the point of potential breakdown. If you're new to spin class or cycling, ease your way in—and avoid those eccentric movements when possible. (Once your urine has darkened, you definitely want to see a medical professional, Bhatt says.). Based on Mirandas-Comas' experience, he recommends waiting several weeks—or in some cases, months—for your muscle tissue to repair itself and regain strength after you've received treatment. So what steps can you take to avoid rhabdomyolysis? But it got me thinking about the importance of recovery and rest before, during and after workouts. For example, certain infections can cause rhabdomyolysis; therefore, antibiotic-associated rhabdomyolysis may be difficult to prove. Some of the muscle breakdown products, such as the protein myoglobin, are harmful to the kidneys and may lead to kidney failure.. Background: 'Spinning' is an indoor cycling regimen. ‘Too much, too soon,’ or ‘a step too far?’ exercise induced Rhabdomyolysis. Finally, some things—like certain medications and high doses of caffeine—can increase your risk of developing rhabdomyolysis. The severity of illness ranges from asymptomatic elevations in serum muscle enzymes to life-threatening disease associated with … Background: Rhabdomyolysis is a pathologic condition in which intracellular muscle constituents leak into the blood circulation. Epub 2016 Nov 29. Paired with key laboratory findings, her symptoms were suggestive of rhabdomyolysis. I want their voices to be heard. From there, Miranda-Comas advises doing a little light exercise and getting re-evaluated by a physician. Spin Class-Induced Rhabdomyolysis. This case report demonstrates that rhabdomyolysis has a wide range and spectrum of causes and risk factors. Spinning-induced Rhabdomyolysis: Eleven Case Reports and Review of the Literature. Creatine kinase (CK) levels are typically markedly elevated, and muscle pain and myoglobinuria may be present. The commonly affected nerves day of hospitalization. “With CrossFit, it’s very intense—some workouts are at a high intensity over a prolonged period of time.”. I didn’t know what it was.". 2016 Sep;8(9):676-9 Authors: Hu J, Ng D Abstract A 35-year-old female presented to the emergency room with severe upper leg and back pain, which began 3 days after low-intensity cycling and falling from a stationary bike. But it’s not just a problem for indoor cycling devotees—rhabdomyolysis is also fairly common among marathon runners and people who do CrossFit, Gerardo Miranda-Comas, M.D., an assistant professor of rehabilitative medicine at Mount Sinai's Icahn School of Medicine, tells SELF. Freebie Rhabdomyolysis: A Public Health Concern. Keywords: Privacy, Help Numerous factors contribute to rhabdomyolysis, commonly defined as the rapid destruction of skeletal muscle which releases muscle enzymes from inside the muscle cells. She developed rhabdomyolysis with a maximum serum creatine kinase level of 72,358 U/L. -, Parmar S, Chauhan B, DuBose J, Blake L. Rhabdomyolysis after spin class? "I was crying putting on my socks, my thighs hurt so bad," Peterson told TODAY. Discover new workout ideas, healthy-eating recipes, makeup looks, skin-care advice, the best beauty products and tips, trends, and more from SELF. 2010;14:279–280. All the best health and wellness advice, tips, tricks, and intel, delivered to your inbox every day. Brogan recently published research on three such cases. Rhabdomyolysis can result from ANY form of physical activity in individuals not accustomed to the activity (ex. "If you're really struggling with your workout, maybe that's a sign to ramp down your activity a bit on that particular day," he says. We report an episode of clinically manifested exertional rhabdomyolysis due to stationary cycling, commonly known as spinning. 2013;82:39. This leads to myoglobin (the protein that stores oxygen in muscles) leaking into the bloodstream, which can cause kidney damage. There may be tea-colored urine or an irregular heartbeat. May 4, [cited 2016 Mar 10]. It is usually caused by muscle trauma. Rhabdomyolysis is a serious medical disorder that I feel people don't take seriously. Rhabdomyolysis After Ankle Strain and Light Cycling James Hua, c, David Ngb Abstract A 35-year-old female presented to the emergency room with severe upper leg and back pain, which began 3 days after low-intensity cy-cling and falling from a stationary bike. Rhabdomyolysis is a rare but sometimes serious condition that can occur following muscle injury. J Clin Med Res. 2012;61:584–586. RESULTS: Eleven patients were analyzed. Here’s a strange one I came across a few weeks ago – Rhabdomyolysis. "It's way more dangerous to be … Aim: The aim of this study is to evaluate the clinical characteristics of SIR and compare it with other causes of rhabdomyolysis. The number of case reports of spinning-induced rhabdomyolysis (SIR) has increased since 2004 in South Korea. There had been reports of rhabdomyolysis that developed after using stationary bikes, but they mostly resulted from high-intensity exercises or occurred in first-time participants going through intense cycling . "Spinning" is an indoor form of cycling where participants use a special stationary exercise bicycle with a weighted flywheel and undergo high-intensity cycling classes focusing on endurance. This wasn’t a trend piece on the hottest workouts or a how-to for cycling newbies; the impassioned reactions from readers were in response to the reported facts on a condition called rhabdomyolysis. Bhatt also recommends listening to your body and not pushing it past its limit. Clinically, the condition known as rhabdomyolysis, or "rhabdo," occurs when muscle tissue begins to die, leaking a protein called myoglobin into the bloodstream. If you’ve ever taken a spin class, you know it’s no joke.Riding on a stationary bike for 45 minutes or so seems like no biggie, but in reality it’s insanely hard. Current Sports Medicine Reports: March/April 2015 - Volume 14 - Issue 2 - p 73–74. Brogan M, Ledesma R, Coffino A, Chander P. Am J Med. “I’m currently gathering cases of [cycling]-induced rhabdomyolysis to make a case series and so far, I’ve gathered five cases, all of whom were previously healthy,” she continues. She required hospital admission to sustain renal function through fluid resuscitation therapy and fluid balance monitoring. #rhabdo #rhabdomyolysis #rhabdofromspinning #canspinningcauserhabdo #spinninginstructor #fitnesspodcast #nutritionpodcast #healthpodcast #JoeCannonPodcast #overworking #exerciseinjury #corporatewellness #corporateFitness #overtraining #fitnessinjuries … I also believe the personal stories of those dealing with rhabdo do not get enough attention. She developed rhabdomyoly - sis with a maximum serum creatine kinase level of 72,358 U/L. But within days, Peterson's thighs were painful and swollen, and her urine had become darker. A 35-year-old female presented to the emergency room with severe upper leg and back pain, which began 3 days after low-intensity cycling and falling from a stationary bike. These symptoms include: extreme muscle pain or soreness, muscle weakness, nausea or vomiting, darkened urine, and thirst—among other things. Joe Cannon Health Podcast. All rights reserved. For Peterson, that meant taking an intense indoor cycling class when she hadn't worked out in a while. A recent wave of articles based on a 2017 report published in the American Journal of Medicine (AJM) has exercisers — especially those who take indoor cycling classes — concerned that over-exercising will lead to muscle meltdown. "I don't want people to think working out will lead to this severe complication," he says. SELF may earn a portion of sales from products that are purchased through our site as part of our Affiliate Partnerships with retailers. Any strenuous muscular exercise may trigger rhabdomyolysis. There has been no report in the English literature of exercise induced rabdomyolisis from a stationary bike.A 63-year-old female recreational athlete presented to our hospital seeking treatment for lower back, leg pain and stiffness after exercising on a stationary bicycle one day prior. J Pediatr Health Care. At its most severe, rhabdomyolysis can lead to cardiac arrhythmia (irregular heartbeat) or death. You might also like: 6 Signs You're Not Eating Enough Protein. When someone has rhabdomyolysis, their muscles are actually breaking down. Use of this site constitutes acceptance of our User Agreement (updated as of 1/1/21) and Privacy Policy and Cookie Statement (updated as of 1/1/21) and Your California Privacy Rights. You should know what symptoms to spot (extreme muscle pain and darkened urine), but you shouldn't let it keep you from working out. Epub 2015 Dec 30. En médecine, la rhabdomyolyse (du grec : rhabdo- : « rayé » myo- : « muscle » et lysis : « destruction ») désigne une situation dans laquelle des cellules des muscles squelettiques, se dégradant rapidement, libèrent leur contenu dans la circulation sanguine. ER is diagnosed by clinical history, physical exam, and laboratory values. © 2021 Condé Nast. "If you show no symptoms, you can restart more strenuous physical activity," he tells SELF. To help you understand how bad rhabdo can be, I interviewed Kayla Gallegos, a healthy young woman who developed rhabdomyolysis (rhabdo) after taking her first indoor cycling class. Rhabdomyolysis is a condition in which damaged skeletal muscle breaks down rapidly. But more often than not, Bhatt says, treatment just involves hydrating the patient, stabilizing their electrolyte count and potassium levels (which can be disrupted when you have myoglobin leaking into your bloodstream), and making sure they rest. Numerous factors contribute to rhabdo, including trauma or crush injuries, certain prescription and illicit drugs, severe dehydration, former incidence of rhabdo, and extreme physical exertion. Rhabdomyolysis can occur at any age and in both men and women. Electrolyte Blood Press. Mean age was 27.63 years (SD=5.74). For marathon runners, that could mean ramping up training and pushing your body too hard before it's ready. Any strenuous muscular exercise may trigger rhabdomyolysis. Environmental toxins such as certain snake venoms can cause myoglobinuria. Because exertional rhabdomyolysis may occur in any unfit but otherwise healthy individual who indulges in stationary cycling, the potential health risks of this activity must be considered. METHODS: Retrospective review of clinical histories of patients diagnosed with rhabdomyolysis after indoor cycling in our unit from January 2012 to April 2013. Maureen Brogan, M.D., a kidney specialist at Westchester Medical Center who treated Peterson, told TODAY that she's seen six cases of indoor cycling-related rhabdomyolysis in the last two years. This site needs JavaScript to work properly. All from cycling. 2018 Nov 2;7:1742. doi: 10.12688/f1000research.16326.2. I’m probably the nth case because during my visit to the ER, the doctors told me just in December of 2016 alone (month of my visit), there were five cases too. those new to exercise) when that activity is taken to exhaustive levels. 5 Tips on Rhabdomyolysis Recovery – I always try to keep tabs on current health and fitness news so that I can then pass them on to my clients. Rhabdomyolysis may occur from the toxic illicit drugs and pharmacological agents listed in Table 1. Clipboard, Search History, and several other advanced features are temporarily unavailable. You can start by staying hydrated—carry a water bottle with you when you work out. All patients, regardless of the degree of previous physical training, were diagnosed after a first session of indoor cycling. Ever heard of it? The rare muscle breakdown condition is linked to high-intensity workouts. 2016 Jun;56(6):789-93. For the August Issue of Indoor Cycling Magazine we wanted to share Studio Sweat on Demand’s excellent article which deals with any concerns regarding adverse effects of Indoor Cycling.. -, Thoenes M. Rhabdomyolysis: when exercising becomes a risk. Pelvic Pain from Running, Rhabdomyolysis from Spinning, and Leukopenia in Athletes. Redox cycling of myoglobin and lipid peroxidation is inhibited by alkaline urine, thus decreasing tubular damage; and 3. -. Neither have I. "It's something that can occur, but it's rare.". http://www.clinicaladvisor.com/muscle-soreness-inafit-young-woman/articl... Dawson J, Carl I. Acute Kidney Injury; Rhabdomyolysis; Stationary Cycling. Also known as “rhabdo”, rhabdomyolysis is a rare but life-threatening condition often caused by extreme exercise. Unable to load your collection due to an error, Unable to load your delegates due to an error. All this sounds pretty scary, but Bhatt doesn't want the risk of rhabdomyolysis to deter anyone from working out. SELF does not provide medical advice, diagnosis, or treatment. Numerous factors contribute to rhabdomyolysis, commonly defined as the rapid destruction of skeletal muscle which releases muscle enzymes from inside the muscle cells. How to prevent getting rhabdomyolysis (rhabdo) from indoor cycling/spinning classes. How to prevent getting rhabdomyolysis (rhabdo) from indoor cycling/spinningn classes. We report an episode of clinically manifested exertional rhabdomyolysis due to stationary cycling, commonly known as spinning. Depending on the severity of the condition, treatment can involve dialysis. Epub 2015 Feb 10. Reports of spinning-related rhabdomyolysis are rare in the English literature, and the current case appears to be the first such case reported in South Korea. In these cases, rhabdomyolysis is really about over-exertion. In Brogan’s Spinning study, it was more common in females, but that’s because more … There are several reports concerning exercise and rabdomyolysis. J Sports Med Phys Fitness. A trip to the emergency room revealed that Peterson had developed rhabdomyolysis—a potentially fatal condition impacting 26,000 Americans each year, according to a report published in American Family Physician. 2010;24:189–193. Hippokratia. Please enable it to take advantage of the complete set of features! Rhabdomyolysis after initial session of indoor cycling: analysis of 11 patients. Exertional rhabdomyolysis after spinning: case series and review of the literature. Prevention and treatment information (HHS). The only similar case was reported in 1984 following a supervised spinning class 1.However, recent deaths associated with rhabdomyolysis have been described in American college wrestlers attempting dehydration weight loss by high intensity long duration exercise biking in … Careers. FOIA Available from: Inklebarger J, Galanis N, Kirkos J, Kapetanos G. Exercise-induced rhabdomyolysis from stationary biking: a case report. The principal disadvantage of alkalinization is the reduction in ionized calcium, which can exacerbate the symptoms of the initial hypocalcemic phase of rhabdomyolysis. Jeong Y(1), Kweon HJ(1), Oh EJ(1), Ahn AL(1), Choi JK(1), Cho DY(1). Indoor cycling decade. So although there ha… To recap: Rhabdomyolysis is frightening—but rare. The 33-year-old Bronx resident brushed off her symptoms of nausea and light-headedness and went on with her day. Talk to your doctor to find out what you should look out for. doi: 10.1249/JSR.0000000000000139. Rhabdomyolysis is a syndrome characterized by muscle necrosis and the release of intracellular muscle constituents into the circulation. Ramme AJ, Vira S, Alaia MJ, VAN DE Leuv J, Rothberg RC. 8600 Rockville Pike Would you like email updates of new search results? 2017 Apr;130(4):484-487. doi: 10.1016/j.amjmed.2016.11.004. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of Condé Nast. Joe Cannon Health Podcast. Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional. But Miranda-Comas says the most common major complication is kidney injury. In these cases, rhabdomyolysis is really about over-exertion. To be clear, we’re not saying this will definitely happen to these kinds of athletes—or only happen in these kinds of situations. In some instances, a causal relationship is unproven or uncertain. A previously healthy 21-year-old Asian woman presented with severe thigh pain and reddish-brown urinary discoloration 24-48 hours after attending a spinning class at a local gymnasium. She developed rhabdomyolysis with a maximum serum creatine kinase level of 72,358 U/L. “Sometimes people training for races increase their mileage very fast and start doing long runs without their body being ready for them,” he says. To revisit this article, visit My Profile, then View saved stories. J Fam Pract. April 6, 2017 3.18pm EDT • Updated April 10, 2017 8.17pm EDT Rob Eley , The University of Queensland Bethesda, MD 20894, Copyright Reported cases of exercise induced rhabdomyolysis from stationary bicycling appear to be extremely rare. Explainer: what is rhabdomyolysis and what’s its connection to CrossFit? Pearls and Pitfalls. National Library of Medicine Both Miranda-Comas and Bhatt say easing back into fitness after developing rhabdomyolysis takes time—and not everyone agrees on what that timeline is. Author information: (1)Department of Family Medicine, Konkuk University School of Medicine, Seoul, Korea. [Internet] Clin Advis; 2009. For Peterson, that meant taking an intense indoor cycling class when she hadn't worked out in a … Peterson developed rhabdomyolysis after going to an indoor cycling class (the timing of the incident wasn't specified), and she's not alone.