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TL;DR: I got rhabdo from crossfit last year. My CPK was 100,000 and I spent 5 days in the hospital. I wasn't overweight but I wasn't fit when I got it, and I
by Whitespace 13y ago
TL;DR: I got rhabdo from crossfit last year. My CPK was 100,000 and I spent 5 days in the hospital. I wasn't overweight but I wasn't fit when I got it, and I got it during the first day of a beginner course.
Ask me anything.
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I did crossfit for a couple of months in 2010 and loved it, but I had to stop since I moved to a new apartment and the gym times wouldn't work with the longer commute. I always wanted to go back, so in June 2012 I started up again, taking the two-week beginner course (I wasn't in the best shape and I wanted to ease into it).
During the first day back, we went through a lot of basic movements and listened to the instructor talk about what crossfit was like. In the hour-long class, we spent the last ten minutes talking about rhabdomyolysis; what it is, the symptoms, the danger, common ways to get it, etc.
The workout of the day was tabata squats (20 seconds of as many BW reps, then 10 seconds of rest, repeat 8 times for a total of 4 minutes and 2:40 of exercising), tabata pushups, and tabata situps.
The squats were the one that got me.
The next morning, I couldn't walk, but that was expected since it was my first day back. I pushed myself quite hard (knowing what crossfit was like), but I wasn't competing with the people in my class, I was competing with myself. I took it easy and rested.
The day after that, I couldn't really bend my legs because of the extreme soreness, and walking down the stairs was neigh impossible. It took a while, but I took the subway to the office where there's a gym with a stationary bike, as slow biking was the only thing that would ease the soreness in my quads.
After 6 hours at work, periodically biking and reading online, I noticed my urine was coca-cola colored, and that it was the telltale sign of rhabdo. I knew that because the crossfit instructor drilled it into my head two days earlier.
I looked online for a hospital that my insurance covered, took a cab, checked myself in saying I had rhabdo, and I began a 5-day stay where I received lots of saline solution (1000ml 6x a day, IIRC) to help flush the myoglobin out of my body. Luckily for me, the hospital saw a lot of cases of rhabdo from not crossfit members, but prisoners. They have little else to do than workout extremely hard, and the hospital saw dozens of prisoners a year.
My creatine kinase was almost 100,000 (excess myoglobin is the problem, but high creatine kinase is a proxy for high myoglobin, and CPK levels are commonly checked). TFA is right in that the normal is < 100. IIRC, the doctors estimated I dissolved 5 lbs of muscle tissue into my bloodstream to get a CPK that high. I was bored in the hospital so I charted my CPK to determine when they'd release me: http://imgur.com/18HYKNr http://imgur.com/18HYKNr
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Many tests afterwards showed my kidneys are fine, and I haven't noticed (or read about) what the TFA describes as "flabbiness" or some sort of water retention in my legs. I also haven't noticed that my legs are weak; on the contrary, after lots of biking over bridges my legs are stronger than my squat days (at least when it comes to endurance, not power).
TFA is being a bit sensationalist and anecdotal about rhabdo being crossfit's "dirty little secret." To add another anecdote into the fire, everyone I know that does crossfit knows what rhabdo is, and rhabdo is mentioned in beginner classes multiple times; not only what it is, but the symptoms, what to do when you get it, and how, if left untreated, myoglobinuria can lead to acute renal failure and death.
I haven't been to crossfit in over a year, but TBH I'm itching to go back. I'm the kind of personality that will really push myself hard – probably harder than most – but now I know a little better and will hold back a tiny bit, especially when doing high reps of low weight.
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Update: My first crossfit experience was at Crossfit Virtuosity in Brooklyn, NY and I got rhabdo at The Black Box in NYC.
Also, my memory isn't so great as I thought. I took the class on a Friday and, that same night, moved into a new apartment. The combination of crossfit and carrying lots of boxes/furniture on the same day was probably the cause.
- domrdy 13y agoI completed the beginners course at two different "boxes" in the last month and this is the first time I hear or read about this condition, so thanks for the write down.
- Whitespace 13y agoNo problem; I'm glad that people can get something out of my experience. I originally wanted to write everything down and be a primary source of information on exertional rhabdo (there isn't a lot of useful information out there regarding hospital stay, CPK levels, etc.) but it got written down on a long-lost TODO somewhere and forgotten.
- enraged_camel 13y agoThat's scary. Thanks for sharing. I'm an amateur bodybuilder and I workout alone. Over the years I have contemplated joining Crossfit (mostly for the comradery aspect), but the insane level of cult mentality has made me shy away from it every time. Articles like this just drive home the point. My friend Jane, who is a physical therapist, specializes in exercise injuries. She once confided in me that local Crossfitters form by far the largest percentage of her repeat customer-base. She said she finds the level of irrationality unbelievable, in that the same people will come to her in a lot of pain and brag about their injury on the one hand, and beg her to fix them up quickly so they can go back to Crossfit ASAP. Then they will come back in a few months with a different injury but the exact same mindset.
- dkarl 13y agoOver the years I have contemplated joining Crossfit (mostly for the comradery aspect), but the insane level of cult mentality has made me shy away from it every time. That's a good reason to shun a particular location or instructor, but I and a lot of other people have had completely opposite experiences. If the workouts interest you, I encourage you to give it a try and see what the instructors are like. Maybe ask Jane where her patients work out and go someplace else.
- 13y ago