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Rhabdomyolysis: does it really exist? Can it be avoided?

Rhabdomyolysis

Each discipline has its ghosts.

Are you powerlifter? Your phantom has the shape of the L4 and L5 vertebrae. Strongman? You have no idea what that means drop one Atlas stone on the foot? Bodybuilders? You open the fridge, and there are no more chicken breasts and broccoli.

Hard, guys, hard.

And for crossfitters?

There is rhabdomyolysis.

Bad taste and tradition

Yes, tradition. The rhabdomyolysis spectrum wandering from box to box since the dawn of time (of CrossFit🇧🇷).

That is since the CrossFit association®rhabdomyolysis has become - how to say? - publish. So much so that also the excellent Greg Glassmann (peace to his soul) said her, still in 2005: first admitting on journal.crossfit.com the 5 cases of the disease among CrossFit athletes® (all hospitalized), then presenting the character Uncle Rhabdo, a muscular as well as pumped-out clown attached to the hemodialysis machine.

Chamber spirit, or underestimation of risk?

 

The science of rhabdomyolysis

Imagine your precious muscles: the ones you put the proverbials into "Blood, sweat and tears" to grow.

[a black and white video starts, accompanied by the dreamy music of when you think back to a love story: you doing dumbbell curls, you flexing in front of the large dressing room mirror, you kissing your right bicep]

Here it is. Now imagine that your muscles are so tired as to discard, and that the cells pour their contents into the bloodstream (what a horror).

This is the stress rhabdomyolysis (there is also the trauma one, but now we don't care).

The fault is prolonged intense physical activity and the resulting muscle damage. Excessive catabolism in muscle cells causes myoglobin, creatinine, potassium, calcium and uric acid are released into the blood, causing acidosis. Myoglobin is also toxic, e gives rise to kidney failure.

The consequences are harmful (and painful), including in addition to physical exhaustion, the possibility of the formation of micro-clots of blood around.

In short: rhabdomyolysis is caused by the end of metabolic resources, that is, by extreme metabolic stress, which leads to apoptosis of the cells - their death. The body no longer has the resources to compensate for fatigue, and it goes haywire.

Symptoms:

A nice mess, in short. Tests (CPK-creatine phosphokinase, myoglobin, potassium and creatinine) help diagnose it.

To get out of it? It depends on gravity, it goes from intravenous rehydration, on hemodialysis.

Rhabdomyolysis: real risk or legend?

Let's face it: rhabdomyolysis is a rare disease, which seems to exclusively affect elite athletes (those who train 8-10 times a week).

Basically, the measures to avoid taking the risk they are very simple:

Then, if you did bodybuilding o powerlifting, rhabdomyolysis can also be said to be a bit like the infamous overtraining: it exists, if it happens it's a mess, but because it happens you really have to go into it SO MUCH, SO MUCH, SO MUCH.

In general, more than we can even imagine.

 

 

(although, as a matter of fact, some statistics they say that compared to Glassmann's post in 2005, cases of rhabdomyolysis have increased at least 20 times. More effort in circulation, and simply more awareness, and therefore more I remember to a medical diagnosis?)

 

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photo & video: crossfit.com, amc.af.mil
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