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Preventing Rhabdomyolis: The Dangers of Overtraining

01dragonslayer

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"Who woulda thought OVERTRAINING is a real thing?!”...

If you thought the same thing, give this article a read because this can happen to anyone whether you are new to lifting or have been training for 15+ years… and if you are competitive like me, this is far more likely to happen to you!

It’s hard to tell an athlete, don’t go so hard and take it easy..." This is what Dana Linn Bailey, 2013 Olympia women's physique champion, had to say about her battle with Rhabdomyolysis.

In the fitness community over-training is an issue that has been getting more and more attention over recent years. As athletes push themselves harder for better results, over-training can happen at any time and without warning (AND it won’t be considerate for your competitions).

Rhabdomyolysis is a disease of overworked muscle cells which leads to the breakdown of muscle tissue and the release of myoglobin into the bloodstream. This can be life-threatening if not treated properly with rest, hydration, education, and awareness on how to prevent it from happening altogether!

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What is Overtraining?​

Overtraining occurs when the body is subjected to excessive physical or mental stress. This can be from overworking the muscles, doing too much cardio, not allowing for adequate recovery time, or any combination of these things.

Signs that you may be overtraining include: feeling constantly tired and run down, decreased performance in the gym or at competitions, increased resting heart rate, increased appetite and strange cravings, overuse of over-the-counter pain relievers on a regular basis and inability to sleep or wake up feeling refreshed.

Overtraining is extremely common in the fitness community because so many athletes are trying to improve their physique through lifting heavy weights for long periods of time without taking adequate rest days.

It goes back to that whole "no pain, no gain" saying...which is a very common thought process in the fitness community. Working out should not be painful! Of course, there is some intense muscle stimulation, sweat, and possibly some tears involved, but this shouldn't be that kind of painful.

What Kind of Pain Should I Feel During a Workout?​

Most professional and educated trainers will say that if you are feeling pain with your workout then something is wrong. If it hurts to do an exercise then don't do it! This goes for weight lifting and cardio exercises as well.

There should be some discomfort associated with overloading the muscles which lead to growth over time, as we all know. And yet, the amount of strain on those muscles should never be so great that it hurts. Discomfort is good, pain is not! Here is a new quote to possibly adopt at the gym: "Growth starts where comfort ends."

If you are feeling pain in your joints, head or ligaments during and/or after your workout then you are most likely over-training. And if you are overtraining then it is time to back off and give yourself an extra rest day or two.

If the pain isn't that bad, but you still feel like something just doesn't seem right about your training regimen or diet plan, take a step back! You can always change things up by incorporating more active recovery into your routine instead of overworking yourself and ending up in a hospital bed like Mrs.Olympia. If you don't decide to fix it at its source your over-exertion will only get worse.

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What are the Risks of Overtraining?​

There are many risks associated with overtraining including decreased performance, overuse injuries, chronic fatigue, hormonal imbalances, loss of appetite and weight loss, increased resting heart rate, insomnia and anxiety. Below is a list of other possible risk factors of overtraining:

  • Muscle pain​

  • Acute kidney injury​

  • Muscle breakdown​

  • Kidney failure or acute renal failure (acute kidney failure)​

  • Muscle injury​

  • Kidney damage overall​

  • Underlying muscle disease​

  • Crush injury​

  • Severe hyperkalemia​

  • Disseminated intravascular coagulation​

  • Neuroleptic malignant syndrome​

  • Acute compartment syndrome​

  • Sickle cell disease​

How over-training Affects the Fitness Community Negatively​

In recent years, overtraining has been seen as a growing health issue within not only athletes but also those who are just trying to get into shape and live an active lifestyle. Many individuals overwork their muscles without knowing the dangers that come with it. With the constant insane and sometimes even impossible standards putting pressure on natural lifters, this issue only becomes worse. Especially as new steroids and physically enhancing options (that not everyone has access to) appear in the market today.

In the overtrained state, muscles produce less force and are more susceptible to injury. This is because overtraining can cause a decrease in the muscle's ability to produce energy, as well as an increase in lactic acid production which leads to muscular fatigue. Overtraining also damages the myofibrils (the contractile proteins within the muscle cells) and can cause a loss in muscle mass.

Overtraining can lead to a number of health problems such as adrenal fatigue, decreased immune system function, renal failure, hormone imbalance, and worst case scenario: Rhabdomyolysis.



What is Rhabdomyolysis?​

Rhabdomyolysis is a disease/ medical condition that results from overworking muscle cells to the point of damage. This can lead to the breakdown of muscle tissue and the release of myoglobin into the bloodstream. Myoglobin is a protein found in muscles that helps shuttle oxygen to the muscles. Rhabdomyolysis occurs when the myoglobin is released into the bloodstream. This can lead to kidney damage or even kidney failure because of how taxing that process is on our kidneys over time. Acute exertional Rhabdomyolysis is a less intense version of the aforementioned exercise-induced Rhabdomyolysis.

How can I prevent Rhabdo?​

As with anything, the only 100% guarantee is prevention and not over-train. However, if you find it hard to understand your physical limits and boundaries, below is a list of easy things to do instead (or in conjunction with proper training):

  • Proper hydration
  • Take those rest days
  • Educate and make yourself aware of the possible negative outcomes (you're already doing this, keep up the good work!)
  • Avoid over-the-counter anti-inflammatory drugs

What can I do to Prevent Over-training and Gym-Related Injuries?​

  • Use mats, either provided by the gym or your own
  • Wear shoes that fit and are proper for the workouts you will be performing
  • Warm-up and cool down before and after EVERY workout
  • Practice proper form
  • Take time to let your body recover! Your body won't be able to keep up if you don't let it, therefore leaving you tired and small.
Finally, to prevent severe rhabdomyolysis, the best option is to get an early diagnosis. Noticing rhabdomyolysis symptoms and causes of rhabdomyolysis early on and being sure not to participate in excessive physical exertion can help you, others around you, and your doctor to diagnose Rhabdomyolysis within you.


If you are participating in strenuous exercise frequently, you have an increased risk of prolonged immobilization, recurrent Rhabdomyolysis, and even Disseminated Intravascular Coagulation.

The over-training epidemic is growing, but it can be prevented. Educate yourself on the dangers of over-training and know your limits! The risk isn't worth taking if you have to visit a hospital bed every time you step foot into the gym. Remember: This doesn't just happen in the fitness community! Burnout is common in over-zealous workplaces, especially in outdoor construction where you can often be overworked with the combo of not enough hydration. Stay diligent and be patient with your progress. Let's all help prevent overexertion in the health community, and across the world.
 
This is what I’ve been trying to emphasize to my 16 year old. He’s been working out with me for about a year now. He’s starting to see results, so he just wants to go non stop. Great fucking read here 🤘
 
Rabdo is no joke. I had it about 10 years ago and zero symptoms. I did legs they day of my blood test and really took it to another level. Couple of hours after my blood was drawn my doctor called me as said to go to emergency room, they are expecting you. I said why? I am perfectly fine and feeling great. He said just go.
When I arrived and told them my name they quickly admitted me and next thing I know there is IV in my vein. I asked whats going on and they said I had Rabdo and my kidneys were abnout to fail. I had absolutely zero symptoms. After 3 bags of IV and 8 hours at the er my levels went back to normal and they released me.

Rabdo is very dangerous and if is extremely common in long distance runners and cross fitters. Be very careful and stay fully hydrated.
 
Rabdo is no joke. I had it about 10 years ago and zero symptoms. I did legs they day of my blood test and really took it to another level. Couple of hours after my blood was drawn my doctor called me as said to go to emergency room, they are expecting you. I said why? I am perfectly fine and feeling great. He said just go.
When I arrived and told them my name they quickly admitted me and next thing I know there is IV in my vein. I asked whats going on and they said I had Rabdo and my kidneys were abnout to fail. I had absolutely zero symptoms. After 3 bags of IV and 8 hours at the er my levels went back to normal and they released me.

Rabdo is very dangerous and if is extremely common in long distance runners and cross fitters. Be very careful and stay fully hydrated.
Thanks for posting this my friend.

If you had no symptoms what made you go in to have blood drawn?
 
Just a routine visit?.....wow....pretty amazing.
Yes very lucky. That’s why it so important to do regular blood work to make sure you are ok. My kidneys are perfect and the 3 IV”s they gave me brought them back to full function. Doc said if I didn’t in about 24 or 48’hiura would have felt severe symptoms and kidney failure.
 
Yes very lucky. That’s why it so important to do regular blood work to make sure you are ok. My kidneys are perfect and the 3 IV”s they gave me brought them back to full function. Doc said if I didn’t in about 24 or 48’hiura would have felt severe symptoms and kidney failure.
My blood work shows (most of the time) that I’m about to have liver and kidney failure… Dr ask me “how do you feel and how much drugs are taking?”… I’m always off everything when I do bloodwork but it’s very few days over the years were I don’t feel overtrained… I always feel like such a weakling if I don’t go to the gym even when I’m tired… I guess I have hard time to decide if I’m tired from training or just regular tired… I’m not competing anymore so I can take days off but I still have hard time doing it… 😩
 
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My blood work shows (most of the time) that I’m about to have liver and kidney failure… Dr ask me “how do you feel and how much drugs are taking?”… I’m always off everything when I do bloodwork but it’s very few days over the years were I don’t feel overtrained… I always feel like such a weakling if I don’t go to the gym even when I’m tired… I guess I have hard time to decide if I’m tired from training or just regular tired… I’m not competing anymore so I can take days off but I still have hard time doing it… 😩
Be very careful my friend. When blood results come back bad for both Kidney and liver you need to pay attention. Listen to your body and what is telling you. You will be shocked to see how much better workout, pumps and gains you make if you rest properly. Rest and diet is a huge part of our sport and unfortunately we all love lifting so much that we ignore the importance of rest. Specially when you are on gear you don't feel like you do, but you really have to do it.

From time to time I work out of a gym with many FIBB pro bodybuilders. You would be shocked how quickly they are in and out. 30 minutes 3 or 4 sets and they are done. I know guys that go in the gym for hours and that has to hurt more than help.

Anyway, take care of yourself my friend and pay attention to those numbers. At the end of the day your health is number one not the looks.
 
I was training with insane intensity...supersetting a few days before my 60th birthday. I got Rhabdo which kicked off a Tonic/Clonic (Grand Mal) seizure and I was intubated and in the ICU for 4 Days. According to the medical report I was brought back from the dead twice. I don't remember any of it.

The whole thing caused electrical problems for my heart and my resting pulse rate after I got out was 145 BPM. That was fixed with a cardiac catheter ablation. I was not on a lot of gear either, 300/350 test/week and 3 iu's of GH (2 days on 1 off).

I get regular lab work which had always been good (except maybe when I was prepping for a show) but it was the training intensity. I take seizure meds now and several heart meds and don't let my heart rate get much over 135 BPM anymore.
 
I was training with insane intensity...supersetting a few days before my 60th birthday. I got Rhabdo which kicked off a Tonic/Clonic (Grand Mal) seizure and I was intubated and in the ICU for 4 Days. According to the medical report I was brought back from the dead twice. I don't remember any of it.

The whole thing caused electrical problems for my heart and my resting pulse rate after I got out was 145 BPM. That was fixed with a cardiac catheter ablation. I was not on a lot of gear either, 300/350 test/week and 3 iu's of GH (2 days on 1 off).

I get regular lab work which had always been good (except maybe when I was prepping for a show) but it was the training intensity. I take seizure meds now and several heart meds and don't let my heart rate get much over 135 BPM anymore.
Thank you guys for sharing.
 

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