Tuesday
WOD
Complete 21-15-9 for time of:
Push Jerk (M: 95 lbs, W: 65 lbs)
Box jump

Screen Shot 2013-10-06 at 11.15.48 PMRHABDO

It is our goal and absolute top priority to train each of you in a manner that encourages growth as athletes while staying safe and injury free.  As your coaches, we do not underestimate safety and will often enforce rules regarding who is allowed to do advanced movements or more challenging weights.  Despite our efforts, injuries do occasionally occur and we take them very seriously.  Over the past few months, we have had two cases of Rhabdo. We feel that educating you is the best way to avoid future cases.  While the picture above of “Uncle Rhabdo” hooked up to a dialysis machine with his failed liver having fallen to the ground is crude, we hope that this will bring awareness to the severity of Rhabdo and encourage you to take precautions when smart to do so in your own training but to help educate others who are new to the gym.
Rhabdomyolysis is a serious syndrome due to a direct or indirect muscle injury. It results from a breakdown of muscle fibers and release of their contents into the bloodstream. This can lead to complications such as kidney (renal) failure. This occurs when the kidneys cannot remove waste and concentrated urine. In rare cases, rhabdomyolysis can even cause death. However, prompt treatment often brings a good outcome. Here’s what you need to know about Rhabdomyolysis.

Rhabdomyolysis Causes

There are many causes of Rhabdomyolysis. The most common causes include:

  • The use of alcohol or illegal drugs such as cocaine or amphetamines
  • Extreme muscle strain caused by excessive and unaccustomed exercise. While it can happen to new athletes, it most commonly afflicts elite athletes who are attempting a new exercise or are returning to their sport after a long break.
  • A crush injury such as from an auto accident, fall, or building collapse
  • Long-lasting muscle compression such as that caused by lying unconscious on a hard surface during illness or while under the influence of alcohol or medication
*Not all Rhabdo cases are strictly gym oriented, however, due to our environment, this is where we can be knowledgeable and understand that listening to our bodies is EXTREMELY important.

Rhabdomyolysis Signs and Symptoms

The following are common signs and symptoms of Rhabdomyolysis:

  • Painful, swollen, bruised, or tender areas of the body
  • Muscle weakness or trouble moving arms or legs
  • General feelings of illness
  • Nausea or vomiting
  • Confusion, dehydration, fever, or lack of consciousness
  • Dark-colored urine; reduced or no urine output
In CrossFit, muscle soreness is common.  However, it is important to understand that Rhabdo is different than a soreness that lasts a few days.  Usually, symptoms are non-existent during the workout.  If the affected areas begin to swell and your urine turns coke-a-cola colored, these are signs that you need to go immediately to the ER.  Although rare, Rhabdo brought on by excessive exercise is seen most often when extreme dehydration and fatigue is coupled with high heat and high humidity areas, or, in an athlete whose body is unaccustomed to the movements and reps at which they are preformed.  It has been seen in triathletes, football players, long distance runners, military special ops, people who range from young to the elderly, those with work-out experience and those without.
The good news is that Rhabdo is completely avoidable.  While Rhabdo can happen to the best of us, smart training can save you.  Listen to you body.  If you are tired and have been over-training, take a day off and hydrate, eat well and get lots of sleep.  If you went on vacation and didn’t workout for 2 weeks, make sure to tell your trainer and let them recommend that you go down a level on your first few days back.  If you have never done GHD sit-ups before, follow the rules and after your form is cleared by a trainer, complete a few reps and then wait 24 hours and see how your body reacts.  In CrossFit, Rhabdo is sometimes seen after preforming more reps than you are used to of most often jumping pull-ups, push jerks or GHD sit-ups.
CFIV cares about each and every one of your well being.  We are not posting this to scare you or stop you from making the awesome progress you’ve already made by joining our team. We simply want you to be aware of the possibilities of over-training and the importance of acknowledging your limits. We preach safety, and the last thing we want is for any of you to get hurt or stop your journey of health and wellness.  Its ok to train hard as long as you train smart!
If you have any questions on Rhabdo, we are always here to help you.

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