Hey everyone - I know it's been about 7 years since this post was active, however I wanted to write this in case anyone else who has these symptoms looks at this post.
Most likely what the OP and a few others of you are experiencing is exertional or exercise-induced rhabdomyolysis, or 'rhabdo' for short.
https://en.wikipedia.org/wiki/Exertional_rhabdomyolysis
I was just released from the hospital last night after being in for two days due to rhabdo - this can be a very serious condition if not identified and treated properly.
Please see this blog for great info and details on rhabdo including pics on what can look like in the arms, which is how it showed up with me also:
http://fitfeat.com/blog/2011/06/03/r...cise-read-this
Here's my story...
I went back to Orange Theory Fitness (great place, btw) on a Saturday and did a workout after being pretty much inactive and not working out for about 8 months. I had a couple drinks the night before, and quite possibly was not hydrated enough before diving into what I thought was a fairly standard, but aggressive OT workout. I felt like I didn't push myself *too* hard and always listen to my body and stop if I feel dizzy or weird.
After getting done with the workout I had the usual muscle soreness, and didn't really notice anything else until Sunday night when I saw that my arms were a little swollen, but thought it was because I hadn't worked out for so long. I had a restless sleep that night with my arms being stiff, sore, swollen, and being unable to extend both arms fully.
Work called the next morning however so I went to a jobsite, did my thing, and I was able to get through the day without much problem. When I came home that night the swelling had not gotten any better, so I did a bunch of research online and everything I found when googling 'arms extremely swollen after workout' pointed to rhabdomyolysis. I told myself that if it doesn't get any better by the morning then I was going to go to urgent care and get checked out.
Sure enough the swelling and stiffness was even more pronounced on Tuesday morning, with the swelling and stiffness moving into my elbows and upper forearms, so I went in and told the doctor I thought it might be rhabdo and wanted my 'CK' (creatine kinase) levels checked to rule out the possibility. The urgent care doctor didn't appear to have treated anyone for rhabdo before, but knew what it was at least from a dictionary definition standpoint. He ordered a blood test to check my CK levels and liver function levels. He prescribed me a diuretic and potassium supplement, told me to drink lots of fluids, and said it would take a day to get results back and we would go from there. So I left, got my script filled then went about my day.
Just so everyone knows, normal CK levels for an adult male are about 170 U/L units - when I got my blood results back mine were over 28,500 U/L and liver levels were also somewhat elevated. They said I needed to get to the emergency room at the hospital ASAP, so I did. They immediately put me on an IV of saline with electrolytes to begin pumping fluids through my body to get my levels back down to normal. I asked the nurses and doctors about rhabdo, and they said it wasn't as uncommon as some might think, and they see at least one person a month that has rhabdo.
So, longer story shorter, I was in the hospital for two days, continuously on IV fluids, and once my levels dropped to about 16,000 they let me go home, but not after some prodding. I'm sure they would have liked me to stay another night to see the levels drop some more, but the downwards trend was enough that I was able to convince them to release me. I'll be going to my primary care physician on Monday to have my levels checked again, and get released so I can get back to work.
Some of you might think, well geez, I'll just drink lots of water and flush my body to get back to normal,
*but* you could really get yourself in trouble as rhabdo can severely damage your kidneys and liver among other things if not properly treated.
The main things to water out for are swollen arms or legs (or both), and your urine being brown/tea colored and/or tinged red. If you have either or both symptoms, go to urgent care or your PCP, tell them you're concerned you might have rhabdomyolysis and have blood tests run for your CK and liver levels.
NOTE: Even if you do not have brown or red-tinged urine, if you have swollen arms or legs after strenuous exercise you still could have rhabdo... I did.
The moral of the story is this - do your research if you have any of these symptoms as what you think is just some minor swelling could turn into something major if not identified and treated properly.
I hope this helps - take care everyone!
>SandmaN<
Last edited by >SandmaN<; 06-10-2016 at 01:14 PM.