Can Modern Medicine Cure Rhabdomyolysis from Sports Injuries? - Internal Medicine

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Rhabdomyolysis


Hello Doctor: I have developed rhabdomyolysis due to an exercise injury, which has caused deep scars on my calves.
Can current medical technology cure this condition? Thank you for your response!

Tina, 20~29 year old female. Ask Date: 2003/11/30

Dr. Jiang Wenzhi reply Internal Medicine


Exercise injuries rarely lead to rhabdomyolysis, and rhabdomyolysis is seldom associated with scarring.
Please consult an orthopedic physician for further information.

Reply Date: 2003/11/30

More Info


Rhabdomyolysis is a serious condition that occurs when muscle tissue breaks down and releases its contents into the bloodstream, which can lead to kidney damage and other complications. It is often associated with intense physical activity, trauma, or certain medical conditions. In your case, it appears that your rhabdomyolysis was triggered by a sports injury, which is not uncommon.

Modern medicine has made significant strides in the diagnosis and treatment of rhabdomyolysis. The first step in managing this condition is to identify the underlying cause, which in your case is related to sports injuries. Treatment typically involves several key components:
1. Hydration: One of the most critical aspects of treating rhabdomyolysis is ensuring adequate hydration. This helps to dilute the toxins released from the damaged muscle tissue and supports kidney function. Intravenous (IV) fluids are often administered in a hospital setting to rapidly rehydrate the patient and flush out the myoglobin (a protein released from muscle tissue) from the kidneys.

2. Monitoring Kidney Function: Since rhabdomyolysis can lead to acute kidney injury, healthcare providers will closely monitor kidney function through blood tests and urine output. If kidney function declines, further interventions may be necessary.

3. Electrolyte Management: Rhabdomyolysis can cause imbalances in electrolytes, such as potassium and calcium. These imbalances can lead to serious complications, including cardiac issues. Therefore, monitoring and correcting electrolyte levels is an essential part of treatment.

4. Addressing the Underlying Cause: In your case, addressing the sports injury that led to rhabdomyolysis is crucial. This may involve physical therapy, rest, and rehabilitation to ensure that the muscles heal properly and to prevent future injuries.

5. Medications: In some cases, medications may be prescribed to manage pain or inflammation. However, the use of certain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), should be approached with caution, especially if there is concern about kidney function.

6. Rehabilitation: Once the acute phase of rhabdomyolysis has been managed, rehabilitation becomes essential. This may include physical therapy to gradually restore strength and function to the affected muscles. A tailored exercise program can help prevent future injuries and improve overall fitness.

In terms of your specific concern about the deep scars on your calves, it is important to note that while rhabdomyolysis itself may not directly cause scarring, the underlying muscle damage and subsequent healing process can lead to changes in the skin's appearance. Scarring can be addressed through various dermatological treatments, including topical therapies, laser treatments, or other cosmetic procedures, depending on the severity and nature of the scars.

In summary, modern medicine can effectively manage and treat rhabdomyolysis resulting from sports injuries. With appropriate medical intervention, hydration, monitoring, and rehabilitation, many individuals can recover fully and return to their previous levels of activity. However, it is essential to follow up with a healthcare provider for personalized care and to address any lingering concerns related to your recovery. If you have any further questions or specific symptoms, please consult with a healthcare professional who can provide tailored advice based on your condition.

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