Overtraining and Stroke Risk: Symptoms and Concerns - Traditional Chinese Medicine

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Excessive Exercise and Stroke


Hello, I would like to ask about my situation.
I usually do push-ups, sit-ups, glute exercises (with shoulders and feet on the ground), and use an ab roller (a rolling wheel with handles, where only my heels and the wheel touch the ground during training).
Recently, after using the ab roller, I often experience numbness in my left hand's little finger, ring finger, and the left side of my palm (similar to the sensation of holding my hand up for a long time).
This reduced sensation lasts for 4-5 hours, and I even feel numbness and a bitter taste from noon until bedtime.
Is there a problem? Thank you.

Nín hǎo, 20~29 year old female. Ask Date: 2009/03/11

Dr. Zhuang Yihui reply Traditional Chinese Medicine


Based on your age and description, it seems that the ab wheel exercise may not be suitable for you, leading to mild tendon and muscle inflammation, which is compressing the nerves.
It is recommended to increase your fluid intake, stop the exercise, and rest for 1-2 weeks.
If there is no improvement, please visit a hospital for further evaluation.
Thank you!

Reply Date: 2009/03/11

More Info


Overtraining can lead to a variety of physical and psychological issues, and your symptoms of numbness in the left hand, particularly in the little and ring fingers, along with a decrease in pain sensation and a bitter taste, warrant careful consideration.
Firstly, the numbness you are experiencing could be related to a condition known as ulnar nerve entrapment, which occurs when the ulnar nerve, responsible for sensation in the ring and little fingers, becomes compressed. This compression can happen due to repetitive activities, such as those involved in your workout routine, especially if there is prolonged pressure on the elbow or wrist. The symptoms you describe, including the numbness lasting several hours after exercise, suggest that the nerve may be irritated or compressed during your workouts.

Additionally, overtraining can lead to systemic issues, including hormonal imbalances and increased inflammation, which can affect nerve function and overall recovery. Symptoms of overtraining may include fatigue, decreased performance, mood changes, and even sleep disturbances. The bitter taste you mentioned could be related to several factors, including dehydration, dietary changes, or even a side effect of overtraining, as the body may react in various ways to stress.

It is essential to listen to your body and recognize when something is not right. The persistent numbness and altered sensation you are experiencing should not be ignored, especially if they continue or worsen. It is advisable to take a break from your current exercise routine and consult a healthcare professional, such as a neurologist or an orthopedic specialist, who can evaluate your symptoms more thoroughly. They may recommend diagnostic tests, such as nerve conduction studies or imaging, to determine if there is an underlying issue contributing to your symptoms.

In terms of stroke risk, while overtraining itself is not directly linked to an increased risk of stroke, the physical stress it places on the body can lead to cardiovascular strain, especially if there are pre-existing conditions or risk factors. Symptoms such as numbness, particularly if unilateral (affecting one side of the body), should be evaluated promptly to rule out any serious conditions, including transient ischemic attacks (TIAs) or strokes.
To mitigate the risk of overtraining and its associated symptoms, consider the following strategies:
1. Rest and Recovery: Ensure you are allowing adequate recovery time between workouts. This includes incorporating rest days and varying your exercise routine to prevent repetitive strain.

2. Hydration and Nutrition: Maintain proper hydration and a balanced diet to support your energy levels and overall health. Nutritional deficiencies can also contribute to nerve issues.

3. Ergonomics: Pay attention to your form during exercises, especially those that involve the upper body. Ensure that you are not placing undue stress on your joints and nerves.

4. Gradual Progression: If you are increasing the intensity or duration of your workouts, do so gradually to allow your body to adapt.

5. Consult a Professional: If symptoms persist, seek medical advice to rule out any serious conditions and to receive tailored recommendations for your exercise regimen.

In conclusion, while your symptoms may not immediately indicate a severe issue, they should be taken seriously. Monitoring your body's responses to exercise and seeking professional guidance can help prevent further complications and ensure your health and safety as you continue your fitness journey.

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