Key result
First-time participation in spinning classes can lead to severe exertional rhabdomyolysis, potentially complicated by acute kidney injury and acute compartment syndrome requiring fasciotomy.
Case Report (n=2)
No
Spinning classes can induce severe rhabdomyolysis complicated by acute compartment syndrome and acute kidney injury, which can be successfully managed with vigorous hydration and surgical intervention when necessary.
Answers are grounded in this paper and cite their sources.
Clinicians should consider rhabdomyolysis in first-time spin participants with severe myalgia; case reports leave open incidence and prevention questions.
Exercise-induced rhabdomyolysis related to military training, marathon running, and other forms of strenuous exercise has been reported. The incidence of acute kidney injury appears to be lower in exercise-induced cases. We present 2 cases of exercise-induced rhabdomyolysis following spinning classes, one of which was further complicated by acute compartment syndrome requiring bilateral fasciotomies of the anterior thigh and acute kidney injury. With vigorous hydration and urine pH monitoring, both patients exhibited good mobility, sensation, and renal function on discharge.
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DeFilippis et al. (2014) conducted a case report in Spinning-induced rhabdomyolysis (n=2). Spinning class was evaluated. First-time participation in spinning classes can lead to severe exertional rhabdomyolysis, potentially complicated by acute kidney injury and acute compartment syndrome requiring fasciotomy.
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