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Is there a way to rule out Rhabdomyolysis without getting bloodwork done? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2549 Questions
User:Hi my name is XXXXXXX ,
I am experiencing swelling in my right bicep since 5 days ago.
The swelling is late onset from doing strict bicep curls as rehab for chronic tendonitis in my biceps tendon. My arms were very tight 2 days later so I, somewhat forcibly, stretched the bicep for a couple minutes, after which I actually caused (or noticed) the swelling. Normally I would not think this is a huge concern, there is no pain or discolouration and I am now able to straighten my arm with no problems but the swelling is still there. I am concerned now because as a crossfit athelete I have a large work capacity and I had not done a isolation excercise for my biceps in over a year. There is a condition Rhabdomyolysis that my coaches are worried about and they think I should get blood tests at emergency. I am having trouble with taking time off work to see a doctor, taking time off training, going through this rigor when I am not feeling any pain or discomfort. Is there a way for me to narrow down what my injury might be without getting bloodwork done? Is there a point where I might know the injury is not serious and I can go back to my usual routine?
User:Hi there
User:So is there any way for a person to rule out Rhabdomyolysis without getting bloodwork done?
Doctor:Rhabmomyolysis will cause dark urine
User:The concern seems ridiculous to me but there are a few people in my gym who have suffered from it before.
User:ok I have been checking for that and it is as light as ever
Doctor:The reason why tests are recommended as an urgency
Doctor:is because the metabolites that are released will cause kidney damage
Doctor:It usually happens when the muscle damage involves a large amount of muscle
Doctor:I think the swelling happened because of muscle sprain
Doctor:How big is the swelling?
User:That would make sense to me. Could I get experiencing that without pain but with reoccuring swelling?
Doctor:Sprains are usually painful
User:The swelling did double the size of the bicep muscle for a time. Now the swelling is down but it will not leave completely
User:I had pain straightening the elbow for a day but there is no pain now
Doctor:To be on the safer side you may go for those tests
Doctor:Otherwise you need to rest the muscle completely
User:does 'completely' mean day-to-day use as well or just exersion?
Doctor:I would suggest complete rest
Doctor:Let it heal
User:could you suggest a timeline?
Doctor:3 weeks
Doctor:complete rest
Doctor:later some return of activity
User:Thank you for your help!
Doctor:Thanks for consulting
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