A Case Report and Review of Literature on Spinning-Induced Rhabdomyolysis Among First-Time Female Spinners

Spinning is an indoor static cycling training program, and spinning-induced rhabdomyolysis (SIR) is a type of exercise-induced rhabdomyolysis causing systemic and local complications. In this case report, we would like to address its relevance to young women, especially first-time or unfit spinners, and the precautions that should be taken. A 24-year-old woman presented with bilateral thigh pain and dark brown-colored urine after a 45-minute first-time spinning session. She had a creatinine phosphokinase level of 108,166 U/L and myoglobinuria. She was diagnosed with SIR, treated with adequate hydration and urine alkalinization, and was discharged without any complications. Even though the reports are quite limited and focused mainly on the treatment, in view of the high incidence noted in a particular group of people, we recommend public awareness and low-intensity training for all young women engaging in their first indoor cycling session to prevent SIR.