Footstrike Hemolysis, March Hemoglobinuria

Footstrike Hemolysis, also known as March Hemoglobinuria, is a rare condition characterized by the breakdown of red blood cells (hemolysis) due to repetitive impact on the feet, typically seen in:

1. Long-distance runners

2. Marching soldiers

3. Hikers

Causes:

1. Mechanical stress on red blood cells

2. Increased blood flow and pressure in the feet

3. Footstrike trauma

Symptoms:

1. Dark urine (hemoglobinuria)

2. Fatigue

3. Pale skin

4. Shortness of breath

5. Mild jaundice

Treatment:

1. Rest and ice

2. Compression and elevation of affected limbs

3. Pain management

4. Monitoring of kidney function

5. Avoiding activities that trigger the condition

Prevention:

1. Gradual increase in exercise intensity and duration

2. Proper footwear and orthotics

3. Running on softer surfaces

4. Strengthening foot and ankle muscles

Complications:

1. Anemia

2. Kidney damage

3. Chronic hemolysis