Kidney Stones and Whole Body Vibration The kidneys act as a filter for blood and help to maintain the body’s electrolyte balance. The kidneys filter out waste and produce urine. Urine is passed from the kidneys to the bladder through a small tube called the ureter. In some individuals, salts found in urine crystallize and become small particles known as kidney stones or the condition nephrolithiasis. When the stones are small (smaller than a speck of sand) and when they remain in the kidney they do not pose a problem. However, kidney stones can become large (1/10th of an inch or larger) and when they pass through the ureter they can often become stuck. The kidney continues its normal duties but the stones create a blockage. This results in swelling of the kidneys and pain. As the pressure builds up the stone is slowly pushed through the ureter. The symptoms subside when the stone reaches the bladder. If the stone does not resolve on its own, a urologist may need to perform a procedure to assist the removal. The main symptom of a kidney stone blocking the ureter is known as renal colic. This is waves of intense pain in the side radiating into the groin that may subside at times, but usually an underlying achy pain is felt. Sweating, nausea and vomiting are also common symptoms along with blood in the urine due to irritation of the ureter. Heredity, geographical location, diet, medication and an underlying chronic illness may predispose an individual to kidney stones. There is little information regarding the appropriateness of exercise for an individual with kidney stones. In most circumstances, exercise is not possible when someone has an acute episode of kidney stones due to extreme levels of pain. One article has suggested that strenuous exercise may increase the risk of developing acute renal colic 1. Another study found that certain salts that form kidney stones may crystallize following moderate exercise if an individual is not adequately hydrated 2. However, along with appropriate hydration, exercise has been recommended as preventive measure in the formation of kidney stones 3, 4. It is always advisable for an individual with an ongoing medical issue to discuss beginning any new form of exercise with a physician to ensure it is appropriate and will not exacerbate the condition. There is no available research examining the use of Whole Body Vibration (WBV) in individuals with kidney stones. Like any exercise it is not advisable to use WBV during acute episodes. Kidney stones are considered a relative contraindication for using WBV. This does not mean that an individual with kidney stones cannot use WBV however; he/she must get clearance from their physician before using the platform. One possible risk is that the vibration may cause a stone from the kidney to go into the ureter. If the stone is too large to pass, it may cause an acute exacerbation. If the kidney stones are a result of an underlying medical issue, it is important to ensure that the condition is also not a contraindication for using WBV. If an individual has been cleared to use WBV, it is important to start at a reduced intensity and duration until he/she is comfortable with the machine. It is also important to follow any of the physician’s recommendations regarding exercise and hydration. If an individual begins to feel any symptoms related to his/her condition it is important to discontinue WBV and discuss the symptoms with a doctor. Once THIS IS FOR EDUCATIONAL PURPOSES. WE DO NOT PRESCRIBE OR DIAGNOSE. PLEASE CONSULT YOUR HEALTH PROVIDER. 25 Curity Avenue, Unit 2A, Toronto, ON M4B 3M2 416-285-6055 fax 416-285-8918 info@t-zonehealth.com www.t-zonevibration.com an individual has become accustomed to the WBV machine and no symptoms related to his/her condition has arisen, both intensity and duration may be increased. Appropriate exercises can also be added if desired. In general, if an individual experiences any pain, dizziness, or shortness of breath while using the WBV platform, it should be discontinued immediately. References 1. Bihl G, Meyers A. 2001. Recurrent renal stone disease-advances in pathogenesis and clinical managment, Lancet, 358(9282), 651-6. 2. Sakhaee K, Nigam S, Snell P, Hsu MC, Pak CY. 1987. Assessment of the pathogenetic role of physical exercise in renal stone formation, The Journal of Clinical Endocrinology and Metabolism, 65(5), 974-9. 3. Straub M, Hautmann RE. 2005. Developments in stone prevention, Current Opinion In Urology, 15(2), 119-26. 4. Lonsdale K. 1968. Human stones, Science, 159(820), 1199-207. THIS IS FOR EDUCATIONAL PURPOSES. WE DO NOT PRESCRIBE OR DIAGNOSE. PLEASE CONSULT YOUR HEALTH PROVIDER. 25 Curity Avenue, Unit 2A, Toronto, ON M4B 3M2 416-285-6055 fax 416-285-8918 info@t-zonehealth.com www.t-zonevibration.com