Table of ContentsView AllTable of ContentsWhat Is Creatine Kinase?Types of CK EnzymesUseWhy Do You Need a Test?During the TestRisksWhat Results MeanFrequently Asked Questions

Table of ContentsView All

View All

Table of Contents

What Is Creatine Kinase?

Types of CK Enzymes

Use

Why Do You Need a Test?

During the Test

Risks

What Results Mean

Frequently Asked Questions

Your body produces the enzymecreatine kinaseorcreatine phosphokinaseto keep your muscles functioning properly. Healthcare providers use the creatine kinase (CK) test to check levels of this enzyme in your blood. You may have elevated creatine kinase levels for various reasons.

This article discusses the types of CK enzymes, why a healthcare provider might order a CK test, what it checks for, how the test works, and how the results are interpreted.

Panuwat Dangsungnoen / EyeEm / Getty Images

Person with calf pain could have elevated creatine kinase due to rhabdomyolysis

Creatine kinase is an enzyme that’s responsible for healthy muscle function. When muscles break down, they release CK, elevating the protein levels in your blood.

Having a higher level of CK in your blood means you’ve experienced or are currently experiencing muscle damage.

There are three types of CK enzymes:

What Is a CK Test Used For?

Elevated CK levels might signify:

CK levels won’t always increase. For example, some diseases that affect the muscles may not cause elevated CK levels in the blood.

Common Symptoms of Muscular DisordersYour healthcare provider might test for elevated CK levels to check for muscle damage if they suspect you have a muscular disorder.Symptoms of muscular disorders can include:Muscle weaknessMuscle stiffnessMuscle twitchingNumbnessMuscle spasmsMuscle painCrampingJoint deformity

Common Symptoms of Muscular Disorders

Your healthcare provider might test for elevated CK levels to check for muscle damage if they suspect you have a muscular disorder.Symptoms of muscular disorders can include:Muscle weaknessMuscle stiffnessMuscle twitchingNumbnessMuscle spasmsMuscle painCrampingJoint deformity

Your healthcare provider might test for elevated CK levels to check for muscle damage if they suspect you have a muscular disorder.

Symptoms of muscular disorders can include:

Reasons you might need a CK test:

Most healthcare providers now test for elevatedcardiac troponin levels, another protein, instead of the CK-MB test when testing for signs of a heart attack.

What Is Rhabdomyolysis?Rhabdomyolysis(rhabdo) happens when damaged muscles break down and release their contents into your bloodstream.Signs you’re experiencing rhabdo may include:Severe muscle crampingSevere weaknessDark-colored urineYou may also have no symptoms at all.You’re more likely to develop rhabdo if you:Have a physically strenuous jobTake certain substances like cocaineUse supplementsDrink in excessTake certain medicationsHave an infectionHave certain chronic conditions like muscular dystrophyDuring rhabdomyolysis, CK levels will typically be extremely high.

What Is Rhabdomyolysis?

Rhabdomyolysis(rhabdo) happens when damaged muscles break down and release their contents into your bloodstream.Signs you’re experiencing rhabdo may include:Severe muscle crampingSevere weaknessDark-colored urineYou may also have no symptoms at all.You’re more likely to develop rhabdo if you:Have a physically strenuous jobTake certain substances like cocaineUse supplementsDrink in excessTake certain medicationsHave an infectionHave certain chronic conditions like muscular dystrophyDuring rhabdomyolysis, CK levels will typically be extremely high.

Rhabdomyolysis(rhabdo) happens when damaged muscles break down and release their contents into your bloodstream.

Signs you’re experiencing rhabdo may include:

You may also have no symptoms at all.

You’re more likely to develop rhabdo if you:

During rhabdomyolysis, CK levels will typically be extremely high.

What Happens During the Test

The CK test requires a simple blood sample. A healthcare professional will draw blood from a vein and send the sample to the laboratory for testing.

Your healthcare provider may need to perform the test multiple times since the CK levels don’t immediately increase.

Before the Test

It’s a good idea to avoid physical activity before getting a CK test. That’s because exercise can cause muscle damage and may lead to an elevated level.

Risks of getting your blood drawn for a CK test are minimal but may include:

A CK test doesn’t provide a diagnosis. But it does give the healthcare provider clues to form a diagnosis or order further testing.

Elevated levels of CK signify muscle damage. More specifically:

Laboratories may have different reference ranges for CK, so your results should be interpreted based on their reported reference range. One such CK range for adults is between 22 to 198 units per liter (U/L). What’s normal for you can vary depending on your activity levels, sex, and race.

Your healthcare provider will likely order more tests to make a diagnosis since CK levels alone won’t provide a complete picture of your condition.

Summary

The creatine kinase test is a blood test that checks whether the CK levels in your blood are elevated. Elevated CK levels can mean you have some sort of muscle damage in your body. It doesn’t provide a full picture of your health, so healthcare providers typically perform other tests to make a diagnosis.

A Word From Verywell

Before you go for any blood test, it’s a good idea to tell your healthcare provider about any medications or supplements you’re taking. Some medications, supplements, and vitamins can impact CK levels in your blood, potentially affecting the result.

Frequently Asked QuestionsNot necessarily. Typical results can fall into a wide range and vary depending on your sex or race. Physical activity and certain medications can also raise levels. High levels are a starting point in the diagnostic process. Your healthcare provider will order more tests to determine why you have specific symptoms.Several things can elevate your CK levels, including medication and strenuous exercise. Muscle damage can also cause levels to rise.Treatment will depend on the underlying condition causing the elevated levels.Again, this depends on the underlying condition causing your high levels. If you have high CK levels because of kidney failure, your healthcare provider may recommend a change in diet.

Not necessarily. Typical results can fall into a wide range and vary depending on your sex or race. Physical activity and certain medications can also raise levels. High levels are a starting point in the diagnostic process. Your healthcare provider will order more tests to determine why you have specific symptoms.

Several things can elevate your CK levels, including medication and strenuous exercise. Muscle damage can also cause levels to rise.

Treatment will depend on the underlying condition causing the elevated levels.

Again, this depends on the underlying condition causing your high levels. If you have high CK levels because of kidney failure, your healthcare provider may recommend a change in diet.

5 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Muscular Dystrophy Association.Simply stated: the creatine kinase test.University of Rochester Medical Center.Creatine kinase (blood).MedlinePlus.Creatine kinase.Beaumont.Neuromuscular disorders.Centers for Disease Control and Prevention (CDC).Rhabdomyolosis.

5 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Muscular Dystrophy Association.Simply stated: the creatine kinase test.University of Rochester Medical Center.Creatine kinase (blood).MedlinePlus.Creatine kinase.Beaumont.Neuromuscular disorders.Centers for Disease Control and Prevention (CDC).Rhabdomyolosis.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Muscular Dystrophy Association.Simply stated: the creatine kinase test.University of Rochester Medical Center.Creatine kinase (blood).MedlinePlus.Creatine kinase.Beaumont.Neuromuscular disorders.Centers for Disease Control and Prevention (CDC).Rhabdomyolosis.

Muscular Dystrophy Association.Simply stated: the creatine kinase test.

University of Rochester Medical Center.Creatine kinase (blood).

MedlinePlus.Creatine kinase.

Beaumont.Neuromuscular disorders.

Centers for Disease Control and Prevention (CDC).Rhabdomyolosis.

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