Chronic exertional compartment syndrome manifests as muscle pain during physical exercise. The most common locations are the legs or forearms, depending on the type of sport practiced, and it often affects both sides.
A compartment refers to a group of muscles surrounded by a tissue called fascia. The legs have four muscle compartments: anterior, lateral, superficial posterior, and deep posterior. During exertion, muscle volume increases, and if the fascia surrounding the compartment does not stretch sufficiently, the pressure rises, and the muscles no longer receive adequate blood flow (ischemia).
Symptoms include pain with a burning sensation, cramps, and/or weakness. These symptoms appear after a certain level or intensity of effort and are relieved with rest. Paresthesias, such as tingling or numbness, may also occur.
The diagnosis is confirmed by measuring compartment pressure at rest and after exercise. This test is performed at the sports medicine center of La Tour Hospital by a sports rehabilitation physician.
If conservative treatment fails, surgery is indicated. The procedure consists of a fasciotomy of the affected compartments (opening of the fascia) to relieve the pressure within. This procedure is performed in a minimally invasive manner (small scar) under endoscopic control (camera). Return to sports activities is allowed from 4 weeks postoperatively.
A compartment refers to a group of muscles surrounded by a tissue called fascia. The legs have four muscle compartments: anterior, lateral, superficial posterior, and deep posterior. During exertion, muscle volume increases, and if the fascia surrounding the compartment does not stretch sufficiently, the pressure rises, and the muscles no longer receive adequate blood flow (ischemia).
Symptoms include pain with a burning sensation, cramps, and/or weakness. These symptoms appear after a certain level or intensity of effort and are relieved with rest. Paresthesias, such as tingling or numbness, may also occur.
The diagnosis is confirmed by measuring compartment pressure at rest and after exercise. This test is performed at the sports medicine center of La Tour Hospital by a sports rehabilitation physician.
If conservative treatment fails, surgery is indicated. The procedure consists of a fasciotomy of the affected compartments (opening of the fascia) to relieve the pressure within. This procedure is performed in a minimally invasive manner (small scar) under endoscopic control (camera). Return to sports activities is allowed from 4 weeks postoperatively.
