Best Practice Case Studies-Exertional Compartment Syndrome PE

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Chronic Exertional Compartment Syndrome (CECS) is a condition that leads to exercise-related pain in the lower leg. This occurs when the muscles, nerves, and blood vessels within the compartment of a leg muscle are compressed due to swelling during exercise, resulting in restricted blood flow. This compression causes pain and can also result in tingling or numbness in the lower leg.<br /><br />CECS is common among athletes involved in running sports, basketball, gymnastics, soccer, field hockey, and dance, and it affects both men and women equally. Symptoms include a dull or crampy pain that starts during exercise and subsides with rest. Over time, athletes may experience increased pain, a squeezing sensation, and feelings of numbness or heaviness in the foot.<br /><br />To diagnose CECS, sports medicine physicians may order X-rays or MRI to rule out other issues. However, the definitive diagnosis involves measuring the pressure within the compartments before and after exercise. If the pressure is noticeably higher after exercise, it confirms CECS.<br /><br />Initial treatment includes rest and altering exercise routines. If symptoms persist despite these modifications, surgical intervention, known as fasciotomy, may be necessary to relieve pressure by opening the tight fascial wall. Athletes often require about a month of recovery before returning to their sports post-surgery.<br /><br />Preventative measures include adjusting running techniques and using arch supports for those with flat feet. Discontinuing creatine supplements might also help decrease risk. Despite CECS, athletes with mild symptoms can often continue training at lower intensity levels. <br /><br />The American Medical Society for Sports Medicine (AMSSM) provides further information and resources on managing conditions like CECS, emphasizing comprehensive medical care and injury prevention strategies for athletes.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 36

Topic Metabolic Disorders

Keywords

2nd Edition, CASE 36

2nd Edition

Metabolic Disorders

Chronic Exertional Compartment Syndrome

CECS

exercise-related pain

lower leg

athletes

fasciotomy

diagnosis

sports medicine

treatment

AMSSM