Simply reducing running mileage, or training load to 50% of normal may be enough. Treatment for chronic compartment syndrome is rest. Ibuprofen to help reduce pain and swelling and in more severe cases surgery may be indicated.Īlways check with a doctor before taking medication. Immediate medical attention should be sought for severe acute compartment syndrome as long-term damage to nerves and muscles can occur.Ī doctor may prescribe anti-inflammatory medication e.g. ![]() Treatment for posterior compartment syndrome Acute injuries Biomechanical factors, such as overpronation where the foot rolls in or flattens too much when running can abnormally increase the load on certain muscles making compartment syndrome more likely. The muscle grows too big for the compartment or sheath that surrounds it increasing pressure within the compartment and causing pain. Chronic compartment syndromeĬhronic compartment syndrome usually comes on over a longer period of time through overuse. A muscle strain can also bleed within a muscle compartment having the same effect. The swelling increases pressure inside the compartment resulting in pain. Acute compartment syndromeĪcute compartment syndrome is caused by impact or trauma which causes bleeding within the muscle compartment. Occasionally in some people, an additional sheath surrounds the tibialis posterior muscle. The posterior deep compartment of the lower leg is surrounded by a sheath and contains the flexor hallucis longus, the flexor digitorum longus and tibialis posterior muscles. This is to ensure the pressure testing is valid.Īpproximately 10 minutes later, when symptoms have subsided your doctor will repeat the test. They then test compartment pressure immediately after exercise. It is important the patient exercises enough to bring on their symptoms. The doctor inserts a needle (Stryker catheter) into the muscle compartment. If they suspect chronic compartment syndrome then they will perform pressure tests both before and after exercise. To make an accurate diagnosis your doctor/physio will do compartment pressure tests for all lower leg compartments. There may be tenderness along the inside of the shin, although may not be as severe as medial tibial stress syndrome because the compartment is deeper. This is where the muscle has begun to protrude through the sheath that surrounds it. It is possible you will feel numbness or pins and needles under the foot, or lumps and bumps along the inside of the shin. Sometimes foot drop occurs, with significant weakness in lifting the foot when walking.There may also be pain when pushing the foot and toes downwards (plantar flexing) against resistance, for example, when going up onto the toes.Patients often complain of a feeling of tightness or pressure.The pain usually comes on during a run and goes away with rest, only to return when training resumes.A chronic posterior compartment syndrome will cause deep aching pain in the lower leg. ![]() It may feel similar to medial tibial stress syndrome ( shin splints), or long-term, chronic calf pain. ![]() Pain in the lower leg, specifically over the inside of the tibia (shin bone).A chronic compartment syndrome, sometimes called a deep posterior compartment syndrome includes:
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