![]() ![]() Orthopedics & Sports Medicine at Boulder Medical CenterĪs a board-certified orthopedic specialist and sports medicine physician, Dr. Surgery involves the fascial release of the involved compartment and is 90 percent effective in getting athletes back to their sport. ![]() Unfortunately, nonsurgical treatment is generally ineffective. Treatment usually requires the athlete to modify or give up the sport or undergo surgical treatment. A diagnosis is confirmed by measuring compartment pressures at rest and after exercise. Of the four compartments in the lower leg (anterior, lateral, superficial, and deep posterior), the anterior compartment is most frequently involved. In contrast, a physical exam for shin splints or stress fracture will often demonstrate tenderness over the bone or fascia. In contrast, pain from shin splints or stress fracture will typically persist to some extent during rest.ĭuring a physical exam for exercise-induced compartment syndrome, the affected area usually feels normal, without tenderness to palpation. Another sign is that the athlete can often pinpoint the moment that pain begins during exercise. If numbness and weakness are present, these also resolve quickly. One sign of exercise-induced compartment syndrome is that leg pain is completely relieved when the activity is stopped. The result is aching and burning pain and possibly numbness and weakness. Muscles that enlarge inside these unyielding compartments increase pressure and inhibit muscular blood flow. During physical activity, muscle volume can increase up to 20 percent. The compartments contain muscles and boundaries composed of bone and rigid fascia (layers of connective tissue). ![]() This condition, which can be chronic, occurs when adequate blood flow does not reach specific closed compartments within the lower leg. Exercise-induced compartment syndrome is an uncommon diagnosis that also needs to be considered, particularly in running sports. Causes can include medial tibial stress syndrome (shin splints) and stress fracture. Chronic lower leg pain is common among athletes. ![]()
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