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Journal created:
on 6 April 2008 (#15316036)
Updated:
on 20 May 2018
Name:
Chronic Exertional Compartment Syndrome Forum
Membership:
Open
Posting Access:
Anybody , Moderated
Description:
Chronic Exertional Compartment Syndrome
This is a resource forum for people to discuss exertional (or acute) compartment syndrome and their experiences with the condition and through surgery.

Compartment syndrome is a painful condition that results when pressure within the muscles builds to dangerous levels. This prevents nourishment from reaching nerve and muscle cells.

http://en.wikipedia.org/wiki/Compartment_syndrome

An excellent resource is here: http://forums.runnersworld.com/eve/forums/a/tpc/f/678106477/m/494105748/p/1

Maria80386 kindly posted this on the runners world thread and granted permission to repost.

Stages of Compartment Syndrome

+An early stage where the affected area hurts after awhile, but ceasing activity calms thing down.
+A progressing stage, it starts hurting during progressively shorter and shorter periods of activity, but pain settles quickly after stopping and a long rest (days, weeks, months, years) will reset the clock. Possibly tightness is felt constantly, despite activity. Pushing through the pain is still possible.
+An advanced stage, where more rest doesn't do much for resetting the clock, pain starts almost immediately, the pain lasts for longer and longer periods after ceasing activity, and the dysfunction starts to occur such as the foot drop, nerve symptoms, and weakness. Pushing through the pain may no longer be possible.
+A serious stage, you can’t walk but short distances slowly. CECS appears to have acute episodes. Foot drop is frequent, even after resting all day. Nerve damage has occurred. The leg may buckle or collapse when weight is put on it. Giving up activity doesn’t reverse the process.
+An acute stage. Death is one possible outcome of this stage. There is not a traditional trauma event, but the body part(s) doesn’t work and the pain is excruciating. The person may be close to or in shock. Some studies with low numbers of subjects suggest that an emergency fascia release may not be required as things can get better in 8-24 hours, although the study seemed to rely on finding people who’d survived undiagnosed acute compartment syndrome. The whats, whys, and hows of the chronic syndrome becoming the acute version, or, as the insurers put it, elective versus emergency surgery, aren’t that clear.

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