Anterior compartment syndrome Puns

I got my pressures tested and have elevated pressure in two compartments from Chronic Exertional Compartment Syndrome. Will be meeting with a surgeon about the fasciotomy procedure in the next couple of weeks. It doesn't look like the procedure is very invasive and the recovery time is fairly quick. The positive thing about it is that it is winter and will give me time to heal before spring and summer arrive.

This was not an ongoing or frequent issue. I woke up one morning after a 5 mile run the day before and couldn't walk for a few days and limped for an additional 2 weeks. I found the muscle was so "pumped" that a little bit broke through the fascia (hernia). I wish I went to the doctor a couple weeks sooner and consider myself lucky I didn't have any nerve damage or a dropped foot.

[UPDATE] - About a week after surgery I had internal bleeding where the compartments were that got released - this was the most painful part of the whole process. I chalk it up to trying to come off crutches too quickly, I can be a bit stubborn. This was a rare occasion and really didn't have to do anything other than stay on pain meds and wear compression gear. The hematoma was not much fun and was excruciating and uncomfortable at times. Unfortunately this meant being on crutches an additional 2 weeks and a bit longer recovery time overall. I was fully off crutches at 3 1/2 weeks. I started doing some light jogging a 5 weeks or so. Now I am at 10 weeks and have started back running every 3 days, still a little bit swollen and sore but no pain. Actually ran 4 miles yesterday at a 8:30 min/mi avg pace! Pretty excited to get back outside!

Every time I begin a running training program, about four or five weeks in, I start to get tension in the outside of the front of my lower legs. I've tried slowing down my runs, running shorter distances, but after a certain point, it always seems to kick in.

It does go away after a few miles, but every subsequent run, it gets worse. What can I do to cure this, and keep it from happening?

I'm a 29yo female Occupational Therapist and I developed chronic anterior compartment syndrome while I was training for a 5k last year. I quit running after the race (in November) and six months later I'm still having frequent pain.

Surgery is not an option at the moment because it would put me out of work for too long. I've found some research on changing your running gait to reduce the pain, but I've gone 6 months with only one attempt at going out for a jog (I think I made it about a third of a mile), and I'm still having pain most days, so I can't imagine changing how I run would help.

Have any of you seen anything that would lead you to believe PT could help? Unfortunately none of the PTs I work with have ever heard of this condition, let alone treated it. (I work in a SNF)

26 M here, I ran a few races (HMs, 10-miles) last year in Nike Pegasus 31's with absolutely zero injuries. I recently ordered Brooks Glycerin 11 and from my very first run I am having pain and cramping on both of my lower leg muscles outside the shin bone. If I touch them while feeling the cramp/pain, I can tell they're very stiff, and the pain is really unbearable that I have to stop running.

When I wear the old Nike Pegasus shoes, my legs feel perfectly fine, and I run pain-free. I suspect it's due to the Pegasus having a higher heel-toe drop than the Brooks Glycerin, but is that all it really is?

I heard bad things about having high heel-toe drop shoes, and I assume part of it is that certain leg muscles won't develop properly. Specifically, if I wear lower heel-toe drop shoes, my lower leg muscles will have to work harder to bring my toes upwards at a more acute angle when pushing off the ground.

I think the obvious answer is run in the shoes that aren't painful, but am I doing a disservice to my legs by avoiding the Glycerin's lower heel-toe drop? Am I forever going to have to buy high heel-toe drop shoes?

Case here: https://expertwitness.substack.com/p/ems-compartment-syndrome-part-1-30c

25-year-old type 1 diabetic is found unresponsive by his girlfriend.

EMS arrives, glucose is 49, starts an IV, pushes D50.

Patient flails around.

IV infiltrates, he has severe pain at the right AC by the time they get to the ED.

Compartment syndrome diagnosed, hand surgeon takes him emergently to the OR.

Paramedic: "If your girlfriend hadn't put a baby on the bed while you were flailing we could focused on the IV and this never would have happened. Its your fault"

Plaintiff: "?????? The baby wasn't on the bed when this happened, you're just looking for a scape goat for your error"

So I posted recently regarding my hypermobility and level of pain but I was wondering if anyone had any experience with it and CECS. My doctor seems sceptical but hopefully by the end of next month I'm looking to have a diagnosis for CECS on top of hypermobility.

For those who don't know CECS generally refers to pain and muscle hardness during exercise as a result of increased pressure from fascia restriction. It more often occurs in athletes but has been considered under-diagnosed in the general public.

Just thinking theoretically surely the two conditions would play off each other since muscles working harder to counteract hypermobility would lead to irregular exertion and therefore pain. But my doctor has said it doesn't present that way and thinks it's all just muscle fatigue in my case.

So does anyone have experience with both conditions or any literature? I really want this to be the answer but I can't find anything to back it up, and I don't trust the doctor with it until I get test results since talking to him will never be enough to properly convey 10 years of irregular pain.

Sorry to the Mods: I would post in another community but there isn't one for CECS since it's considered rare and is usually treated quickly, and research has not turned up any results for me.

I trust derek and this sub more than a doctor. When I google it I find this stuff fixes it:

iliopsoas xercise

abdominals exercises

Hip flexors hip flexors, f stretches

rolfing

psoas exercise

Is this true? Are there any videos or instruction guides you guys used? Squats and deadlifts have not fixed this issue

This is the video that shows hip flexors being strengthened. if anyone can explain I would really appreciate it!

Also another question I have, can arch support help this posture issue?

If you can relate please comment !!

So I (19) (F) had had once a year since I was 12, in 2014, a random severe cramp sensation for a whole day and I would not be able to stand up straight without pain and I wouldn't be able to pee without this severe cramp from my belly button that felt like inside someone was pulling on a tight string attached to behind my belly button... I have been to the ER every time it happens, they tested my urine and blood. No utis, no infections, nothing even showed up on CT scans!! Doctors are as confused as me. They gave me Toridol thru IV to help with the pain. In 2019 I was tested for a rare thing called Anterior Cutaneous Nerve Entrapment Syndrome. It is your nerves firing and saying they're in pain when they're not in pain, if that makes sense. It's pain due to entrapped nerves in the abdominal wall. So just pain in the abdominal wall for no reason just because the nerves are upsetti Spaghetti haha. I am thinking it is due to Anterior Cutaneous Nerve Entrapment Syndrome, because, when I was diagnosed with it in 2019, they prescribed me gabapentin, which is a Nerve/ muscle relaxer, and after taking it since then until today in 2021, I haven't had this pee cramp since before I got on gabapentin in 2019.

I have ACNES aka nerve compression syndrome. Repetitive movements will shrink the nerve and cause it to misfire. I, unfortunately, have it in a place where repetitive motion is not optional. Unless I want to lay on your back 14 hours a day, I will continue to compress my nerves and they can't heal.

Allow that the CS is acute following a Weber A fracture for example. Patient has taken their daily anticoagulant for a fib, let it be edoxoban/NOAC.

Curious as to what the protocol for this scenario would be in centres around the world as part of a case report?

Do you cut ?

The VA has changed which DBQ to use for Compartment Syndrome (legs, exertional). The VA will send the incorrect DBQ to the examiners. They will send the Knees and Legs DBQ. This is no longer correct after March, 2021.

Knee DBQ dated March, 2021, on the VA website, page 2/10, Section 1, states to use the Muscle DBQ if 'shin splints with compartment syndrome' (exertional).

The previous forms I found for Knees and Legs, DID, used to, have a spot for compartment syndrome but no longer do.

Thus, the correct form to use is the Muscle DBQ.

I recently lost my vision due to compartment syndrome (my eye pressure was 50) and CT scans show a stretched optic nerve, what are my chances to regain vision.I have been told different answers but no explanation has ever been given.

Kind of like the title says. 38 CFR 4.73 was updated back in February to include DC 5331, which now requires each muscle group to be rated individually for Compartment Syndrome, then those ratings combined under 38 CFR 4.25. I was wondering if anybody else with CS has had a reevaluation done under this new rating, and if so what was your experience? I know (and have documented both in and out of service) I have CS in both legs, in all 3 muscle groups, to varying degrees, but it's always been rated under shin splints, so I'm trying to get a feel for if going for a reeval is even worth the time, or if they're just renaming it and keeping the exact same ratings regardless of this new change.

21 Male, 5'8, 185lbs. Experiencing extreme tightness in both my lower calves when running at about 10 min mile pace, almost every time at the 5 min mark. This pain is mostly in my lower calves, radiating down to my ankles. I experience extreme pain when running and it's so bad I am forced to stop. On multiple occasions, my feet have actually gone numb from, "pushing through the pain", as most people have told me. When i push myself this pain will be consistent after I workout for about 10 minutes. Then it's gone. Only flaring up when I run again...

I couldn't ever find a solution to my issue here and I've had the problem ever since I remember, Could this be compartment syndrome?

And have to get a Fasciotomy?

>Fasciotomy or fasciectomy is a surgical procedure where the fascia is cut to relieve tension or pressure commonly to treat the resulting loss of circulation to an area of tissue or muscle. Fasciotomy is a limb-saving procedure when used to treat acute compartment syndrome.

I had to get surgery on two of my limbs and now have disfiguring scars on my left arm and leg.

I'm just looking for people who went through the same thing following an overdose. It gets quite lonely out here.

Ive read how an octopus can squeeze through spaces 1" in diameter, how can this be achieved without injury from blood pressure/flow?

I've had CS in my calves and tibialis for the past 6 months, since I started running too soon after a knee surgery. I was working with a physical therapist to gradual increase volume after my symptoms subsided the first time, but they came back with a vengeance (and spread to my left quad). Since my recent diagnosis I've started stretching 2-3 hours a day, take 800mg ibuprofen twice a day, and am taking a break from running for two weeks. I'm using a heating pad as well. Can anyone recommend anything else that worked for them? I'm trying to train for RASP and this is making things significantly more difficult.

Age 16

Sex M

Height 5'4

Weight 115

Non Smoker

Runner for 4+ years

I've had shin splints (I think it's shin splints, I don't know) for almost two years now. I've tried everything whether it's months of rest, physical therapy, stretching, massaging, strengthening, significantly dropping my exercise load, etc. Nothing works.

If you're wondering where I have my pain, it's on my posterior side along the tibia bone.

I found out about Chronic Exertional Compartment Syndrome a couple days ago, and I think I have it, and I'm really worried about it because since I've basically already tried everything, if I do have it, then my last resort is surgery if I want to get back into my original intensity.

Every person I've came to contact with that has had fasciotomy done on them for Chronic Exertional Compartment Syndrome always had some significant complication from the surgery. Whether it's nerve issues, surgery didn't end up working at all, random severe muscle pains, etc. It seems as though the surgery is highly unsuccessful for the most part which gives me lots of anxiety. Imagine having two massive scars on your legs, just to find out the surgery didn't even work!

So I am making this post to ask if any of you know any key characteristics that would differentiate shin splints and Chronic Exertional Compartment Syndrome. It would be so very much appreciated!

When I google it I find this stuff fixes it:

iliopsoas xercise

abdominals exercises

Hip flexors hip flexors, f stretches

rolfing

psoas exercise

Is this true? Are there any videos or instruction guides you guys used?