Episode 63-Chronic Exertional Compartment Syndrome

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Episode 63-Chronic Exertional Compartment Syndrome

Let's get a better understanding of the signs and symptoms of CECS:

  1. Usually bilateral
  2. Males>females
  3. Dorsiflexion weakness/foot drop
  4. Severe aching pain (which relieves with rest within 1 hour)
  5. Common in the pes planus foot.
  6. "Calves get hard"

Diagnosis gold standard is Intra-compartmental pressure testing. But you can use a blood pressure cuff around the calf. If the pain gets worse it is diagnostic for CECS.

Conservative treatment:

  1. Orthotics
  2. Calf stretching
  3. Strengthening hip abductors and ER's
  4. Try compression socks.
  5. Change to mid-foot running

Surgical treatment:

  1. Fasciotomy

Video of patient with CECS: https://youtu.be/9M3aCZTDJjg

Video of EZ Slant intro: https://www.youtube.com/channel/UC2Nn4Nfz-GDDzKlXYAe9TQw

EZ Slant website: http://ezslant.com/




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