Footnotes / Blog
What is Exertional Compartment Syndrome?
Chronic Exertional Compartment Syndrome (CECS) is an exercise-induced condition that affects the muscles and nerves in the lower legs, causing pain, swelling, and in some cases, disability. This condition is most commonly seen in athletes who engage in repetitive impact activities, such as running. Often confused with shin splints, the pain in CECS typically occurs on the front of the lower legs.
Signs and Symptoms
- Aching, Burning, or Cramping Pain: The pain usually follows a predictable pattern:
- Onset: Begins after a certain time, distance, or intensity of exercise.
- Progression: Pain progressively worsens as you continue exercising.
- Relief: The pain subsides within 10 to 20 minutes after stopping the activity.
- Increasing Recovery Time: Over time, the time needed to recover after exercise may increase.
- Tightness: A sensation of tightness in the affected muscle.
- Numbness/Tingling: A feeling of numbness or tingling in the affected leg.
- Weakness: The affected leg may feel weak, especially after activity.
Causes of Chronic Exertional Compartment Syndrome
The exact cause of CECS remains unclear, but it is believed to be related to increased pressure within a muscle compartment during physical exertion. As blood flow increases to the muscles during exercise, the pressure within the compartment rises, which may contribute to the pain and discomfort associated with the condition.
Diagnosis and Treatment
To diagnose CECS, a doctor will first rule out other conditions, such as stress fractures and shin splints, which can present similar symptoms. Once other potential causes have been excluded, the doctor may perform further tests, such as measuring the pressure within the muscle compartments, to confirm the diagnosis.
Treatment for CECS typically begins with conservative approaches:
- Activity Modification: Reducing the intensity or frequency of the activities that trigger pain.
- Footwear Changes: Switching to shoes with better support or cushioning.
- Therapeutic Exercises: Stretching, foam rolling, and strengthening exercises can help alleviate symptoms.
- Physical Therapy: A physical therapist may provide targeted exercises and techniques to improve flexibility and strength.
If conservative treatments fail to alleviate symptoms, surgery may be considered as a last resort to release the pressure in the muscle compartments.
Seeking Help
The doctors at Innovative Foot and Ankle specialize in treating sports-related injuries, including lower leg conditions like CECS. If you are experiencing pain in your lower legs or suspect you may have chronic exertional compartment syndrome, visit one of our New Jersey locations for an evaluation. We are located in Montclair, Kenilworth, Little Ferry, and Bayonne.
