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Top chronic compartment syndrome Resources

Our Top chronic compartment syndrome Resource


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Details about chronic compartment syndrome

Chronic compartment syndrome (CCS) is a clinical condition in which increased pressure within a closed anatomical space compromises the circulation and function of the tissues within that space. This compromise in circulation may result in temporary or permanent damage to muscles and nerves. Compartment syndrome may be acute or chronic. CCS is a condition of the lower leg in which there is excessive muscle swelling or increased pressure in the muscles. It can result in pain, swelling, and motor loss or weakness. CCS may be considered an uncommon though important cause of exercise-induced leg and/or foot pain.

All theories concerning the cause of CCS propose that an increase in tissue pressure to a critical level results in a compromise in tissue perfusion. Increased tissue pressure may result from limited or decreased compartment volume (tight thickened fascia), increased compartment content (muscle swelling and hypertrophy) or externally applied pressure (taping or casts). CCS is an uncommon though important cause of exercise-induced leg pain. It must be differentiated from the many other common and uncommon causes of leg pain associated with exercise. If CCS is suspected, intracompartment pressure testing should be considered. Once the diagnosis is established treatment options can be considered though surgical fasciotomy is definitive and curative for those individuals who wish to continue with vigorous exercise.

Four requisites are needed to make a diagnosis of CCS: 1) specific anatomic location (one of the four compartments of the leg or one of the multiple compartments of the foot), 2) evidence of increased tissue pressure (patient will relate severe pain & tightness of the involved compartment and exam will reveal hardness of the compartment to touch), 3) compromised circulation (pain on passive stretch of the involved compartment), 4) dysfunction of the nerves and muscles within the affected compartment (weakness on muscle testing, numbness of affected nerves on nerve evaluation and gait abnormality). Causes of Compartment Syndrome are tough fascia surrounds the muscles in the lower leg. This fascia or "compartment" is slightly flexible and allows the muscles to swell with exercise. This can cause pain and tenderness, numbness and tingling in the foot. To treat the patients who have diagnosed CCS of the leg and /or foot may decide to live with their problem for conservative or surgical treatment.

 

 

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Disclaimer : The text presented on these pages is for your information only. It is not a substitute for professional medical advice. It may not represent your true individual medical situation. Do not use this information to diagnose or treat a health problem or disease without consulting a qualified health care provider. Please consult your health care provider if you have any questions or concerns.

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