Exercise Induced Compartment Syndrome Signs and Symptoms
ฝัง
- เผยแพร่เมื่อ 30 ก.ย. 2024
- In this video of exercise induced compartment syndrome I saw this gentleman who came to see me with what appears to be radicular pain down the right leg. There was question of increased pain with the use of new shoes. Complaints are pain from the knee down, paresthesia throughout the lower leg and whole foot and "loss of control" of the foot and ankle after walking a while. Also, the patient complains of the leg "locking" on him while walking. DTR's, sensation, strength are normal. Hoffman's sign and Babinski are negative. Slight pes planus foot posture. After clinical testing it appears he has Exercise induced compartment syndrome.
Follow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval Pal
✅ Support OEP: paypal.me/Orth...
✅ OEP Website: orthoevalpal.com/
✅ Online Coaching: orthoevalpal.c...
✅ OEP Podcasts: orthoevalpal.c...
▶▶ Like us on facebook: / orthoevalpal
▶▶ Follow on Instagram: www.instagram....
▶▶ Follow on Twitter: home
Check out our new OEP merchandise: 👚👕☕️ / @orthoevalpal
#frozenshoulder #frozenshoulderexercises #shoulderpain #shoulder #orthopedics #Physicaltherapy #DPT #Medicalproviders #sportsmedicine #athletictraining #OrthoEvalPal #SpecialTests #physicaltherapytests #orthopedicvideos #occupationaltherapy
If you are serious about Ortho Eval Pal content, click HERE and ask to join our closed Facebook page.
Any DONATIONS to Ortho Eval Pal are greatly appreciated: www.paypal.com...
Great video! I have these symptoms when I play soccer. I received the chronic exertional compartment syndrome diagnosis a while ago and, since then, I am trying to manage it without resorting to surgery. I live in Brazil and really enjoy playing soccer, so, for me, stop playing is not an option. I went to an orthopedist and we decided to try some options before going to surgery. We decided to try orthopedics insoles and physical therapy. Being very honest, I didn’t notice yet a big improvement, but I hope I can avoid surgery with this more conservative approach. Great work, cheers from Brazil 🇧🇷.
I’m in a same boat as yours. I can’t play soccer more than 5mins due numbness I get specially around ankle & feet.
I’m also avoiding surgery solely because of the comments I read from the people that have gotten the surgery but it didn’t fix it. Have you still managed it without getting the surgery?
same guys... all i want to do in this world play football and run. unfortunately my body cannot handle this because of chronic compartment syndrome. i am fed up... what about you guys? did you find a solition? if i find i will write to you. because it is terrible thing...
Guys try using some warm/hot cream or gel before you play. Helps me massively. I can play with this for last 10 years. When I forget the gel I am unable to play. The hotter the better. And warm up slowly before playing
I think I have these symptoms through running. What's the fix
Operation
@@lizzyn.6313 do u have any idea?
@@lizzyn.6313 can you give me some ideas? I have the same problem
Switch to forefoot strike when running, reduces the load on the tibialis antieror muscle
what is the fix that you suggest?
Exactly what i have and been battling with for years..and i cant even get orthapedics to come for a walk with me or see me in bulked condition? Its exactly what happens to me more i go pressure calves limping feel out of control feet start to slap and muscles like rock pair them..
on the mri relaxed no exertion he said i have bilataral compartment syndrome..and there said it with no exertion tests ..he want to cut me ankle to kneecap...and if skin doesnt go back skin graft me..im unsure why some are so so neat and why i havent had exerted tests..it always happens exerted.. and ive told them it numerous times..
I have managed my life by taxi and workvan lifts to avoid leg pressure and problems.
Also having rls at night time sleep on muscle relaxors strugggling with calves alot. As of 2019 also nerve bothered me within left calve always pulsating and stabbing me out the blue. A different issue im assuming. Spoken to medic and he thinks its the back but yet to get back scan as there focusing on compartments but amount pain nerve was causing me led to a mri instead lower back scan i felt i needed both longover due one ..symptoms of nerve pain since bending back over mckenize back stretch calve pulsating has gone over weeks dont know if its my discs but i work in construction as plasterer /labourer always hurting my back for others and so tired of it and close to having out of it only get one body and feel way older and beatup than my age. I feel like no way i should even have to research my signs or seek help elsewhere as surely there should known my signs .. i really do wonder why unexerted tests been done or not rechecked after exerted.. some in groups said anigrom? Under stress for paes / cronic check.. or needle after exert...
Or same as yourself check pulse different also calves be so swollen takes gd while for them to go down.
I have the stabbing nerve pain. Did you ever get results. I need help.
Great thanks to both participants !
Love your videos, great for neurology students!
Kennel Thank you! This guy is actually doing much better. I have some more neat videos coming soon.
Hi Paul, could you add subtitles to the videos ? Sometimes it's getting difficult to keep up with you :) In this video, I couldn't understand the part starting from 2:04 :D
Hakan ÖZTÜRK Hi Hakan, Sorry about that. I was trying to say that this patient could have these symptoms from a collapse of the popliteal artery or from over compression of the arteries from muscular hypertrophy. I am pretty sure he has the later since ex. induced compartment syndrome takes some time to kick in and collapse of the popliteal artery causes symptoms almost constantly. I've seen both.
Best,
Paul
hakan hi
How do I find a Doctor Who is familiar with compartment syndrome? Will most orthopedic surgeons treat us and understand this problem
Yes most should be very familiar with this.
I had to stop running because I was having the same problems
did u find any solution
They just told me I had this 2day. Not fair. This shouldn't even be a thing.
I have same pain but my feet don't go white? What could it be.
Thank YOU!!! You ARE truly unique in your approach. Is it possible to restore chronic compartment pain (anterior sin splints) especially if 1 shockwave treatment reduced calf and opposite thigh swelling, but still seized there first thing in morning?
Hello. I know this is an old video but did you ever get positive results. I suffer from terrible pain comes and goes.
I just came upon this video while searching TH-cam to see if there’s a video on what happens during compartment testing. I have to do a test soon and its a little nerve raking but necessary. i experience the same thing. I’m happy you took him out so that the symptoms can be reproduced. I don’t believe any patient can be properly evaluated and treated without it.
Glad you liked the video. Best of luck to you!
Hi, I know this is an older video, so not sure if you’ll see this comment. I have most symptoms of compartment syndrome, however, my symptoms are always present and sometimes made worse by exertion, long periods on my feet, etc. I’ve been shuffled around between various doctors for three years and still don’t have a proper diagnosis because my symptoms are always there. A couple of doctors have told me it should only be brought on by exertion if it’s CS. I’m finally getting the Stryker test done soon. I was curious if you’ve ever seen someone with compartment syndrome who always has symptoms (pain, numbness, tingling, lots of swelling on the affected leg, pain in the toes and foot, dark and very cold toes). Thank you.
It’s important to distinguish the difference between vascular claudication, such as a popliteal artery, occlusion, and compartment syndrome, which occurs with activity. Have you seen a vascular specialist? You may need to have ABI’s (ankle brachial indexes) and/or arteriograms performed
@@OrthoEvalPal my ABI test came back normal, I’ve had 2 actually. Also had a CT with angiography and an MRA, both normal. I saw two vascular surgeons, one thought possible popliteal artery entrapment, the other disagreed. I feel totally at a loss of what to do. Stryker test is next.
@@yogamommy84 Stryker test is the best next option.
Thank you for uploading these videos! They are very helpful. I was wondering how you can distinguish between exercise induced compartment syndrom and PAD Fontaine Stage IIA. Is there a clinical test (like abi) or would you do an angiography?
+SullaSelbst Yes. One of the ways I clinically tease those two out would be to have him stationary cycle for 10 minutes. If he has PAD, he will have global ischemia from the knee down to include a deep ache, "dead like" feeling, "heaviness" in the lower leg. The foot also gets physically colder faster on that side. There would also be a loss of pulse but that can happen with both. Exercise induced compartment syndrome is almost never exacerbated by cycling. Ususally walking, running or skate skiing (not classic skiing) If you are suspicious of PAD then ABI is the first step and then angiography is the next. Only decent test for EICS would be pressure gauge testing. I would only seek out this test if symptoms are very persistent.
Why be satisfied with "appears to be" - do the needle pressure test to be sure, x-ray for fractures, do a Doppler and then cut the fascia. With the pressure test available I don't understand why that is not used.
Great point! 6 hours to the closest person who does pressure testing. In rural Maine it's tough to get done. The last two who had pressure testing had mixed results. Releases were done anyway. This guy did not have surgery and is doing quite well. Just bumped into him recently. This video is a few years old.
@@OrthoEvalPal Thanks for the video. So can you please give some pointers as to what can be done before surgery? What did this guy do? Any particular physiotherapy or should one just persevere and tough it out until it goes away by itself? (I have the same condition).
Hi Gilad, The team approach is very important. Physiatrist, interventional pain specialist, neurologist, physical therapy. Desensitization techniques can be helpful and something you can do on your own by rubbing different textured towels over the area.
Ortho EVAL Pal With Paul Marquis I’m not sure what this even means? Are we able to stretch the fascia to incorporate the up to 30 percent volume that flows into working muscles or not? From what I’ve seen in the literature the only gold standard is a fasciotomy? Can you tell us how long it took for him to recover with conventional methods ? Is cortisone something that could assist in reducing the inflammation during exercise ?
@@CharlesGeorge2275 I just wanted to let you know I got a fasciotomy on my right leg, and am getting my left leg done next week. If you have consistent, severe pain it will be worth it!