Affiliation:
1. *Department of Wellness and Movement Sciences (Athletic Training Program), Eastern Washington University, Cheney
2. †Northwest Specialty Hospital, Post Falls, ID
Abstract
A 34-year-old female athlete experienced pain, tightness, and sensation changes in her lower legs and feet when reaching approximately 1 mile (1.6 km) of her run. After a wick catheter test, an orthopaedic surgeon diagnosed her with chronic exertional compartment syndrome (CECS) and declared her eligible to undergo fasciotomy surgery. A forefoot gait is theorized to delay the symptom onset of CECS and decrease the amount of discomfort the runner experiences. The patient opted for a 6-week gait retraining program to try to alleviate her symptoms nonsurgically. The purpose of our report is to provide information about the contributing factors of CECS and to determine if gait retraining is an effective alternative to invasive surgery. After 6 weeks of gait retraining, the patient was able to run without experiencing any CECS symptoms. Also, her compartment pressures were reduced, leading the surgeon to no longer recommend fasciotomy.
Publisher
Journal of Athletic Training/NATA
Subject
Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,General Medicine
Reference17 articles.
1. Diagnosis and management of chronic compartment syndromes: a review of the literature;Barnes;Br J Sports Med,1997
2. Chronic exertional compartment syndrome;Fraipont;J Am Acad Orthop Surg,2003
3. Chronic exertional compartment syndrome;Shah;Am J Orthop (Belle Mead, NJ),2004
4. Gait re-training to alleviate the symptoms of anterior exertional lower leg pain: a case series;Breen;Int J Sports Phys Ther,2015
5. Chronic exertional compartment syndrome in a collegiate soccer player: a case report and literature review;Farr;Am J Orthop (Belle Mead NJ),2008