![]() Chronic (Exertional) Compartment Syndrome ![]() Your doctor will measure the compartment pressure to determine whether you have acute compartment syndrome. Go to an emergency room immediately if there is concern about acute compartment syndrome. Chronic compartment syndrome causes pain or cramping during exercise.Chronic (Exertional) Compartment Syndrome.They usually indicate permanent tissue injury.Numbness or paralysis are late signs of compartment syndrome.There may also be tingling or burning sensations (paresthesias) in the skin.Using or stretching the involved muscles increases the pain. The pain is more intense than what would be expected from the injury itself.The classic sign of acute compartment syndrome is pain, especially when the muscle within the compartment is stretched. This is usually relieved by discontinuing the exercise, and is usually not dangerous. Athletes who participate in activities with repetitive motions, such as running, biking, or swimming, are more likely to develop chronic compartment syndrome. The pain and swelling of chronic compartment syndrome is caused by exercise. ![]() If you have a cast, contact your doctor immediately. If symptoms of compartment syndrome develop, remove or loosen any constricting bandages. Casts and tight bandages may lead to compartment syndrome. Taking steroids is a possible factor in compartment syndrome.Ĭonstricting bandages. This can happen after severe intoxication with alcohol or other drugs.Īnabolic steroid use. The development of compartment syndrome in this manner usually occurs in people who are neurologically compromised. Most healthy people will naturally move when blood flow to a limb is blocked during sleep. Lying for too long in a position that blocks a blood vessel, then moving or waking up can cause this condition. A blood vessel can also be blocked during sleep. This may occur after a surgeon repairs a damaged blood vessel that has been blocked for several hours. Reestablished blood flow after blocked circulation. This type of injury can occur when a motorcycle falls on the leg of the rider, or a football player is hit in the leg with another player’s helmet. Rarely, it develops after a relatively minor injury.Ĭonditions that may bring on acute compartment syndrome include:Ī badly bruised muscle. Cause Acute Compartment SyndromeĪcute compartment syndrome usually develops after a severe injury, such as a car accident or a broken bone. It can also occur in other compartments in the leg, as well as in the arms, hands, feet, and buttocks. This does not usually happen in chronic (exertional) compartment syndrome.Ĭompartment syndrome most often occurs in the anterior (front) compartment of the lower leg (calf). In acute compartment syndrome, unless the pressure is relieved quickly, permanent disability and tissue death may result. Without a steady supply of oxygen and nutrients, nerve and muscle cells can be damaged. Blood flow to muscle and nerve cells is disrupted. Because the fascia does not stretch, this can cause increased pressure on the capillaries, nerves, and muscles in the compartment. Compartment syndrome develops when swelling or bleeding occurs within a compartment.
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