Chronic Exertional Compartment Syndrome Resolved With Running Gait Retraining: A Case Report
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 eli...
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| Veröffentlicht in: | Journal of athletic training 2023-04, Vol.58 (4), p.345-348 |
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| creator | Allison, Abigail K Ishikawa, Kirsten L Gerber, John Parry Dewing, Christopher |
| description | 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. |
| doi_str_mv | 10.4085/85.22 |
| format | Article |
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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. 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| ispartof | Journal of athletic training, 2023-04, Vol.58 (4), p.345-348 |
| issn | 1062-6050 1938-162X 1938-162X |
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| source | Freely Accessible Journals; MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Case reports Catheters Chronic Disease Chronic Exertional Compartment Syndrome - complications Compartment syndrome Compartment Syndromes - diagnosis Compartment Syndromes - etiology Compartment Syndromes - surgery Female Fitness equipment Gait Humans Legs Orthopedics Pain Patients Running Running Medicine Sports training Surgeons Surgery |
| title | Chronic Exertional Compartment Syndrome Resolved With Running Gait Retraining: A Case Report |
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