Chronic Exertional Compartment Syndrome

Chronic exertional compartment syndrome is exercise-induced lower leg pain caused by increased pressure within the muscle compartments during activity.

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Typical Recovery Time

Variable; surgery has 80-90% success rate

Symptoms

•Aching or cramping leg pain during exercise
•Tightness and pressure in the lower leg
•Pain resolves with rest
•Foot drop or numbness in severe cases

Common Causes

•Repetitive high-impact activity
•Running and marching
•Muscle hypertrophy increasing compartment pressure

Treatment Options

1Activity modification

2Physical therapy and gait retraining

3Orthotics

4Surgical fasciotomy in refractory cases

When to See a Doctor

If you have severe leg pain during exercise that limits your activity or you experience foot weakness or numbness.

Frequently Asked Questions

What is chronic exertional compartment syndrome?

Chronic exertional compartment syndrome is a condition where pressure builds up in the muscles during exercise. This can reduce blood flow and cause pain, tightness, or weakness. It most commonly affects the lower leg in runners and athletes.

What causes chronic exertional compartment syndrome?

It is caused by increased pressure within a muscle compartment during activity. Repetitive exercise like running or training can trigger symptoms. The pressure decreases blood flow and affects muscle function.

What are the symptoms?

Symptoms include tightness, pain, cramping, or numbness during exercise that improves with rest. Some people feel weakness or heaviness in the affected area. Symptoms are often predictable with activity.

How is it treated?

Initial treatment includes activity modification, gait changes, and physical therapy. Some athletes may try different training approaches. Surgery may be considered if symptoms significantly limit activity.

When can I return to activity?

Return depends on symptom control and treatment approach. Some athletes manage symptoms with modified training. After surgery, return to sport typically takes several weeks to months.