Skip to main content

Chronic Exertional Compartment Syndrome: Case Study

Chronic Exertional Compartment Syndrome

   Chronic exertional compartment syndrome is a condition where exercise such as running causes numbness and tingling to the feet. It can be so severe and painful that the athlete cannot continue their exercises. Acute exertional compartment syndrome can be serious causing muscle necrosis (tissue death). This involves symptoms such as severe pain with lower leg swelling and muscle weakness that does not go away with a few minutes of rest. Go to the ER immediately, if you experience something similar to this. This patient is not an acute case but a stable chronic exertional compartment syndrome of the posterior compartment. It is a shame that I did not think to take pictures of the first week in which the feet were very pale or the skin was very white in color. Seeing such a big improvement in the second week, I had to make the patient stand and do 1 minute of calf raises to induce paleness in the skin. The normal capillary refill (return to pink skin) is after 10 seconds for the fingers or toes in general. Please read the disclaimer below and see a qualified healthcare professional for yourself. There is no certification for treating this condition in chiropractic school or with the instruments that I use so your local chiropractor may not know how to treat this.
   There are conditions in the arms & hands that I deal with in which some soft tissue such as a tight muscle or fascial restriction that impinges an artery or nerve. This patient happened to be a similar musculoskeletal related impingement for the legs based on the fast response, but it does not mean all cases of chronic exertional compartment syndrome can be treated in your case as compartment syndrome may not fully understood. The last picture seems to be an anomaly among the 10 pictures. I only remember being in a rush and skipping the picture after the calf raises. Overall, there is a general improvement in skin paleness immediately after 1 minute of calf raises which is very noticable & a general progression in improvement over the weeks which tells me that there must be a real change in circulation in the lower legs and feet.
 
 Compartment Syndrome: Before Treatment  Second Week: Before Treatment
 Compartment Syndrome: After Treatment  Second Week: After Treatment
 Compartment Syndrome: After Treatment  Second Week: After Treatment and After
 Calf Raises. A quick change in skin color.
 Compartment Syndrome: Before Treatment  Third Week: Before Treatment
 Compartment Syndrome: Before Treatment  Third Week: Before Treatment Immediately
 After Calf Raises
 Compartment Syndrome: Before Treatment  Third Week: Before Treatment, An
 Additional 10-20 Seconds After Calf Raises
 Before X-ray  Fourth Week: Before Treatment
 Before X-ray  Fourth Week: Before Treatment
 Immediately After Calf Raises. Very little
 change in skin color.
 Before X-ray  Fourth Week: Before Treatment, Another
 10-20 sec After Calf Raises. Quick return
 to normal skin color.
 Before X-ray  Fourth Week: After Treatment.
 Unfortunately, the picture taken seconds
 after lying down for a long period of time.



ChiroWorks Care Center
Anthony Tsai, D.C.
Chiropractor in San Jose, CA
Graston Technique Certified
FAKTR Certified

Disclaimer: The content in this blog is for informational purposes only and an opinion for specific individualized circumstances. It is not a prescription for therapy or diagnosis for you. All opinions expressed and any referenced articles are solely those of the particular author and do not necessarily represent the opinions of Anthony Tsai, Graston Technique®, its employees, providers or affiliates. Any opinions of the author on the site are or have been rendered based on scientific facts and/or anecdotal evidence, under certain conditions, and subject to certain assumptions, and may not and should not be used or relied upon for any other purpose, including but not limited to for use in or in connection with any legal proceeding. If there is any issue with the content or images on this blog, contact us an we will remove it immediately. Please refer to http://fairuse.stanford.edu/Copyright_and_Fair_Use_Overview/ for more information.

References:
http://www.chiroworkscarecenter.com/custom_content/c_120568_success_stories.html

Comments

Popular posts from this blog

June is National Scoliosis Awareness Month

National Scoliosis Foundation Press Release: support@scoliosis.org. In your email please also tell us if you plan/do any activity for National Scoliosis Awareness Month. Tell a friend; Blog it; Post it; Upload it; hand out a brochure; talk to a PTA or school; visit a patient; inform your doctor; make a donation; run a fundraiser; hold a free clinic;contact your representative or local paper. Any activity, big or small is important, so let us know. Press Release , we have a number of different activities planned which will be further detailed here as the month of June unfolds. The U.S. House of Representatives Proclamation for a PDF copy of the Proclamation and Points of Emphasis. The U.S. House of Representatives Proclamation by Pennsylvania Congresswoman Allyson Y. Schwartz invites the President, Governors, officials and the American People to join with her and the National Scoliosis Foundation in recognizing and reaffirming our commitment to increasing the awareness of scoliosi

Connecticut Board of Chiropractic Examiners Finds No Clear Association Between Neck Adjustments & Strokes

Neck Pain Task Force presented before the Connecticut Board of Chiropractic Examiners that "patients suffering from headache and neck pain are no more likely to suffer from a stroke following a visit to a chiropractor than they are after a visit to a family medical physician." The Neck Pain Task Force studied nine years worth of research. The Cennecticut board also concluded that the media "often sensationalized" and perpetuated the myth with chiropractic adjustments. Their conclusions are in agreement with my previous blog entry. ChiroWorks Care Center Anthony Tsai, D.C. Chiropractor in San Jose, CA ChiroWorksCareCenter.com Graston Technique Certified FAKTR-PM Completed Disclaimer: The content in this blog is for informational purposes only and an opinion for specific individualized circumstances.  It is not a prescription for therapy or diagnosis for you . All opinions expressed in these articles are solely those of the particular author and do not n

London Olympics 2012: Kinesiotape / Kinesiology Tape / Physio Tape Skepticism Answered

DPA - Leryn Franco Reuters - Katrin Holtwick Getty Images - Trey Hardee Kinesiotape, aka kinesiology tape, physio tape or elastic therapeutic tape, is back in the Olympics in 2012. I made a blog article talking about the use of kinesiotape in 2008 with pictures of Kerri Walsh Jennings and Martin Plavins . For this olympics, it is used more than before but it is still not accepted by the skeptics in the scientific community. The critics credit any success to the placebo effect because of the lack of scientific evidence. There are plenty of journal research on professional athletes and superstition. Superstition gives athletes confidence which is proven to provide more "luck" or success. I will talk more about how kinesiotape does have specific therapeutic functions that are easy to understand. "I think, if anything, there is a placebo effect involved, and there probably is a little bit of a peer pressure effect. When people see athletes who are doing