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

Chiropractor's perspective: "Queen of Snapchat," Katie May, dies from a stroke after chiropractic adjustment

Source: youcaring.com  L.A. County Coroner recently ruled that model, Katie May, died as a result of a “neck manipulation by chiropractor" due to a brain infarction or stroke. It was deem an accident as result of a carotid artery blockage. Chiropractic adjustments to the upper cervical can move the vertebral artery so I am not sure how the carotid artery was affected. I am guessing the news articles are reporting the wrong artery being dissected. Ms. May fell during a photoshoot hurting her neck resulting in her seeking help from a LA chiropractor. She had more than one chiropractic adjustment before going to the hospital with symptoms of a stroke before dying. Is the fall to blame for the stroke or only the neck adjustment? Did they both contribute to the stoke?  The American Chiropractic Association (ACA) Provides the Following Statement in Response to Media Inquiries Regarding Katie May Our sympathy goes out to the family of Katie May. With respect to the saf

Kinesio Tape & Olympic Beach Volleyball

What is that black tattoo on Kerri Walsh's right shoulder? It is called Kinesio Tex Taping which is an elastic taping used in chiropractic, rehabilitation and sports medicine. Developed 25 years ago by Dr. Kenzo Kase, it is now getting recognition and being used by top athletes such as Lance Armstrong , Serena Williams , David Beckam , Robby Ginepri and Justine Henin . Kinesio Tape works by giving support like a flexible brace and facilitates weak muscles with neurological awareness or proprioception. Kerri Walsh had a recent rotator cuff surgery last November. NBC reported that she uses the black shoulder tape for better circulation and her shoulder pain. Harder to see with the beige Kinesio Taping, Martins Plavins used Kinesio Taping in the huge upset against the US team of Todd Rogers and Phil Dalhausser. Did Kinesio Tape give Walsh and Plavins an unfair advantage to both win? :) Maybe not, but it pleases me to know that I something I use to help my patients is trusted

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