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Related Experiment Video

Updated: Aug 22, 2025

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Compartment Syndrome in the Foot and Leg.

Samantha Williams1, Shirley Chen1, Nicholas W Todd1

  • 1Palo Alto Medical Foundation, Palo Alto Foundation Medical Group, 701 East El Camino Real, Mountain View, CA 94040, USA.

Clinics in Podiatric Medicine and Surgery
|November 11, 2022
PubMed
Summary

Chronic exertional compartment syndrome causes exercise-related leg pain in athletes. Diagnosis involves history, exam, and pressure tests, with treatments ranging from physical therapy to surgery.

Keywords:
AthletesChronic exertional compartment syndromeCompartment syndromeExertional-related leg painSports injuries

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Area of Science:

  • Sports Medicine
  • Orthopedics
  • Exercise Physiology

Background:

  • Chronic exertional compartment syndrome (CECS) is a frequent cause of leg pain in athletes during exercise.
  • It can significantly impact athletic performance and quality of life.

Purpose of the Study:

  • To provide a comprehensive review of CECS in athletes.
  • To cover anatomy, pathophysiology, diagnosis, and treatment options.

Main Methods:

  • Review of existing literature on CECS.
  • Discussion of diagnostic criteria including patient history, clinical examination, and intracompartmental pressure measurement.
  • Overview of treatment strategies, encompassing conservative and surgical interventions.

Main Results:

  • CECS diagnosis relies on a combination of clinical assessment and objective testing.
  • Non-surgical treatments like activity modification and physical therapy are initial management options.
  • Surgical fasciotomy may be necessary for persistent symptoms.

Conclusions:

  • Effective diagnosis and management of CECS are crucial for athletes experiencing exercise-induced leg pain.
  • A multidisciplinary approach involving clinicians and physical therapists can optimize outcomes.
  • Understanding treatment options, from conservative care to surgical intervention, is key for athletes' return to sport.