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Chronic Exertional Compartment Syndrome Resolved With Running Gait Retraining: A Case Report.

Abigail K Allison1, Kirsten L Ishikawa1, John Parry Gerber1

  • 1Department of Wellness and Movement Sciences (Athletic Training Program), Eastern Washington University, Cheney.

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|July 7, 2023
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Summary
This summary is machine-generated.

Gait retraining effectively treated chronic exertional compartment syndrome (CECS) in an athlete, eliminating symptoms and reducing compartment pressures without surgery. This non-invasive approach offers a viable alternative to fasciotomy for runners.

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Area of Science:

  • Sports Medicine
  • Orthopaedics
  • Biomechanics

Background:

  • Chronic exertional compartment syndrome (CECS) is a condition causing pain and discomfort in athletes during physical activity.
  • Surgical intervention, such as fasciotomy, is a common treatment for CECS.
  • Altering running gait has been proposed as a non-invasive method to manage CECS symptoms.

Observation:

  • A 34-year-old female athlete presented with CECS symptoms, including leg pain and altered sensation, after running approximately 1 mile.
  • Diagnostic tests confirmed CECS, and the patient was deemed eligible for fasciotomy surgery.
  • The patient chose a 6-week gait retraining program as a non-surgical treatment option.

Findings:

  • Following the 6-week gait retraining program, the athlete could run without experiencing any CECS symptoms.
  • Compartment pressure measurements in the patient's lower legs decreased significantly after the intervention.
  • The orthopaedic surgeon rescinded the recommendation for fasciotomy surgery due to the positive outcomes of gait retraining.

Implications:

  • Gait retraining can be an effective non-surgical treatment for chronic exertional compartment syndrome in athletes.
  • This approach may offer a conservative alternative to invasive surgery, potentially reducing recovery time and associated risks.
  • Further research into gait modification strategies could optimize non-operative management for CECS and similar exertional leg pain conditions.