Anterior Compartment Syndrome and its Treatment

Anterior Compartment Syndrome and its Treatment

What is Anterior Compartment Syndrome?

Anterior Compartment Syndrome occurs due to raised pressure within the anterior compartment(Group of the muscles enclosed in a single fascia) of the lower leg (front of the tibia).

Pressure rises as a result of:

  • bleeding,
  • swelling in the tibialis anterior muscle resulting from Direct trauma (causing swelling within the compartment),
  • Fracture,
  • Soft tissue injury,
  • Muscle volume & size rapidly increases within a compartment,
  • Also, Vigorous exercise.

Symptoms of Anterior compartment syndrome are such:

  • Pain along the front of the leg.
  • tight, cramping, or squeezing pain (shin pain).
  • Pain induces due to exercise and does not go away until you stop exercising.
  • If the swelling causes the compression of the nerve you may also experience paraesthesia & weakness (you will feel difficulty in elevating your foot).
  • Also, there may be foot drops seen in severe cases.

Physiotherapy treatments:

  • stop the activity that aggravates the symptoms, and keep the affected limb elevated while sleeping,
  • Crutch walking training,
  • Partial weight-bearing exercises,
  • Assisted Range of Motion exercises for affected leg (knee, ankle, and toes),
  • Apply ICE,
  • Therapeutic Ultrasound therapy,
  • Kinesio Taping (anterior compartment syndrome taping can provide relief from pain by supporting the muscle as well as reducing swelling),
  • Orthotic inserts (it will correct the biomechanics of the lower limb and reduce the excess load from the tibialis anterior muscle),
  • Soft tissue massage,
  • Postural realignment,
  • Hydrotherapy,
  • Stretching exercise,
  • In addition, Exercises such as static cycling (which is good for cardiovascular health without exaggerating symptoms),
  • Also, Iso-kinetic muscle strengthening exercise.

The condition can be corrected surgically in some severe cases. A common surgical treatment for anterior compartment syndrome is Fasciotomy, in which the surgeon cuts the fascia and opens it to relieve the pressure.

After the fasciotomy, there is a requirement for physiotherapy rehabilitation for regaining ROM, & muscular strength. & Elite Physiotherapy & Sports Injury Centre is the place where the best manual therapy and the latest therapeutic modalities are used for patient holistic treatment.

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