In Episode 63-Chronic Exertional Compartment Syndrome I talk about the most common presentation of CECS and how I like to manage this very difficult problem.
This is amazing. I suffered from this is Basic Training. When you said "foot slaps." Ugh, brought back so many traumatic PT memories. I wish you could have been there to tell the trainers, "stop! This soldier needs rest." Thanks.
Thanks for this episode! Funny enough I worked for Dr. Katz (ortho in Brunswick ME) for years and saw him perform a CECS pressure test once. Years after moving to TN I started seeing a PT for tight calves and he thought I was presenting with classic CECS, so I ended up going back to ME to see Dr. Katz to have the pressure tests which confirmed the CECS. Back in TN I went through a 4 compartment fasciotomy 3 years ago which was completely unsuccessful. I haven’t run in years and am starting to have symptoms from hiking which has been the biggest bummer. I also have Type 1 Diabetes so staying active and limiting any blood flow occlusion to my feet is, of course, super important. Looking forward to implementing some of these tips in my routines! Thank you!!
Thankyou so much for this! I have been having pain for almost 10months and I am had to stop exercising and doing what I love and got quite depressed. I have all these symptoms that you are explaining
So glad you put this out. I'm currently getting diagnosed, been suffering from chronic lower leg pain since March 2021 while running. Just had a full arterial scan done to see if it was that and came back all clear. What you described here is exactly my symptoms, bi-lateral in all compartments, hardening, swelling. Just got referred to orthopedics, so there's hope! thanks!
@muneebiqbal5584 Arteries came back all clear. Turned out to be compartment syndrome. They wanted to do the fascia surgery, but I've declined for now. I've given up running, sadly, but have found biking to be a suitable substitute. In the winter I'll focus on calisthenics when I can't ride. It's not painful walking, so I'll do that till I can't. When it gets that bad I'll consider the surgery.
I had ECS (not professionally tested, but self-diagnosed from symptoms). After "sprinting" at the end of a few long-runs I got stiff/painful calfs, tried active recovery by easy running, but it got worse, and developed into "calf attacks" 2-2.5km into each run, which is an instant sharp pain where you have to stop immediately within a few steps, and limp home. Rest did not help. I started what I term "micro-progression". Basically found I could run slow 4x1000 with 3min break on a flat stadium-track. Then set rule of min 1 rest day between runs, after 7 sessions of 4 to 6 x1000 I started adding 200m on each session, so 5x1200, 5x1400, etc... But _only_ added if I had zero symptoms during the run and rest time. If not symptom free I repeated previous. Reduced number of intervals as distance grew. I used 3 months to get to 2x5000m. Then added more quickly, so reached 1x12km 3 weeks later. Just had my first run off the track. I did plan specifically for this long recovery because I researched ECS literature and found it quite serious and difficult to treat. So I hypothesized that a slow enough progression that enables nerves, fascia and whatever is involved to be incrementally challenged might allow it to normalize. I'm not finished yet, because downhills can still be a challenge, and I haven't tested it much. But will keep the micro-progression idea into that adaptation too. I did not do any other exercise, only some light self-massage on the calfs in the very beginning.
I also use this approach, what also helps for me is when the calves swell up, I take imideate rest for 15 minutes, even lay down feet up. Then continue run and symptoms do not return in full.
I have a tip for everyone. I had this since i waa 15 years old. Couldnt play soccer at all. I found out that when I use some warming/hot cream or gel before the game and start to warm up slowly i am able to play untill today. This really has huge effect on me. When I forget the gel at home I cant play at all.
I have chronic compartiment syndrom in my under arms and calves. Surgery did help a bit but still struggeling with it. When i was 14 i did alot of heavy lifting and running. Went to hard and now i am 19 and have had my arms and legs cut open and it helped a bit. Now my upperlegs show the same symptoms and have a bump form on my right leg when i ride my bike. Gonna go back to the doctor for an opinion. Thank you for spreading awarness of this. My parents and friends never really took my pain serious.
I’m thinking peroneal nerve flossing, hip flexor strengthening and using dr Schols plantar fasciitis insoles has helped me. And I usually have hip snapping aka dancers hip when my runners compartmental syndrome acts up so I do stretches that help that too. I haven’t been able to pick which treatment is helping but something or all helps it. The game changer was the plantar fasciitis insoles. Basically everything he said in the video
Unfortunately I have not been diagnosed and am in severe pain in my calf and surrounding area. I've been through many injuries but nothing compares to this. It literally will put you to tears and make me unable to walk. I worked a very intense job for months having this and the doctors are blaming my back and wanting me to do PT and see a pain doc. The pain is so bad I almost want to grab a knife and cut my legs open myself to relieve the pressure. It's been months and my doctors refuse to give me proper testing to confirm this but I know deep down this is exactly my problem. My calf is extremely tight, it hurts to do anything and takes hours to resolve when rested. Doing PT will only make me hurt more no matter what I'm doing....even sitting up too long hurts. I don't know what to do. I'm on my 5th doctor and none of them actually physically looked at my legs. No scans at all of them...just an MRI of my back. Yes, I have bad discs in my lower back but nerve pain is so much different than this. It feels like my calf is a water ballon about to pop. On the verge of losing my job because I cannot perform. I wish doctors would do more listening when we know our own bodies best.
Had it in my right calf 9 years ago,had the Op and touch wood been brilliant since.Had a second Op last Friday in the left calf,hopefully gna be as good an outcome as the first,good luck if you have the Op but rest up after.I was itching to start trail running but held back,worth the wait👍🏼👍🏼
This is incredibly helpful, thank you for this video! I've been struggling with symptoms exactly like what you're describing and stumbled on your video while desperately researching.
How do compression socks work for Chronic Exertional Compartment Syndrome? Would the socks be adding additional pressure to the compartments, like a cast that was put on limb before it had stop swelling?
Hi Albert, I agree with you. I only say the socks because I tried it on a patient whom we had tried everything else on and it was the one thing that made a dramatic difference. I think it just helped to prevent the engorgement before it got to be too much. Good question.
I’ve been dealing with this for years and am just now narrowing the diagnosis down. Currently awaiting an MRI appointment. But I have basically all the symptoms mentioned in this video. Thank you for this information.
@@bayleymassey the MRI did not lead to a diagnosis. My leg looked pretty normal. The doctor ended up referring me to a different doctor for a second opinion. After a long wait, I have my first appointment there tomorrow.
This is so helpful, thanks for sharing. I've had this since I was young but it went dormant for many years until lately. Funny enough it was triggered when I bought a new pair of shoes. Going to try compression socks and then orthotics if that doesn't work. Fingers crossed I can get back to running pain free soon 🤞
I have compartment syndrome in my legs. I am no way an active person. Was diagnosed with this 10 years ago. I noticed it first when I decided to get fitter and started jogging and thought it was just becouse I wasn’t used to it. I can’t run becouse of this at all. Even walking causes a lot of pain after 10 mins. Then it eases slightly and gets worse again till only stopping walking relief’s it. I want to keep walking my 10000 steps a day but I worry I am doing myself harm. Is walking through the pain harmful to me is my question.
I have the same issue and keep wondering if it's just being in bad shape because whenever I hear about compartment syndrome it's to do with highly active people
Hi, when I was 15 I was told I had fascial tear with muscle herniation in both my legs... they basically said it’s because I’m athletic and they gave me some advice and basically I forgot about it but it sometimes get really aggravated and lately it has been so bad. I’m pretty sure this has caused chronic compartment syndrome. Can you offer any advice as to what I should do now? I’m now 28.
Hello. I’ve had really tight calves for years to the point that some areas feel as if they’ve hardened. I been seen a PT for years now and they’ve tried all kinds of things to include dry needling, TENS, muscle scraping, etc. with no relief. I can they’ve started to get frustrated while treating me. How could I approach them about looking into CECS?
Yea I think I have Compartment Syndrome because when-ever I start walking not at the very second but for 20 mins my calf will start aching and if I ignore the aching then its stat getting painful to continue walking to the point where I have to sit down. I started doing calf exercises but it hasn't helped get rid of the pain all together because when I did my calf exercise this morning I didn't feel any pain when I started walking but I felt it coming back after I kept walking. after I didn't feel any pain in my calf yet but my ankle started hurting and becoming numb and aching to the point where I had to sit down. This has been happening to me for about a month It's time to get it checked out.
This is IDENTICAL to the symptoms I've been having. I can't even walk .2 miles without the cramping starting and if I try walk through the pain my ankles start to hurt and feel as though they may snap. It's awful and I'm considering a fasciotomy at this point.
Have any of you gone to the doctor to get it checked out? If so what was the verdict? I am afraid it's claudication even though I almost have all the symptoms of CECS.
I got diagnosed with this last year december! I tried a year of different treatments but nothing helped, I got this syndrome at both of my lower legs and had these problems of pain for years (I do sports a lot). I got the surgery of my right leg in january and my left leg last week, because both legs at the time would have been to much to recover from at once! I tried a year of different treatments but nothing helped! Im glad I did this surgery and hopefully a future without pain while doing sports
Hey Paul great video superb info. After watching your video I realized I have all the symptoms that you indicated with this syndrome except my numbness goes away after about 30 sec to 1 min completely and I regain control over my toes and the rotation my ankle again, also feel that the slapping motion you mention which is so accurate goes away. Do you think this could be chronic exertional compartment syndrome ? Or could it possibly be something else? I've been experiencing this for the last 4 years on long hikes ( Rucking ) with moderate to heavy load with a fast speed, I also get it during running but its not as bad which I think has something to do with the placement of my feel while running. Any help will be greatly appreciated. Cheers
Hi Ehsan, Good question. If it goes away with more activity I would have to say it is not Compartment Syndrome. You may have some nerve gliding issues. I would also try custom orthotics if you haven't already done so. Also, are you stretching your calf well? This is always a good place to start. ezslant.com Full disclosure: this is a product I developed and I use it constantly. Active patients like it for the portability. Best of luck!
I think I have this. I was an offensive lineman for 11 years and worked out extensively during that time. I could run sprints ok without too much pain in my legs because of the breaks in between but one thing I was never able to do was jog. I still can’t. After only about 500 yards my legs from the knee down would be on absolute fire. Especially he muscles around my shins. The pain was so bad that I’d find myself going slower than a persons normal walk. Now granted I was a big kid. I was about 250 lbs but there were guys as big or bigger than me that did not have the same issue. Coaches would give me hell thinking I was just lazy and weak. It was embarrassing and it stopped me from joining the military which was my calling.
Hi Lukour, I try to keep comments on UA-cam short and sweet because I get so many comments. I can give a little more direction through an email. paul@orthoevalpal.com
Which orthodontic would you recommend? If I go to a running store which one should I buy? I have compartment syndrome and stretch, do acupuncture, hot therapy and cold therapy but nothing has worked for three years now. And I don’t wanna do surgery. What other conservative treatments do you recommend? Looking into thicker shin sleeves too
I used to play 2 sports simultaneously years ago in my teens without issue, I'm 24 now and start walking again to get back fit (before getting into running) and found I couldn't even walk a single kilometre without my ankles and anterior tibial being in excruciating pain. Went to the Physio and found out I have CS. Got my feet scanned for custom made insoles and will be getting the pressure test soon.
Jacob Acosta Master Scribe still haven’t heard back for the pressure test but I can happily say the insoles have changed my life, I finally ran my first 5km two weeks ago and have done another 5km last week! Hoping to do another this week! I couldn’t even walk for 10 minutes without being in excruciating pain in March now I’m running for 30 minutes straight so I’m extremely happy with my money spent on the Orthotics!
Jacob Acosta Master Scribe a custom orthotic. I got my feet scanned and the orthotist then designed custom orthotics to support my feet. They were made in America and took 2 weeks and cost 400€
Ugh I’m terrified to get this test Done. I don’t really have issues with “drop foot” but terrible aching in the inside of my shins during and after exercise for DAYS after. I get to a point where I cannot walk. I own a fitness studio and I’m so worried about the Future if this is what I have!
@blsk3719 , it honestly didnt work. I got one shot and it didn't do me any good. I gotten alot better, simply doing basic functional exercises. Still can't run but I use the elliptical and the stairmaster for cardio.
I need to come see you sir. I work at lowes on my feet all day lot of walking and standing no sitting at all 9 hour shifts. Get calf knee swelling with foot pain in my arches. I feel better when my shift is done i go home elevate and ice
May want to try compression socks. Here is a link to a great sock www.ezglidersocks.com/collections/all/products/12-synthetic-knit-compression-socks-ez-glide
I have tried multiple doctors and physical therapy. Nothing has worked. Honestly thinking of surgery. I am in the military and have to meet fitness exams every year. It is draining trying to get into shape every year for the last 6 years, working through the pain. Thinking surgery I the only option.
I know how you feel man. I play football at a high level and this has ruined the last 3 years for me. Eventually got the operation and I’m struggling with seeing a difference during rehab to be honest. Hope you get it sorted
Great video, I've been dealing with this for close to 5 years now and have seen at least a dozen doctors with no luck. All those things you've mentioned like dry needling did nothing. Interestingly, I used to be a hard core compression sock wearer but found they made it worse when running. I might have to try it again and see. Been running for 17 years and hate to give it up. Not familiar with that particular surgery will have to look into it.
Help! I’ve been getting the run around on this since July 3 2023 it’s now august 26 2023 - Ortho PA blew me off saw him july 10 and august 16 I went to Vascular had Doppler ultrasound and ABI rule out blot clots No one is paying attention to my symptoms and timeline June 2023 for 2 weeks I strayed to train a bit harder w walk run exercise and I play tennis 2010 and 2014 each knee had small meniscus tears and repaired Since then no issues ski tennis cardio weights etc My legs have always been strong I can see my thighs bigger especially left side Actually left side calf hard as a rock feet go white thigh bigger weird muscle stuff and my left hash forearm are tingling numb What is going on???? I’m not even working out haven’t done anything but see docs and get looked at like I’m crazy! Anyone here can help? In Baltimore MD
The fact that your are having both upper and lower extremity issues makes it more interesting . You definitely have to find someone who can connect the two for you. Might start with an orthopedic surgeon for the leg. Best of luck!
I was diagnosed with compartment syndrome 10 years ago on the bottom parts of my legs, yes both! I used to run so much! I was extremely sad and depressed for so long. I was told my only option was to cut my facia. I have hope again. I wish more medical professionals cared to explain and work on finding solutions. I will work on this. 🙏🏽
@@Cofreshh hi no :( and still dealing with it. I ‘m going to bring it up to a sports medicine doctor again. I’m not even sure insurance would cover it. It only bothers me when I run. I guess I’m lucky that I can continue with other activities but I miss running so much.
@@batman-sr2px hi :) I spoke with a sports medicine doctor and now most recently an orthopedic surgeon. I’m going through rehab now but I suspect that it is not going to work. I’m working on stretching in general for now. I’m staying positive though. 😌
Hi, I am planning to go for this surgery but I am having fear not only about the surgery but also how effective is this surgery and the possible complications.. May I know how was your surgery? Do u think it helps? Thank you
@@wardevil3000 so u had both legs done right? After how many weeks were u able to run with no pain? I been itching to run since 2018 lol Been a while I miss it
I have this and it’s just terrible. Chiropractic adjustments and soft wave therapy has helped quite a bit. I lose my balance. I wonder if that’s exactly what I have though. Very very stiff and it feels like somebody dumped 50 pounds of cement into each one of my calves and they feel very very heavy. I have had heart and leg ultrasounds and they can’t find anything that it’s heart related I’ve been checked for blood clots and I have I don’t have any blockage of the arteries
This is amazing. I suffered from this is Basic Training. When you said "foot slaps." Ugh, brought back so many traumatic PT memories. I wish you could have been there to tell the trainers, "stop! This soldier needs rest." Thanks.
Thanks for this episode! Funny enough I worked for Dr. Katz (ortho in Brunswick ME) for years and saw him perform a CECS pressure test once. Years after moving to TN I started seeing a PT for tight calves and he thought I was presenting with classic CECS, so I ended up going back to ME to see Dr. Katz to have the pressure tests which confirmed the CECS. Back in TN I went through a 4 compartment fasciotomy 3 years ago which was completely unsuccessful. I haven’t run in years and am starting to have symptoms from hiking which has been the biggest bummer. I also have Type 1 Diabetes so staying active and limiting any blood flow occlusion to my feet is, of course, super important. Looking forward to implementing some of these tips in my routines! Thank you!!
Thankyou so much for this! I have been having pain for almost 10months and I am had to stop exercising and doing what I love and got quite depressed. I have all these symptoms that you are explaining
Hi Luke, I'm glad you like the vids. More to come. Hope you feel better soon!
I’ve had it for 1 and a 1/2 years and eventually trying to get the operation. Corona virus hasn’t helped so you aren’t alone
I m hving this almost 12 yrs...
I have all these symptoms! I think I have this. Thank you so much for the information.
So glad you put this out. I'm currently getting diagnosed, been suffering from chronic lower leg pain since March 2021 while running. Just had a full arterial scan done to see if it was that and came back all clear. What you described here is exactly my symptoms, bi-lateral in all compartments, hardening, swelling. Just got referred to orthopedics, so there's hope! thanks!
@muneebiqbal5584 Arteries came back all clear. Turned out to be compartment syndrome. They wanted to do the fascia surgery, but I've declined for now. I've given up running, sadly, but have found biking to be a suitable substitute. In the winter I'll focus on calisthenics when I can't ride. It's not painful walking, so I'll do that till I can't. When it gets that bad I'll consider the surgery.
@muneebiqbal5584 hey any update? how it is going?
@muneebiqbal5584updates? I’m so curious!
I had ECS (not professionally tested, but self-diagnosed from symptoms). After "sprinting" at the end of a few long-runs I got stiff/painful calfs, tried active recovery by easy running, but it got worse, and developed into "calf attacks" 2-2.5km into each run, which is an instant sharp pain where you have to stop immediately within a few steps, and limp home. Rest did not help. I started what I term "micro-progression". Basically found I could run slow 4x1000 with 3min break on a flat stadium-track. Then set rule of min 1 rest day between runs, after 7 sessions of 4 to 6 x1000 I started adding 200m on each session, so 5x1200, 5x1400, etc... But _only_ added if I had zero symptoms during the run and rest time. If not symptom free I repeated previous. Reduced number of intervals as distance grew. I used 3 months to get to 2x5000m. Then added more quickly, so reached 1x12km 3 weeks later. Just had my first run off the track. I did plan specifically for this long recovery because I researched ECS literature and found it quite serious and difficult to treat. So I hypothesized that a slow enough progression that enables nerves, fascia and whatever is involved to be incrementally challenged might allow it to normalize. I'm not finished yet, because downhills can still be a challenge, and I haven't tested it much. But will keep the micro-progression idea into that adaptation too. I did not do any other exercise, only some light self-massage on the calfs in the very beginning.
Sounds like you are on the right track! Best of luck to you
Hello, can you give me a contact for you ? Would love to discuss your method and share some tips :)
I also use this approach, what also helps for me is when the calves swell up, I take imideate rest for 15 minutes, even lay down feet up. Then continue run and symptoms do not return in full.
I have a tip for everyone. I had this since i waa 15 years old. Couldnt play soccer at all. I found out that when I use some warming/hot cream or gel before the game and start to warm up slowly i am able to play untill today. This really has huge effect on me. When I forget the gel at home I cant play at all.
My daughter is a soccer player and has compartment syndrome-this tip may help her. Thank you!!
I have chronic compartiment syndrom in my under arms and calves. Surgery did help a bit but still struggeling with it. When i was 14 i did alot of heavy lifting and running. Went to hard and now i am 19 and have had my arms and legs cut open and it helped a bit. Now my upperlegs show the same symptoms and have a bump form on my right leg when i ride my bike. Gonna go back to the doctor for an opinion. Thank you for spreading awarness of this. My parents and friends never really took my pain serious.
So for you the surgery genuinely helped? I’m seeing mixed reviews on it
I’m thinking peroneal nerve flossing, hip flexor strengthening and using dr Schols plantar fasciitis insoles has helped me. And I usually have hip snapping aka dancers hip when my runners compartmental syndrome acts up so I do stretches that help that too. I haven’t been able to pick which treatment is helping but something or all helps it. The game changer was the plantar fasciitis insoles. Basically everything he said in the video
I would agree that the insole probably made the biggest difference.
Unfortunately I have not been diagnosed and am in severe pain in my calf and surrounding area. I've been through many injuries but nothing compares to this. It literally will put you to tears and make me unable to walk. I worked a very intense job for months having this and the doctors are blaming my back and wanting me to do PT and see a pain doc.
The pain is so bad I almost want to grab a knife and cut my legs open myself to relieve the pressure.
It's been months and my doctors refuse to give me proper testing to confirm this but I know deep down this is exactly my problem. My calf is extremely tight, it hurts to do anything and takes hours to resolve when rested. Doing PT will only make me hurt more no matter what I'm doing....even sitting up too long hurts.
I don't know what to do. I'm on my 5th doctor and none of them actually physically looked at my legs. No scans at all of them...just an MRI of my back. Yes, I have bad discs in my lower back but nerve pain is so much different than this. It feels like my calf is a water ballon about to pop. On the verge of losing my job because I cannot perform. I wish doctors would do more listening when we know our own bodies best.
how is it right now? did you find a solution
Had it in my right calf 9 years ago,had the Op and touch wood been brilliant since.Had a second Op last Friday in the left calf,hopefully gna be as good an outcome as the first,good luck if you have the Op but rest up after.I was itching to start trail running but held back,worth the wait👍🏼👍🏼
Thanks for sharing
Good to hear, how is your 2nd leg doing after the operation?? And the other leg is going good I believe
@@Cofreshh doing really well,finished my first marathon a month ago so no complaints,cheers for asking😃
@@alanhillier1033 This is great news. I am getting the surgery on my lower right leg. Anterior and lateral release.
This is incredibly helpful, thank you for this video! I've been struggling with symptoms exactly like what you're describing and stumbled on your video while desperately researching.
Samee!!
Hey sydra! Did you ever get seen regarding your issue :(
How do compression socks work for Chronic Exertional Compartment Syndrome? Would the socks be adding additional pressure to the compartments, like a cast that was put on limb before it had stop swelling?
Hi Albert, I agree with you. I only say the socks because I tried it on a patient whom we had tried everything else on and it was the one thing that made a dramatic difference. I think it just helped to prevent the engorgement before it got to be too much. Good question.
This is FANTASTIC!!!
Thanks Kadie!
Ortho EVAL Pal With Paul Marquis of course !!
I’ve been dealing with this for years and am just now narrowing the diagnosis down. Currently awaiting an MRI appointment. But I have basically all the symptoms mentioned in this video.
Thank you for this information.
Glad it was helpful!
Hey man! Did you get round to having an MRI, if so, what did it show !!
@@bayleymassey the MRI did not lead to a diagnosis. My leg looked pretty normal. The doctor ended up referring me to a different doctor for a second opinion. After a long wait, I have my first appointment there tomorrow.
@@nickenchuggets2699what happened please?
This is so helpful, thanks for sharing. I've had this since I was young but it went dormant for many years until lately. Funny enough it was triggered when I bought a new pair of shoes. Going to try compression socks and then orthotics if that doesn't work. Fingers crossed I can get back to running pain free soon 🤞
hey please update us
I have compartment syndrome in my legs. I am no way an active person. Was diagnosed with this 10 years ago. I noticed it first when I decided to get fitter and started jogging and thought it was just becouse I wasn’t used to it. I can’t run becouse of this at all. Even walking causes a lot of pain after 10 mins. Then it eases slightly and gets worse again till only stopping walking relief’s it. I want to keep walking my 10000 steps a day but I worry I am doing myself harm. Is walking through the pain harmful to me is my question.
I have the same issue and keep wondering if it's just being in bad shape because whenever I hear about compartment syndrome it's to do with highly active people
Hi, when I was 15 I was told I had fascial tear with muscle herniation in both my legs... they basically said it’s because I’m athletic and they gave me some advice and basically I forgot about it but it sometimes get really aggravated and lately it has been so bad. I’m pretty sure this has caused chronic compartment syndrome. Can you offer any advice as to what I should do now? I’m now 28.
Hello. I’ve had really tight calves for years to the point that some areas feel as if they’ve hardened. I been seen a PT for years now and they’ve tried all kinds of things to include dry needling, TENS, muscle scraping, etc. with no relief. I can they’ve started to get frustrated while treating me. How could I approach them about looking into CECS?
Yea I think I have Compartment Syndrome because when-ever I start walking not at the very second but for 20 mins my calf will start aching and if I ignore the aching then its stat getting painful to continue walking to the point where I have to sit down. I started doing calf exercises but it hasn't helped get rid of the pain all together because when I did my calf exercise this morning I didn't feel any pain when I started walking but I felt it coming back after I kept walking. after I didn't feel any pain in my calf yet but my ankle started hurting and becoming numb and aching to the point where I had to sit down. This has been happening to me for about a month It's time to get it checked out.
This is IDENTICAL to the symptoms I've been having. I can't even walk .2 miles without the cramping starting and if I try walk through the pain my ankles start to hurt and feel as though they may snap. It's awful and I'm considering a fasciotomy at this point.
Have any of you gone to the doctor to get it checked out? If so what was the verdict? I am afraid it's claudication even though I almost have all the symptoms of CECS.
@@Lish0928update?
Excellent video thank you
Glad you enjoyed it Melisa! Best regards, Paul
I got diagnosed with this last year december! I tried a year of different treatments but nothing helped, I got this syndrome at both of my lower legs and had these problems of pain for years (I do sports a lot). I got the surgery of my right leg in january and my left leg last week, because both legs at the time would have been to much to recover from at once! I tried a year of different treatments but nothing helped! Im glad I did this surgery and hopefully a future without pain while doing sports
how are you doing now?
This is very helpful. I think I have this...will orthotics help?
I just continued watching and u answered this haha
Hey Paul great video superb info. After watching your video I realized I have all the symptoms that you indicated with this syndrome except my numbness goes away after about 30 sec to 1 min completely and I regain control over my toes and the rotation my ankle again, also feel that the slapping motion you mention which is so accurate goes away. Do you think this could be chronic exertional compartment syndrome ? Or could it possibly be something else? I've been experiencing this for the last 4 years on long hikes ( Rucking ) with moderate to heavy load with a fast speed, I also get it during running but its not as bad which I think has something to do with the placement of my feel while running. Any help will be greatly appreciated.
Cheers
Hi Ehsan, Good question. If it goes away with more activity I would have to say it is not Compartment Syndrome. You may have some nerve gliding issues. I would also try custom orthotics if you haven't already done so. Also, are you stretching your calf well? This is always a good place to start. ezslant.com Full disclosure: this is a product I developed and I use it constantly. Active patients like it for the portability. Best of luck!
I think I have this. I was an offensive lineman for 11 years and worked out extensively during that time. I could run sprints ok without too much pain in my legs because of the breaks in between but one thing I was never able to do was jog. I still can’t. After only about 500 yards my legs from the knee down would be on absolute fire. Especially he muscles around my shins. The pain was so bad that I’d find myself going slower than a persons normal walk. Now granted I was a big kid. I was about 250 lbs but there were guys as big or bigger than me that did not have the same issue. Coaches would give me hell thinking I was just lazy and weak. It was embarrassing and it stopped me from joining the military which was my calling.
did you do anything with your life?
Which doc diagnosed you?
@@batman-sr2px none…I said I think I have it. I have all the symptoms.
@WOMPITUS hey man I think I got this from football too how are you doing? Did anything ever help?
@@juanshaftpatel7488 Yeah I fucked your mom 😂.
I'm a soccer player from Denmark, and I can relate to a lot of what you are saying, is there a way I can contact you, and ask you some questions
Hi Lukour, I try to keep comments on UA-cam short and sweet because I get so many comments. I can give a little more direction through an email. paul@orthoevalpal.com
Which orthodontic would you recommend? If I go to a running store which one should I buy? I have compartment syndrome and stretch, do acupuncture, hot therapy and cold therapy but nothing has worked for three years now. And I don’t wanna do surgery. What other conservative treatments do you recommend? Looking into thicker shin sleeves too
Some people have had some success with a compression sock to prevent the engorgement.
@OrthoEvalPal what type of shoes are best for walikibg
Thanks for the video! My doctor diagnosed me with this syndrome today and I’m trying to find treatments
I’ve had 4 Compartment syndrome in both my legs I would like to meet others who have been though the same ??
This would be a difficult platform to do that on.
Hi Renee, I almost feel like there should be a support group for this issue. It’s very depressing and life changing. Hope all is well! ❤️
I have it. I had bilateral fasciotomys in both legs 10 years ago. It didn’t work and I haven’t been able to run since
@@mxbraun0 man for real, what happened? Are u feeling pains or anything
Which doc diagnosed you?
I used to play 2 sports simultaneously years ago in my teens without issue, I'm 24 now and start walking again to get back fit (before getting into running) and found I couldn't even walk a single kilometre without my ankles and anterior tibial being in excruciating pain. Went to the Physio and found out I have CS. Got my feet scanned for custom made insoles and will be getting the pressure test soon.
Follow up?
Jacob Acosta Master Scribe still haven’t heard back for the pressure test but I can happily say the insoles have changed my life, I finally ran my first 5km two weeks ago and have done another 5km last week! Hoping to do another this week! I couldn’t even walk for 10 minutes without being in excruciating pain in March now I’m running for 30 minutes straight so I’m extremely happy with my money spent on the Orthotics!
Lee what orthotic did you get?
Jacob Acosta Master Scribe a custom orthotic. I got my feet scanned and the orthotist then designed custom orthotics to support my feet. They were made in America and took 2 weeks and cost 400€
What are your thoughts on 0 drop shoes and calf compartment syndrome?
I think they would be helpful by reducing the eccentric load on the anterior tib
Have had a fasciotomy on both legs 5 years ago. Helped a while but now bad again when I walk 🙄
Update?
Ugh I’m terrified to get this test
Done. I don’t really have issues with “drop foot” but terrible aching in the inside of my shins during and after exercise for DAYS after. I get to a point where I cannot walk. I own a fitness studio and I’m so worried about the
Future if this is what I have!
You can get botox I just got it.
Update?
@@Polite917update? Do you have to keep getting Botox?
@blsk3719 , it honestly didnt work. I got one shot and it didn't do me any good. I gotten alot better, simply doing basic functional exercises. Still can't run but I use the elliptical and the stairmaster for cardio.
I need to come see you sir. I work at lowes on my feet all day lot of walking and standing no sitting at all 9 hour shifts. Get calf knee swelling with foot pain in my arches. I feel better when my shift is done i go home elevate and ice
May want to try compression socks. Here is a link to a great sock www.ezglidersocks.com/collections/all/products/12-synthetic-knit-compression-socks-ez-glide
I have tried multiple doctors and physical therapy. Nothing has worked. Honestly thinking of surgery. I am in the military and have to meet fitness exams every year. It is draining trying to get into shape every year for the last 6 years, working through the pain.
Thinking surgery I the only option.
I know how you feel man. I play football at a high level and this has ruined the last 3 years for me. Eventually got the operation and I’m struggling with seeing a difference during rehab to be honest. Hope you get it sorted
@@thepodsourceuk how is it going for u now? Have u felt any better? I hope so
Which doc diagnosed you
It can xause by just active walking?
Yes I have seen that. I always start people with compression socks like these:
ezglidersocks.com/marquis
I get it with low exertion, during grocery shopping. Very embarrassing in public places.
Great video, I've been dealing with this for close to 5 years now and have seen at least a dozen doctors with no luck. All those things you've mentioned like dry needling did nothing. Interestingly, I used to be a hard core compression sock wearer but found they made it worse when running. I might have to try it again and see. Been running for 17 years and hate to give it up. Not familiar with that particular surgery will have to look into it.
Lots of biomechanical factors at play. Try your best to avoid surgery. Cross train by biking or swimming also to give it a "relative" rest. Good luck!
found no links related to the syndrome (11:24)
Here you go! ua-cam.com/video/9M3aCZTDJjg/v-deo.html
Help! I’ve been getting the run around on this since July 3 2023 it’s now august 26 2023 - Ortho PA blew me off saw him july 10 and august 16
I went to Vascular had Doppler ultrasound and ABI rule out blot clots
No one is paying attention to my symptoms and timeline
June 2023 for 2 weeks I strayed to train a bit harder w walk run exercise and I play tennis
2010 and 2014 each knee had small meniscus tears and repaired
Since then no issues ski tennis cardio weights etc
My legs have always been strong
I can see my thighs bigger especially left side
Actually left side calf hard as a rock feet go white thigh bigger weird muscle stuff and my left hash forearm are tingling numb
What is going on???? I’m not even working out haven’t done anything but see docs and get looked at like I’m crazy!
Anyone here can help? In Baltimore MD
The fact that your are having both upper and lower extremity issues makes it more interesting . You definitely have to find someone who can connect the two for you. Might start with an orthopedic surgeon for the leg. Best of luck!
I'm entering military but I'm having this lower leg shin pain.
Hi Danrey, There are many causes of lower shin pain. You should have it evaluated so as to treat it most accurately. Good Luck!
@@OrthoEvalPal how can I evaluate?
@@danreytorres7940 Orthopedic doctor or physical therapist could help you.
@@OrthoEvalPal thank you so much. ❤️
@@OrthoEvalPal I am recommending your channel. 😊
I was diagnosed with compartment syndrome 10 years ago on the bottom parts of my legs, yes both! I used to run so much! I was extremely sad and depressed for so long. I was told my only option was to cut my facia. I have hope again. I wish more medical professionals cared to explain and work on finding solutions. I will work on this. 🙏🏽
This is very hard to treat. Flexibility, orthotics, and sometimes compression socks have helped. Best of luck!
Hello, have u gotten the operation?
@@Cofreshh hi no :( and still dealing with it. I ‘m going to bring it up to a sports medicine doctor again. I’m not even sure insurance would cover it. It only bothers me when I run. I guess I’m lucky that I can continue with other activities but I miss running so much.
Which type of doc diagnosed you
@@batman-sr2px hi :) I spoke with a sports medicine doctor and now most recently an orthopedic surgeon. I’m going through rehab now but I suspect that it is not going to work. I’m working on stretching in general for now. I’m staying positive though. 😌
I just got surgery for this on my left leg, my right leg is next month
Hi, I am planning to go for this surgery but I am having fear not only about the surgery but also how effective is this surgery and the possible complications.. May I know how was your surgery? Do u think it helps? Thank you
How are u coming along??
@@Cofreshh just seeing this, I'm doing great!!! been running a lot with no pain whatsover
@@wardevil3000 thats great man! Just asking cuz eventually I'm going to do this procedure soon, sometime early next yr so trying to get some feedback
@@wardevil3000 so u had both legs done right? After how many weeks were u able to run with no pain? I been itching to run since 2018 lol Been a while I miss it
I have this and it’s just terrible. Chiropractic adjustments and soft wave therapy has helped quite a bit. I lose my balance. I wonder if that’s exactly what I have though. Very very stiff and it feels like somebody dumped 50 pounds of cement into each one of my calves and they feel very very heavy. I have had heart and leg ultrasounds and they can’t find anything that it’s heart related I’ve been checked for blood clots and I have I don’t have any blockage of the arteries