Chronic Exertional Compartment Syndrome Case Study

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Chronic Exertional Compartment Syndrome With Rehab

Exertional compartment syndrome is an exercise-induced muscle and nerve condition. The compartments in your arms and legs contain muscles, nerves, and blood vessels. Each compartment is surrounded by a layer of tissue (fascia). Fascia can stretch but only a little. During exertion, your muscle swells due to increased blood flow. The swelling may increase the pressure within the compartment, compressing the nerves and blood vessels. The compression leads to pain, numbness, or weakness. Sometimes, the pain can be severe and may even restrict activities. Exertional compartment syndrome usually affects the legs, specifically the lower legs.

CAUSES
This condition may be caused by:
• Repetitive
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3 Gently pull your foot so that the smallest toe comes toward you. Your thumb should be pushing the inside of the ball of your foot away from you. You should feel a gentle stretch on the outside of your ankle.
4 Hold the stretch for __________ seconds.
Repeat __________ times. Complete this exercise __________ times a day.
Exercise E: Ankle Dorsiflexion, Active Assisted
1 Remove your shoes and sit on a chair. The chair should not be located on a carpeted surface.
2 Place your left / right foot on the floor, directly under your knee. Extend your other leg for support.
3 Keeping your heel down, slide your left / right foot back toward the chair until you feel a stretch at your ankle or calf. If you do not feel a stretch, slide your buttocks forward to the edge of the chair while still keeping your heel down.
4 Hold this stretch for __________ seconds.
Repeat __________ times. Complete this exercise __________ times a day.
Exercise F: Gastroc Stretch, Standing
1 Place both hands on a wall.
2 Extend your left / right leg behind you. If directed, place a folded washcloth under the arch of your foot for support. Keep your front knee somewhat
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4 Keeping your left / right heel on the floor and your knee straight, shift your weight toward the wall, not allowing your back to arch. You should feel a gentle stretch in the left / right calf.
5 Hold this position for __________ seconds.
Repeat __________ times. Complete this exercise __________ times a day.
Exercise G: Soleus Stretch, Standing
1 Place both hands on a wall.
2 Extend your left / right leg behind you. If directed, place a folded washcloth under the arch of your foot for support. Keep your front knee somewhat bent.
3 Point the toes of your back foot slightly inward.
4 Keeping your left / right heel on the floor, bend your back knee and slightly shift your weight over the back leg so that you feel a gentle stretch deep in your back calf.
5 Hold this position for __________ seconds.
Repeat __________ times. Complete this exercise __________ times a