Compartment Pressure Testing

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What is Chronic Exertional Compartment Syndrome (CECS)?

Chronic Exertional Compartment Syndrome (CECS) is a condition that causes pain and tightness in the muscles during exercise. It occurs when pressure builds up within a muscle compartment, restricting blood flow and impairing normal muscle function. This can lead to discomfort, cramping, and, in severe cases, long-term exercise intolerance.

When is Compartment Pressure Testing Recommended?

Compartment pressure testing is a minimally invasive diagnostic procedure used to confirm CECS in individuals experiencing:

  • Pain, tightness, or cramping in the muscles during physical activity
  • Symptoms that consistently resolve with rest but return with exercise
  • Numbness, tingling, or weakness in the affected area
  • Swelling or a feeling of fullness in the muscle compartment

How Does the Test Work?

  • Initial Assessment: Our doctors conduct a thorough clinical evaluation to determine whether compartment pressure testing is appropriate.
  • Baseline Measurement: A specialized pressure-sensing needle is inserted into the affected muscle compartment to measure resting pressure.
  • Exercise Protocol: The patient performs controlled physical activity (generally treadmill running)  to reproduce symptoms.
  • Post-Exercise Measurement: Immediately after exercise, the pressure is measured again to assess changes in compartment pressure.
  • Diagnosis & Treatment Planning: If pressure levels remain abnormally high, CECS is diagnosed, and treatment options are discussed.

OUR APPROACH

1

ASSESSMENT

A detailed medical history, (and) physical examination and ordering of appropriate investigations such as XR, MRI or dynamic duplex ultrasound to rule out other causes of exertional leg pain.

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2

TESTING

 In the appropriate clinical situation (eg. Diagnosis still unclear and/or attempt to rehabilitate unsuccessful and patient considering surgical management) utilising compartment pressure testing can help to obtain definitive diagnostic data.

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3

GUIDANCE

Based on results, we provide tailored recommendations, which may include physical therapy, activity modification, or referral for surgical evaluation in severe cases.

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4

MONITORING

Monitoring progress and adjusting treatment plans to support pain relief and a safe return to physical activity.

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Chronic Exertional Compartment Syndrome can significantly impact physical performance and quality of life. Compartment pressure testing provides a reliable method for diagnosis, ensuring that patients receive the appropriate treatment for their condition. If you experience exercise-induced (muscle) leg pain and suspect CECS, schedule an appointment with our doctors to determine the best course of action.
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