Exercise-Induced Chronic Compartment Syndrome (EICCS) is a condition where increased pressure within a muscle compartment during exercise leads to pain, tightness, and reduced function. It typically affects the lower legs (especially the anterior compartment) but can also occur in the thighs or forearms. Symptoms usually start after a certain level of exertion and subside with rest. Unlike acute compartment syndrome, it is not a medical emergency but can significantly impact athletic performance. Treatment includes activity modification, physical therapy, and sometimes surgical intervention (fasciotomy) if conservative methods fail.

Dr. Charlton treats professional and world-class athletes for this condition, using minimally invasive techniques while maintaining safety and a low complication rate.

Signs

Signs of Exercise-Induced Chronic Compartment Syndrome (EICCS) typically develop gradually during exercise and resolve with rest. Common signs include:
  1. Progressive Pain & Tightness – A deep, aching pain that worsens as activity continues, often described as a tight or cramping sensation.
  2. Swelling & Firmness – The affected compartment may feel hard or swollen due to increased pressure.
  3. Numbness or Tingling – Reduced blood flow and nerve compression can cause numbness, tingling, or a "pins and needles" sensation.
  4. Weakness – Muscle fatigue or weakness, sometimes leading to foot drop (difficulty lifting the foot) if the anterior leg compartment is involved.
  5. Symptoms Subside with Rest – Pain and tightness typically go away within 15–30 minutes after stopping exercise but return when activity resumes.
These symptoms often appear at a predictable time or intensity of exercise and may worsen over time if untreated.

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Evaluation

Simple yet reliable Continuous Pressure MonitoringThe MY01 device uses digital micro-sensing technology for continuous intracompartmental pressure monitoring for up to 18 hours, ensuring reliable and real-time data.

Diagnosis

The diagnosis of Exercise-Induced Chronic Compartment Syndrome (EICCS) is strongly suggested if compartment pressures rise and continue to increase with each period of rest. To confirm this, we insert a Continuous Pressure Monitoring (CPM) device and have the athlete run on a treadmill while continuously tracking intracompartmental pressures. If the pressures progressively climb despite rest, it provides strong evidence for EICCS, supporting the need for further evaluation and potential treatment.