6/27/2023 0 Comments Compartments of leg mriIt involves cutting open the inflexible tissue encasing each of the affected muscle compartments. Surgical optionsĪ surgical procedure called fasciotomy is the most effective treatment of chronic exertional compartment syndrome. Your doctor may use numbing injections beforehand to help map the affected area and determine what Botox dose is needed. Injections of botulinum toxin A (Botox) into the muscles of the leg may also help treat chronic exertional compartment syndrome, but more research needs to be done on this treatment option. However, nonsurgical options typically don't provide lasting benefit for true chronic exertional compartment syndrome. Changing how you land on your feet when you jog or run also might be helpful. Your doctor may initially recommend pain medications, physical therapy, athletic shoe inserts (orthotics), massage or a break from exercise. However, nonsurgical measures are typically successful only if you stop or greatly reduce the activity that caused the condition. Options to treat chronic exertional compartment syndrome include both nonsurgical and surgical methods. The test involves the insertion of a needle or catheter into your muscle before and after exercise to make the measurements.īecause it's invasive and mildly painful, compartment pressure measurement usually isn't performed unless your medical history and other tests strongly suggest you have this condition. This test, often called compartment pressure measurement, is the gold standard for diagnosing chronic exertional compartment syndrome. If results from imaging studies do not show a stress fracture or similar cause of pain, your doctor might suggest measuring the pressure within your muscle compartments. This helps determine if your muscle compartment has decreased blood flow. The test is done at rest and after physical activity. NIRS is a newer technique that measures the amount of oxygen in your blood in the affected tissue. This type of MRI scan has been found to be accurate in detecting chronic exertional compartment syndrome, and may reduce the need for the invasive compartment pressure testing. Images are taken at rest, while moving your foot until you feel symptoms, and after the exercise. A typical MRI scan of your legs can be used to evaluate the structure of the muscles in the compartments and rule out other possible causes of your symptoms.Īn advanced MRI scan can help assess the fluid volumes of the compartments.
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