Our treatment model is different than most, utilizing only experienced, licensed physical therapists and scheduling 60 minute visits to ensure we have the time and appropriate resources to get you better as fast as possible. Combined, we have over 50 years of Physical Therapy Experience and 30 of those years in the Bellevue, Redmond and Mercer Island areas. We have established deep and longstanding community roots and experience in the local medical community. Convenient appointment times are availible for any busy schedule.
Visit us at either our Redmond or Mercer Island clinics. Please call us at (425) 883-9630 if you have any questions or to schedule an appointment.
|There are many terms used to describe compartment syndromes: tibial syndrome; shin splints; exercise ischaemia and myositis (inflammation of muscle). Compartment syndrome is also known as exertional compartment syndrome. |
A compartment, in this context, is a part of the leg that is bounded by bone, ligament, or fascia (thick flat tissue) in which the muscle or muscle sits. For example, the anterior compartment binds the tibialis anterior muscle to the tibia (shin bone) and the fibula and deep fascia.
Broadly defined, compartment syndrome is a condition in which increased pressure within a muscle compartment, brought about by increased effort or exercise, impedes the blood flow to that compartment.
The most common compartment syndromes occur in the lower leg, in particular the anterior or deep posterior compartment, but can also happen in the peroneal compartment – the outside part of the shin.
Symptoms may include pain, muscle tightness or swelling, a cramp like feeling, weakness, or numbness during exercise. The symptoms often occur during weight bearing exercise, e.g. walking, running, jumping, and often at about the same time or intensity of exercise, e.g. 15 minutes into a run or a certain number of reps on the track.
Acute – Requires surgery immediately. During a fasciotomy, the deep tissues are split to allow more room for the muscles to expand. Post-operative treatment includes motion exercises and physical therapy.
Chronic – Conservative treatment may be of some benefit e.g. physical therapy including deep massage of the compartments, ultrasound, interferential therapy, magnetic field therapy, stretching and ice. If treatment is not successful after 6 weeks, cessation of that particular sport or surgery should be considered.