Chronic Compartment Syndrome Release

What is chronic compartment syndrome?

Chronic Compartment Syndrome (CCS) is a condition characterized by increased pressure within one of the body’s muscle compartments, which can lead to decreased blood flow and potential muscle and nerve damage. The muscle compartments are groups of muscles surrounded by fascia, a connective tissue that does not stretch. When the pressure within a compartment rises, it can impair the flow of blood and oxygen to the muscles and nerves.

Chronic Compartment Syndrome is often associated with exercise and physical activity, and the symptoms usually resolve with rest. However, in severe or persistent cases, surgical intervention known as “Chronic Compartment Syndrome Release” may be required. This procedure involves surgically releasing the pressure by incising the fascia to relieve the pressure within the affected compartment.

 

Chronic compartment syndrome symptoms

The symptoms of Chronic Compartment Syndrome typically include:

  • Pain: Severe pain that intensifies with exercise and diminishes with rest.
  • Swelling: Noticeable swelling in the affected compartment.
  • Tightness: A feeling of tightness or fullness in the affected area.
  • Numbness or tingling: Sensory changes such as numbness or tingling in the affected area.
  • Weakness: Muscle weakness or reduced function in the affected limb.
  • Decreased pulse: In severe cases, diminished pulse in the affected area.

 

These symptoms generally manifest during or after physical activity and improve with rest. If symptoms persist or are unresponsive to conservative treatments, surgery may be considered.

 

How does Dr Abramson treat chronic compartment syndrome?

Dr Michael Abramson treats Chronic Compartment Syndrome through a carefully planned and individualized approach. The process begins with a comprehensive evaluation to confirm the diagnosis, involving a detailed clinical assessment, imaging studies, and compartment pressure measurements. If surgery is indicated, Dr Abramson performs a fasciotomy, which entails making an incision over the affected compartment to relieve the elevated pressure by cutting through the fascia.

This procedure is typically done under general or regional anaesthesia. Post-operatively, Dr Abramson provides meticulous care instructions, including pain management and wound care, and may prescribe physical therapy to aid in recovery. Follow-up visits are scheduled to monitor the patient’s progress and ensure effective healing. Dr Abramson’s goal is to alleviate symptoms, restore function, and enhance the overall quality of life for his patients.

FAQ

What causes chronic compartment syndrome?
Chronic compartment syndrome is often caused by repetitive physical activities, such as running, cycling, or intense weightlifting, which lead to increased pressure in a muscle compartment. This pressure restricts blood flow, causing pain and other symptoms. It typically affects the legs but can occur in the arms as well.
How is chronic compartment syndrome diagnosed?
Diagnosing chronic compartment syndrome typically requires a comprehensive approach, including physical examinations, an assessment of symptoms, and measurements of compartment pressure. Dr Abramson may use a device to measure the pressure within the affected muscle compartment before and after exercise. If the pressure readings are significantly elevated, chronic compartment syndrome is confirmed.
How long does the surgery take?
Chronic compartment syndrome release is typically a straightforward procedure and usually takes about 30 to 90 minutes, depending on the number of compartments being treated. It is often performed as an outpatient procedure, meaning you can go home the same day.