Chronic compartment syndrome

[Naki]

Any advice welcome. First time as a physical prep specialist having to manage this injury.

New athlete to me - 17yrs, Male, with Chronic exertional compartment syndrome. 18mths post surgery. On NRL contract.

Tightness and pain are apparent post exercise. Volume of training is being carefully manged using pain indicators. Basically, if it hurts bad he stops!

Q1) In the short term, what route to take?
Q2) Long term, what route to take?
Q3) How effective is regular deep tissue therapy in maintaining consistancy in injury.
Q4) Any protocol suggestions to the above q's?

Thanks

[hhh]

A truck load of myofascial release and stretching, improve lower limb biomechanics with special emphasis on the foot, assess running technique and make appropriate changes. Consider the diagnosis, CS classically comes on during activity at a certain distance, with potential neurogenic signs. What happened wit the surgery? Was it a fasciectomy? Is the pain now the same or different to pre surgery? Where is the pain, what type of pain, what quality of pain, when is the pain, and night pain, pain on rising, pain eased by running or brought on etc etc


Any advice welcome. First time as a physical prep specialist having to manage this injury.

New athlete to me - 17yrs, Male, with Chronic exertional compartment syndrome. 18mths post surgery. On NRL contract.

Tightness and pain are apparent post exercise. Volume of training is being carefully manged using pain indicators. Basically, if it hurts bad he stops!

Q1) In the short term, what route to take?
Q2) Long term, what route to take?
Q3) How effective is regular deep tissue therapy in maintaining consistancy in injury.
Q4) Any protocol suggestions to the above q's?

Thanks

[injuryupdate]

Surprising case as usually surgery goes very well in rugby league players. For 2 reasons I think:(1) the game has stoppages (2) players usually go pretty hard in training straight after surgery, as soon as they can.

I think people who "use pain as a guide to return to activity" do badly after compartment release, as they wait until the fascia has healed back (in exactly the same place as pre-op) before running on it again.

[Naki]

Thanks people.

My next course is to contact those involved in his surgery and 'partial' rehab at the Warriors . They hopefully will help me answer some of the questions you have asked of me and more.

Gave his calf a big hit today with the knuckles and elbows, will be interesting to see how he responds to that.

Thanks again, any more comment is encouraged. I will be back when I have more info.