How to Treat Chronic Exertional Compartment Syndrome: What Are Your Options?
Published: Jul 30, 2024
Treating chronic exertional compartment syndrome (CECS) effectively can get you back in the game. Discover the treatment options available for this condition.
Conservative Treatments
Initial management often involves conservative measures like reducing training volume and using orthotics. These steps can alleviate symptoms for some athletes. However, they may not be effective for severe cases.
Surgical Intervention
For persistent or severe CECS, surgery may be required. Fasciotomy and fasciectomy are common procedures that can provide relief. Success rates are generally high, but vary based on individual factors.

Frequently Asked Questions
Reducing training volume and using orthotics are common initial treatments.
Surgery is considered for severe or persistent CECS cases.
Fasciotomy and fasciectomy are common surgical treatments.
No, they are often insufficient for severe cases.
Wrapping Up
Could surgery be your path to relief from CECS?
References
- Waterman BR, Liu J, Newcomb R, et al. Risk factors for chronic exertional compartment syndrome in a physically active military population. Am J Sports Med 2013; 41:2545.
- Davis DE, Raikin S, Garras DN, et al. Characteristics of patients with chronic exertional compartment syndrome. Foot Ankle Int 2013; 34:1349.
- Qvarfordt P, Christenson JT, EklΓΆf B, et al. Intramuscular pressure, muscle blood flow, and skeletal muscle metabolism in chronic anterior tibial compartment syndrome. Clin Orthop Relat Res 1983; :284.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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