Compartment Syndrome

12 min read

Compartment syndrome is a condition that occurs when increased pressure within a muscle compartment causes compression of the nerves, blood vessels, and muscles within the compartment. It is a medical emergency that can lead to significant disability if not treated promptly. Compartment syndrome can occur in any part of the body, but is most common in the lower leg, forearm, and thigh.

Causes of Compartment Syndrome

Compartment syndrome is caused by a buildup of pressure within a muscle compartment. This can be due to a variety of causes, including:

  • Trauma or injury to the area
  • Burns
  • Fractures
  • Crush injuries
  • Excessive exercise
  • Blood clots
  • Infection
  • Tumors

Diagnosis of Compartment Syndrome

Compartment syndrome is diagnosed based on a physical examination and medical history. The doctor may also order imaging tests, such as an MRI or CT scan, to confirm the diagnosis. The doctor may also measure the pressure within the compartment to confirm the diagnosis.

Complications of Compartment Syndrome

If left untreated, compartment syndrome can lead to serious complications, including:

  • Nerve damage
  • Muscle damage
  • Loss of limb function
  • Infection
  • Tissue death

Prevention of Compartment Syndrome

Compartment syndrome can be prevented by avoiding activities that can cause increased pressure within a muscle compartment, such as excessive exercise or trauma. Wearing protective gear, such as helmets and padding, can also help to reduce the risk of compartment syndrome.

Take the Compartment Syndrome Assessment

Symptoms

  • Pain that increases with activity and decreases with rest
  • Tingling or numbness in the affected area
  • Swelling in the affected area
  • A feeling of tightness in the affected area
  • Decreased range of motion in the affected area
  • Weakness in the affected area
  • Discoloration of the skin in the affected area

If you experience any of these symptoms, it is important to seek medical attention immediately. If left untreated, compartment syndrome can lead to permanent nerve and muscle damage.

Causes

Trauma

Trauma is one of the most common causes of compartment syndrome. This can include a direct blow to the affected area, a fracture, or a crush injury. In some cases, the trauma may be minor, such as a sprain or strain, but it can still cause enough swelling to increase the pressure in the compartment.

Burns

Burns can also cause compartment syndrome. This is because the burn can cause swelling in the affected area, which can increase the pressure in the compartment. In some cases, the burn may be severe enough to cause a fracture, which can also increase the pressure.

Surgery

Surgery can also increase the risk of developing compartment syndrome. This is because the surgery can cause swelling in the affected area, which can increase the pressure in the compartment. In some cases, the surgery may be extensive enough to cause a fracture, which can also increase the pressure.

Prolonged Immobilization

Prolonged immobilization can also increase the risk of developing compartment syndrome. This is because the immobilization can cause swelling in the affected area, which can increase the pressure in the compartment. In some cases, the immobilization may be extensive enough to cause a fracture, which can also increase the pressure.

Vascular Disease

Vascular disease can also increase the risk of developing compartment syndrome. This is because the disease can cause swelling in the affected area, which can increase the pressure in the compartment. In some cases, the disease may be severe enough to cause a fracture, which can also increase the pressure.

Getting a Diagnosis

Physical Examination

The physical examination is the first step in diagnosing compartment syndrome. During the physical exam, the doctor will check for signs of swelling, tenderness, and pain in the affected area. The doctor may also check for decreased sensation or movement in the affected area. If the physical exam suggests compartment syndrome, further tests may be ordered.

Medical History

The doctor will also ask about the patient’s medical history, including any recent injuries or surgeries. This information can help the doctor determine if the patient is at risk for developing compartment syndrome.

Imaging Tests

Imaging tests, such as an MRI or CT scan, may be ordered to confirm the diagnosis of compartment syndrome. These tests can help the doctor determine the extent of the injury and the amount of pressure in the affected area.

Treatment

Treatment for compartment syndrome depends on the severity of the condition. In mild cases, rest and elevation of the affected area may be enough to reduce the pressure. In more severe cases, surgery may be necessary to relieve the pressure and prevent permanent damage.

Questions for Your Doctor

Symptoms of Compartment Syndrome

The most common symptoms of compartment syndrome include:

  • Pain that increases with activity and decreases with rest
  • Tingling or numbness in the affected area
  • Swelling in the affected area
  • A feeling of tightness in the affected area
  • Decreased range of motion in the affected area

Diagnosis and Treatment

Your doctor will likely perform a physical exam and order imaging tests such as an MRI or CT scan to diagnose compartment syndrome. Treatment may include rest, elevation, and medications to reduce swelling. In some cases, surgery may be necessary to relieve the pressure in the affected area.

Risk Factors

Certain activities and conditions can increase your risk of developing compartment syndrome. These include:

  • Participating in high-impact sports or activities
  • Having a fracture or other injury to the affected area
  • Having a cast or splint on the affected area
  • Having a burn or other skin injury in the affected area
  • Having a blood clot in the affected area

Prevention

To help prevent compartment syndrome, it is important to take steps to reduce your risk. These include:

  • Wearing protective gear when participating in high-impact sports or activities
  • Avoiding activities that put excessive pressure on the affected area
  • Keeping the affected area clean and dry
  • Avoiding tight-fitting clothing or jewelry in the affected area
  • Seeking medical attention for any injuries or conditions that may increase your risk of developing compartment syndrome

If you have any symptoms of compartment syndrome, it is important to discuss them with your doctor as soon as possible. Your doctor can help diagnose and treat the condition and help you take steps to reduce your risk of developing it in the future.

Treatment

Rest

Rest is the first line of treatment for compartment syndrome. This means avoiding activities that cause pain and swelling in the affected area. It is important to rest the affected area until the symptoms have subsided.

Elevation

Elevation is another important treatment for compartment syndrome. Elevating the affected area above the level of the heart can help reduce swelling and pain. It is important to keep the affected area elevated for at least 30 minutes at a time.

Medications

Medications may be prescribed to help reduce pain and swelling. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can help reduce inflammation and pain. Corticosteroids may also be prescribed to reduce inflammation.

Surgery

In some cases, surgery may be necessary to treat compartment syndrome. Surgery involves releasing the pressure in the affected area by cutting the fascia, the tissue that surrounds the muscles. This can help reduce pain and improve blood flow to the affected area.

Drugs & Medications

What is Compartment Syndrome?

Compartment syndrome is a condition that occurs when pressure builds up in a muscle compartment, leading to decreased blood flow and nerve damage. It can be caused by a variety of factors, including trauma, surgery, and overuse of a muscle. Compartment syndrome can be acute or chronic, and can affect any muscle group in the body.

Causes of Compartment Syndrome

Compartment syndrome can be caused by a variety of factors, including trauma, surgery, and overuse of a muscle. Trauma can cause swelling and bleeding in the muscle compartment, leading to increased pressure. Surgery can also cause compartment syndrome, as can overuse of a muscle, such as in athletes who participate in repetitive activities.

Symptoms of Compartment Syndrome

The symptoms of compartment syndrome can vary depending on the severity of the condition. Common symptoms include pain, swelling, numbness, tingling, and decreased range of motion. If left untreated, compartment syndrome can lead to permanent nerve damage and even muscle death.

Treatment for Compartment Syndrome

Treatment for compartment syndrome typically involves medications, physical therapy, and in some cases, surgery. Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids can help reduce inflammation and pain. Physical therapy can help improve range of motion and strength. In some cases, surgery may be necessary to relieve the pressure in the muscle compartment.

Conclusion

Compartment syndrome is a painful condition that can lead to permanent nerve damage and muscle death if left untreated. It can be caused by a variety of factors, including trauma, surgery, and overuse of a muscle. Treatment for compartment syndrome typically involves medications, physical therapy, and in some cases, surgery. If you think you may be suffering from compartment syndrome, it's important to seek medical attention as soon as possible.

Diet

Nutrition for Compartment Syndrome

Eating a balanced diet that is rich in fruits, vegetables, whole grains, and lean proteins can help reduce the risk of developing compartment syndrome. Eating foods that are high in antioxidants, such as berries, can help reduce inflammation and improve circulation. Eating foods that are high in omega-3 fatty acids, such as salmon, can also help reduce inflammation and improve circulation. Additionally, avoiding processed foods and foods high in saturated fat can help reduce the risk of developing compartment syndrome.

Hydration for Compartment Syndrome

Staying hydrated is important for overall health, and it can also help reduce the risk of developing compartment syndrome. Drinking plenty of water throughout the day can help keep the body hydrated and reduce the risk of developing the condition. Additionally, avoiding sugary drinks and alcohol can help reduce the risk of developing compartment syndrome.

Exercise for Compartment Syndrome

Exercising regularly can help reduce the risk of developing compartment syndrome. Low-impact activities, such as walking, swimming, and cycling, can help improve circulation and reduce the risk of developing the condition. Additionally, stretching and strengthening exercises can help reduce the risk of developing compartment syndrome.

Conclusion

While there is no specific diet that can prevent or treat compartment syndrome, there are certain dietary and lifestyle changes that may help reduce the risk of developing the condition. Eating a balanced diet that is rich in fruits, vegetables, whole grains, and lean proteins can help reduce the risk of developing compartment syndrome. Additionally, staying hydrated and exercising regularly can help reduce the risk of developing the condition.

Lifestyle

Exercise

Regular exercise can help reduce the symptoms of Compartment Syndrome. Low-impact activities such as walking, swimming, and cycling can help reduce the pressure in the muscles and improve blood flow. It is important to avoid activities that involve sudden movements or jerking motions, as these can worsen the symptoms.

Stretching

Stretching can help reduce the pressure in the muscles and improve blood flow. It is important to stretch the affected area gently and slowly. It is also important to avoid stretching too far, as this can cause further damage to the muscles.

Massage

Massage can help reduce the pressure in the muscles and improve blood flow. It is important to find a qualified massage therapist who is experienced in treating Compartment Syndrome. Massage can help reduce pain and improve mobility.

Ice and Heat Therapy

Ice and heat therapy can help reduce the symptoms of Compartment Syndrome. Ice can help reduce swelling and pain, while heat can help improve blood flow. It is important to use the correct temperature and duration for each therapy.

Compression Garments

Compression garments can help reduce the pressure in the muscles and improve blood flow. It is important to find a garment that fits properly and is comfortable to wear. Compression garments can help reduce pain and improve mobility.

Elevation

Elevating the affected area can help reduce the pressure in the muscles and improve blood flow. It is important to elevate the area for at least 30 minutes at a time. Elevation can help reduce pain and improve mobility.

Conclusion

Compartment Syndrome can be a painful and debilitating condition. Fortunately, there are lifestyle changes that can help reduce the symptoms. Regular exercise, stretching, massage, ice and heat therapy, compression garments, and elevation can all help reduce the pressure in the muscles and improve blood flow. It is important to speak to a doctor before making any lifestyle changes.