Are You Pushing Your Limits or Pushing Towards Pain? | Chronic Exertional Compartment Syndrome

[@IntegrityMeansAll]

Thank you for this video 🙏 could you make more videos on this specific topic?

[@CuttotheBone]

Thank you for watching! Thank you for suggesting more topics. What exactly would you want to see? I suppose a video about how the surgery is performed is something I could do. I have already made a video about acute compartment syndrome (which is a surgical emergency -kzbin.info/www/bejne/hH_YcqGPZrl_d8k). Let me know what you would like to see!

[@kenneth5253]

This is so well done and informational, thank you. My doctor is suspecting I have it and is working on getting me tested. It takes very little exercise to induce it for me, I mean mere walking or standing for a few minutes can cause excruciating pain. Thank you for this so much, now I have something to show people to understand it.

[@CuttotheBone]

I am very glad you found the video helpful and hopefully others can too. Best wishes to you in your search for answers/solutions.

[@MrAnewspaper]

Came across this condition while studying for my medical aspects of sports class. For 2 years I’ve thought I’ve had posterior shin splints that I’ve been desperately trying to manage. This may be my answer…

[@CuttotheBone]

Well, I hope you find some answers!

[@ReelEC]

Lived with it for 15 years. Haven't been able to run or cycle as much as I'd like for a long time. Been getting worse with age. Even walking hurts. Finally getting the surgery in a couple months. Anterior and lateral release of only my right leg. After 15 minutes of rest 21mmHg in anterior and 26 mmHg in the lateral compartment.

[@CuttotheBone]

Thank you for sharing your story. Best wishes and hope for a quick recovery after surgery.

[@ReelEC]

Getting my surgery on September 30th in Toronto, Canada. I recommend Dr. Bregman out of Las Vegas, Nevada. He has done 1000s of fasciotomies and is world renowned. Would cost me too much as I have no health insurance in the US. Canadian citizen here. I will share the results over time and my recovery.

[@CuttotheBone]

I’m sorry you’ve got this issue but I am optimistic you will be feeling better after surgery! Thank you for the insight about Dr Bergman (I do not know him), but it can potentially help others with this issue. Thanks for your feedback and best wishes.

[@ReelEC]

@CuttotheBone I interviewed a couple of his patients who underwent fasciotomies after my consult with Dr. Bregman and they spoke very highly of the results. One guy was an Olympic high jumper, and he told me he could run a half marathon whenever he wants since getting the surgery. 25 year old male from Norway. This is just anecdotal based on my research and interacting with those within the "CECS" community. Lol. Community. Of course, everyone should do their research and make an informed decision. Thanks!

[@m.luciuspomerantz1511]

@@ReelEC It certainly seems that you have done your research, which is great. I think seeing it as a community is good: a group of people who have a commonality and ability to help each other. While I am sure Dr Bregman is an excellent surgeon, there are many other orthopedic surgeons who can perform excellent fasciotomies for compartment syndrome so do not worry. Thanks again for your insight.

[@joeg7227]

I was one of those rare chronic to acute CS. Unfortunately, I was sent home from ortho clinic instead of being sent to ER and had emergency surgery where I lost peroneal muscles along with dorsal foot nerve damage. Everyone should just to straight to the ER even if you've lived with chronic for years. If it doesn't go away after exercising, it's a big problem.

[@CuttotheBone]

Whoa! Terrible you had to go through that. Thank you for sharing your experience. Hopefully, others will learn from your story.

[@joeg7227]

@@CuttotheBoneIndeed. I’m very lucky I didn’t suffer more tissue and nerve damage/amputation given that the surgery took place over 24 hours after pain onset.

[@CuttotheBone]

@@joeg7227 It certainly could have been worse I suppose. Scary. Amputation is sometimes necessary - I am very glad it did not get there. Thank you again for sharing.

[@PLUTO-du7xx]

What are the treatment options besides surgery ? My track athlete has been diagnosed with this.

[@CuttotheBone]

Sorry the athlete is dealing with this issue. Unfortunately, options are limited. Stopping the sport is usually not an option (but does work). There are some physical therapy exercises. Some people talk about stretching the fascia (I do not know if it actually works). Explore options and hopefully surgery is not necessary, but it might be if the athlete has aspirations of continuing track.

[@ReelEC]

I had the surgery two weeks ago. Obviously im super sore right now but i had some gentle massage on the leg and I can feel the difference already. It feels like there is less pressure now. Anterior and lateral release on my right leg. Also released my superficial nerve and cleaned up a bunch of scar tissue I had in my leg. The recovery is quite painful thus far. The second week was more painful than the first. If I am laying down with my leg elevated or even laying down for a while flat it hurts like an SOB when blood rushes back into my leg while standing up. My surgeon says it will go away after 6-8 weeks, and this is normal.

[@CuttotheBone]

Thank you for sharing your experience. Hopefully others can see this and have a better idea what the recovery is like. Surgery definitely hurts. I wish you the best in your recovery. Keep following your doctor’s instructions and be patient. You are in your road to recovery!

[@medicineandbrazilianjiujit8511]

This is terrific information, Doc! Your videos are so well done. Thank you very much. As you know, finger injuries are very common in Jiu Jitsu. Down the road, would you have time to make a video regarding tips and techniques that BJJ athletes can use to keep their fingers, hands, and wrists healthy, and strong? General strength training techniques for fingers and hands, taping of fingers pre training, cool down, etc.? I hope you have a blessed Sunday. Nik

[@CuttotheBone]

🙏. Thank you for your suggestions! I have put a lot of thought into those topics and I will likely make something at some point Thank you, again!

[@brandongee9550]

I got mine in the Army and ran on it for over a year in excruciating pain. I had to find the diagnosis myself and was told it was shin splints for a long time but finally an orthopedic doctor concluded that I have it. Would a surgery be less likely to work since my legs hurt when i dont excersize and it seems there is some lasting nerve pain

[@CuttotheBone]

Thank you for sharing your experience. To speak in generalities, it is hard to say how your resting symptoms would respond to surgery. Some nerve injuries can be permanent. If there is pain in other body parts there may be something systemic (involving your whole body) going on.

[@brandongee9550]

@CuttotheBone thank you for the response. I seen several orthopedic surgeons on KZbin say the patient runs a mile and they are in pain and can't continue. Mine seems to be more in the 40 seconds of running and there is the onset. Have you seen any positive outcomes while avoiding surgery and focusing on nutrition, PT and stretching,

[@CuttotheBone]

@@brandongee9550 Well, first, I would not put a lot of weight on youtube doctors (including myself). We are limited by time and amount of information we can give in a quick video. Yes, often exertional compartment syndrome can kick in after a mile, but sometimes it can happen fairly quickly. Rest and PT can help. Unfortunately, the only sure way to make symptoms go away without surgery is to avoid the causes (which may be hard to do). Definitely see orthopedic surgeons/sports doctors in person and figure out a plan that works best for you.

[@ReelEC]

@brandongee9550 it is common for both the super ficial nerve and common peroneal nerve to be compressed with compartment syndrome. I also have pain at rest. The surgeon in Toronto, Canada, I am seeing, releases the SFN nerve by default when he performs this surgery. If I still have pain in my upper lateral compartment after surgery below the fibular head i will investigate deep peroneal nerve entrapment. Mri and emg are negative for nerve entrapment, sciatica, etc., but I consulted with a famous compartment syndrome surgeon down in LA. He informed me nerve blocks are better for diagnosing the need for nerve release.

[@ReelEC]

@brandongee9550 it is also very common for those in the military to develop it. In fact, my surgeon in Toronto is the assigned surgeon for those who develop compartment syndrome in the Canadian Military.

[@taranjitsahota89]

Hello! Thank you for making Very informative video Today first time I heard from sports injury doctor that my condition could be chronic compartment syndrome I am registered nurse myself and I m having difficulty believing it 100%. Is it possible to connect with you via email or zoom? TIA

[@CuttotheBone]

I am glad you found my video helpful. My work email is [e-mail]. That being said I am limited in the ability give best medical advice through email, etc.