RRMG

Compartment Pressure Testing

The key benefit of Compartment Pressure Testing is the role it plays in diagnosing CECS, which makes it a vitally useful tool for athletes and runners.

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What is Compartment Pressure Testing

Compartment Pressure Testing is the ‘Gold Standard’ for diagnosing Chronic Exertional Compartment Syndrome [CECS].

The test involves inserting a small catheter, under local anaesthetic, into one of the four well-recognized compartments of the lower leg. (Anterior, Lateral, Deep Posterior and Superficial Posterior) When the catheter is in place, the patient is then asked to run until they experience the pain. The pressure is then again measured post-exercise.

What are the benefits?

The key benefit of Compartment Pressure Testing is the role it plays in diagnosing CECS, which makes it a vitally useful tool for athletes and runners.

Chronic Exertional Compartment Syndrome is a condition that can be caused by exercise. Repetitive movements, such as running, can induce high pressure within a closed space, which results in decreased tissue perfusion. This causes symptoms such as pain, cramping, burning, tightness and weakness of the effected lower limb.

 

There are four key factors believed to contribute to an increase in compartment pressure:

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Muscle hypertrophy in response to exercise

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Muscle hypertrophy in response to exercise

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Increase in volume of skeletal muscle secondary to blood volume and edema

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Dynamic contraction factors due to demands in the gait cycle

Compartment Pressure Testing is an incredibly useful diagnostic tool to exclude other causes of exercise-induced leg pain such as stress fractures, periostitis, Medial Tibial Stress Syndrome various tendinopathies, neurological compression syndromes and infection.

When the catheter is in place, the patient is then asked to run until they experience the pain.

The pressure is then again measured post exercise.

Along with the history, compartment pressure testing is an extremely useful diagnostic tool to exclude other causes of exercise-induced leg pain such as stress fractures, periostitis, Medial Tibial Stress Syndrome various tendinopathies, neurological compression syndromes and infection.

Compartment Muscles Neurovascular Structures
Anterior Tibialis Anterior, Extensor Digitorum Longus, Extensor Hallucis Longus

Deep Peroneal Nerve

Anterior Tibial Vessels

Lateral

Peroneus longus

Peroneus Brevis

Superficial Peroneal Nerve
Superficial Posterior Tibilais Posterior, Flexor Digitorum Longus, Flexor Hallucis Longus

Tibial Nerve

Posterior Tibial Vessels

Expert Doctors.
Professional Care.

Dr. Ralph Rogers MD PhD MBA and CEO of RRMG is a Consultant in Regenerative Orthopedics & Sports Medicine who uses his wealth of experience to effectively tackle chronic pain and acute discomfort with innovative Regenerative Medicine treatments.

His impressive resume includes global qualifications gained at some of the finest institutions in the world. A degree in Psychology at the University of Delaware was followed by medical training at the University of Leuven in Europe, and further qualifications gained at the University of Maryland, the Free University of Brussels and the University of Leicester – including a Master’s of Science (MSc) in Musculoskeletal Ultrasound Imaging and a PhD in Exercise Physiology.

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