Compartment Pressure Test

Chronic Exertional Compartment Syndrome (CECS) is a condition where exercise induces high pressure within a closed space, which results in decrease tissue perfusion causing symptoms such as pain, cramping, burning, tightness and weakness of the effected lower limb. The reason why this occurs is not known, however a number of factors are believed to contribute to an increase in compartment pressure. Anyone can develop CECS, but it is more common in athletes who participate in sports that involve repetitive movements such as running.

Recently the supplement creatine has been implemented as a cause of CECS in athletes due to its effect on fluid retention and increase in muscle size.

Compartment Pressure Testing is the “Gold Standard” for diagnosing CECS. The test involves inserting a small catheter under local anaesthetic into one of the four well recognized Compartments (Anterior, Lateral, Deep Posterior and Superficial Posterior) of the lower leg.

Along with patient 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.

Thanks to our convenient location, The London Orthopaedic Clinic are able to arrange the Compartment Pressure Testing for you and our consultants will advise as to whether you will need to be referred onto a CECS specialist.

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Emergency clinicians

Mr. Brian Cohen
MD FRCS (Tr&Orth)
Mr. Jig Patel
MB BS FRCS (Tr&Orth)
Mr. Rohit Madhav
MB BS FRCS (Tr&Orth)
Mr. R. Lloyd Williams
MB BS FRCS (Tr&Orth)
Mr. Sean Curry
MB BS FRCS (Tr&Orth)