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 four factors are believed
to contribute to an increase in compartment pressure. -
Inelasticity of the fascial sheath - Increase in volume of
skeletal muscle secondary to blood volume and edema - Muscle
hypertrophy in response to exercise - Dynamic contraction
factors due to demands in the gait cycle. Note: 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. Anyone can develop CECS, but it is more common in
athletes who participate in sports that involve repetitive
movements such as running. Compartment Pressure Testing is the
“Gold Standard” for diagnosis CECS. The test involve