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Date of Award

Spring 2022

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Dr. Kevin Basile

Abstract

Chronic exertional compartment syndrome (CECS) is a common cause of muscle pain in active individuals. It is thought to be caused by overuse and leads to ischemic pain and functional changes. Definitive diagnosis is based on clinical symptoms and intracompartmental muscle pressure (ICP). Fasciotomy is the gold standard of treatment as conservative measures do not usually alleviate symptoms.1,2 However, much of CECS research does not come to a consensus on etiology, diagnosis, or treatment, making it important for the clinician to understand CECS and other causes of lower leg pain. This review of recent research will provide clinicians with the knowledge necessary to identify, diagnose, and treat patients with CECS.

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Chronic Exertional Compartment Syndrome

Chronic exertional compartment syndrome (CECS) is a common cause of muscle pain in active individuals. It is thought to be caused by overuse and leads to ischemic pain and functional changes. Definitive diagnosis is based on clinical symptoms and intracompartmental muscle pressure (ICP). Fasciotomy is the gold standard of treatment as conservative measures do not usually alleviate symptoms.1,2 However, much of CECS research does not come to a consensus on etiology, diagnosis, or treatment, making it important for the clinician to understand CECS and other causes of lower leg pain. This review of recent research will provide clinicians with the knowledge necessary to identify, diagnose, and treat patients with CECS.