SymptomSpy

Anterior Compartment Syndrome is a lower leg condition characterized by swelling in the shin area (front of the lower leg). This swelling can compress and occlude the blood and nerve supply to the lower leg and foot. This is often considered a sports injury.

Anterior Compartment Syndrome Symptoms

Signs and symptoms may include deep, cramping pain (or tingling) in the shin area that is intensified with activity (i.e. running, walking, etc.) and subsides with rest. There can be a weakness upon attempting to pull the foot upwards against resistance and swelling and tenderness may be noticed over the shin. Some may experience cold feet or toes, or “foot drop” in which it is very difficult or impossible to lift the toes or flex the ankle upwards (this can make it difficult to walk up steps).

Anterior Compartment Syndrome Causes

Anterior compartment syndrome may be caused by either a direct blow to the lower leg, which results in swelling, or chronic overuse of the ankle flexors such as long-distance running.

Anterior Compartment Syndrome Diagnosis

Observation of the aforementioned symptoms will be noted and needs to be evaluated by a physician. The evaluation may include a physical examination and specialized tests to analyze the intracompartmental pressure of the lower leg.

Anterior Compartment Syndrome Treatment

Conservative treatment should include rest from the offending activity. Ice and compression applied for 20 minutes at a time is recommended as is anti-inflammatory medication (i.e. ibuprofen).

A sports injury professional can help you develop a rehabilitation plan and may prescribe an orthotic device and gait training to help you overcome the issue. However, in severe cases, surgery may be necessary (fasciotomy), this involves making small cuts in the muscle sheath to relieve pressure.

Last update: May 1, 2011