Posterior Deep Compartment Syndrome

The deep posterior compartment is a surrounded by a sheath which contains the muscles in the lower leg. Compartment syndromes arise when a muscle becomes too big for the sheath that surrounds it.

Symptoms of Posterior Compartment Syndrome

  • Chronic calf pain.
  • Pain in the shin when you kick, jump or go up onto your heels?
  • Do the symptoms go after a period of rest only to return again when you start exercising again ?
  • Pain when you pull the toes and foot downwards.
  • Weakness on this movement which may cause foot drop when walking.

Causes

Compartment syndromes can be acute or chronic. Posterior deep compartment syndrome can occur as a result of:

  • An impact which causes bleeding within the compartment and therefore swelling.
  • A muscle tear which also causes bleeding.
  • Overuse injury which also causes swelling.

Treatment

What can the athlete do?

  • Rest, but try to exercise your upper body or cycle if it is not painful.
  • Apply ice or cold therapy for 20 minutes at a time but not directly onto the skin. Place in a wet tea towel.
  • See a sports injury professional who can advise on treatment and rehabilitation.

What can a sports injury specialist or doctor do?

  • Prescribe anti-inflammatory medication e.g. ibuprofen.
  • Apply sports massage techniques.
  • Correct any biomechanical dysfunction with orthotic devices.