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Compartment syndrome

Information from the Medical Directory health library.

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This information supports, and does not replace, advice from your healthcare professional.

Overview

Compartment syndrome is a serious condition that occurs when increased pressure within a muscle compartment reduces blood flow, depriving muscles and nerves of oxygen. It can be acute (usually due to injury) or chronic (often exercise-related). Acute cases are a medical emergency and require prompt treatment to prevent permanent damage.

Symptoms

Severe pain that does not improve with rest or pain medication Tightness or swelling in the affected limb Numbness or tingling Pain that worsens when the muscle is stretched Weakness in the affected area

Causes

Fractures or severe injuries Crush injuries Prolonged limb compression Burns or tight bandages/casts Repetitive exercise in chronic cases

Diagnosis

Physical examination of the affected limb Measurement of compartment pressure using a needle device Patient history of recent injury or activity

Treatment

Acute: Emergency surgery (fasciotomy) to relieve pressure Chronic: Activity modification, physiotherapy, or surgery if persistent Removal of tight dressings or casts if causing pressure

Complications

Permanent muscle or nerve damage Loss of limb function In severe cases, amputation

Prevention

Proper treatment of limb injuries Avoid overly tight casts or bandages Stop exercise if experiencing persistent pain or swelling

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