I am looking for imformation about Anterior Compartment Syndrome, cause/rehab and impact on training
Exertional compartment syndrome (ECS) of the leg can be acute or chronic in nature. ECS is characterized by exercise-induced pain and swelling relieved by rest. Weakness, loss of sensation, and ischemic changes can accompany this condition. The lower leg in general is divided up into 4 compartments. Each of these compartments contain a major nerve. The anterior compartment is commonly affected with runners, or athletes that lack the eccentric strength to control pronation. Acute ECS generally occurs in relatively sendentary people that have markedly increased the level of activity. (Consider the wave of membership increases following the New Year.) Chronic ECS usually occurs with well-conditioned athletes younger than 40. However, athletes with chronic ECS who markedly increase their training will increase their risk of acute ECS. The basic root of this condition is the inability to control repetitive eccentric forces. If the foot over-pronates at heel contact through the mid-stance phase of gait the anterior tibialis will fatigue early and demonstrate decrease functional ability to control mid-foot pronation. In a repetitive motion (such as running) the inadequate anterior tibialis is continually subjected to the trauma which produces an inflammatory response. Increased intraosseofascial pressure on the deep peroneal nerve which further inhibits function
How do you train these clients?
Begin by establishing static neuromuscular (balance) control while standing on one leg. Considering the fact that the majority of ECS is chronic in nature from runners, you must look at the motion of running. Essentially you are losing your balance and regaining your balance, while on one leg, in a split second. So the athlete’s ability to balance through multiple planes of motion will be crucial. Also flexibility to the peroneals, gastrocnemius, soleus, hamstrings, posterior hip, and psoas will greatly assist. For more information on specific stretches for this area, consult the exercise library.