Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Alternatives to surgery for compartment syndrome

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Jbwheele, Jun 26, 2007.

  1. Jbwheele

    Jbwheele Active Member

    Members do not see these Ads. Sign Up.
    Hi Everyone

    Is there anything apart from Orthotics, Physio, Orthopaedic surgery or Naturopathy... Ha Ha.. Which I can suggest for a lady who is worried about the scars left by Compartment release surgery? Orthotics have failed (not mine).

    Would Relaxin (as in hormone released in pregnancy) loosen Compartment fascia, is there anyone who has treated a lady who got pregnant (badly worded) with less compartment symptoms?

    I've treated lots of rugby players with orthotics that help , however usually surgery is the best quick permanent solution.



    Joe Wheeler
  2. Kent

    Kent Active Member

    Have you or the physio tried an intensive course of deep tissue massage with cupping?

    I know it's a fair way from Invercargill but a sports doctor in Christchurch claims to have good success with prolotherapy.

  3. pod29

    pod29 Active Member

    please elaborate on prolotherapy for compartment syndrome???? :confused:

  4. Kent

    Kent Active Member


    I'm not using prolo for compartment syndrome myself and I don't think I ever will. I could be wrong but I believe John's rationale is to sclerose the neovessels (as per Achilles tendinosis) in the fascia. I'm not sure if Margaret has tried this.

  5. LuckyLisfranc

    LuckyLisfranc Well-Known Member


    I query how prolotherapy could possibly help compartment syndrome?

    If the rationale for prolotherapy is to provide an injection which supposedly causes some form of connective tissue regeneration/repair - would this not be counterproductive in compartment syndrome? If prolotherapy works as its advocates say, then this should only serve to worsen the problem.

    I also doubt that one could target specifically the thin leg compartment fascial planes, even if using the benefit of ultrasound guidance - most of the solution would end up being deposited in muscle :confused:

    Please correct me if I am off track here.

  6. Stanley

    Stanley Well-Known Member

    For anterior compartment syndrome, Dick Schuster used to talk about the overwork of the anterior tibial muscle, due to the equinus, and would treat it with a heel lift. When any muscle is overused it swells, and in the case of the anterior compartment, this results in increased pressure.
    Other adjunctive procedures include the use of a shin splint cut off on the posterior aspect of the shoe to decrease the plantarflectory torque at heel contact, and as anterior tibial assist taping which decreases the need of the muscle to work.
    Regarding the surgery, there is a minimal incision way to do it. The orthopedic surgeon I refer these patients to, uses a menisectory blade and makes two smaller incisions.
  7. GarethNZ

    GarethNZ Active Member

    I have had my 1st patient have success with 4 treatments with targetting superficially the lateral sural and saphenous nerves as they come through the fascia alongside saphenous branch from the femoral just inferior to the medial knee.

    She has seen physio for the past 6 months and also has had lateral compartment releases.

    Cheers to Dr John Lyftogt for teaching me!!
  8. maxants33

    maxants33 Active Member

    Im a bit late in replying to this thread, but figured I would post anyway;

    I volunteer on my day off at an MS therapy center where I operate a hyperbaric oxygen therapy (HBOT) chamber for people with a whole myriad of conditions (quite a few lower extremity ulcers too). I have seen in numerous places articles claiming HBOT is indicated for treating certain cases of compartment syndrome. I thought I would just point that out so if anyone is interested they can investigate it further .

    I must point out that I am not a Pod - but I am applying for pod school currently and pod arena is my favourite research tool.
  9. CamWhite

    CamWhite Active Member

    We have found the Cluffy Wedge (or any similar modification) to be highly beneficial for anterior shin splint pain. You might want to give it a try to see if it brings any relief.

Share This Page