![]() Your physiotherapy programme will continue and progress activities from previous weeks with the aim to improve strength, flexibility, and function in your affected and unaffected legs. Gentle strengthening activities for muscles in lower limb (calf, hamstring, quadriceps)Īfter the first month of your recovery, your physiotherapy programme with .uk will continue to control for any pain and swelling you may still be experiencing at this time.Strengthening and range of movement exercises for unaffected leg.Passive (assisted) range of movement exercises for affected leg (knee, ankle etc).Partial weight bearing exercises (progress to full weight bearing).Your programme will also include activities that help keep strength and mobility in your unaffected leg for extra support.Your physiotherapy will include: Gentle strengthening activities may be included towards the end of the first month of your recovery. At this time .uk will also focus on maintaining mobility, range of movement and flexibility in your lower leg. Physiotherapy after compartment syndrome surgery is important to maximise the success of the surgery, prevent the likelihood of problems resulting from compartment syndrome reoccurring in the future and to ensure the return of full or near to full function in the lower leg after the surgery.Ībove: Soft tissue massage of the gastrocnemius muscle by MSK therapistĭuring the initial period of your recovery post fasciotomy surgery, your physiotherapy programme with .uk will aim to protect the wound as well as controlling any pain and swelling that you are experiencing at this time.You may require elbow crutches in the early stages of your recovery for support and protection but these can be discontinued after the first week. Permanent nerve injury can occur after 12-24 hours of compression. This is more common when injured person is unconscious or heavily sedated and incapable of complaining. If there is a delay in diagnosis, there can be permanent nerve injury and loss of muscle function. However, the overall prognosis will be determined by the injury leading to the syndrome. If the diagnosis of compartment syndrome is made promptly and surgical release performed, the outlook is excellent for recovery of the muscles and nerves inside the compartment. Skin grafts may be required to close the wound. The wound is closed during a second surgery, usually 48-72 hours later once the swelling has gone down. The wound is then left open to prevent the likelihood of pressure build up reoccurring. Any dead tissues and muscle is removed at the same time. During fasciotomy surgery, the skin and fascial compartment are cut open so that the compartment pressure is relieved. Surgical procedure for compartment syndrome surgeryįasciotomy surgery is required to relieve the pressure within the fascial compartment that surrounds the muscle to significantly reduce symptoms caused by below knee compartment syndrome. Compartment syndrome in the lower leg results in symptoms such as severe pain (even at rest), tightness, reduced mobility, decreased function and difficulty weight bearing.Ībove: Soft tissue massage of the soleus muscle by a MSK therapist Chronic compartment syndrome is a result of overuse and can be caused by repetitive strain on the tissues and / or vigorous exercise. Acute compartment syndrome is caused by injury such as fractures, burns, bites, crush injuries and where there is significant damage to the blood vessels and tissues. The most common compartment syndrome that occurs affects the front fascial compartment below the knee ( anterior compartment syndrome)Ĭompartment syndrome can be either acute or chronic. Compartment syndrome can occur in the hand, forearm, upper arm and buttocks. Over time, the increased pressure causes blood flow to the area to be reduced therefore oxygen cannot be delivered effectively causing nerve and muscle damage. Fascial compartments are formed by a special tissue that forms a membrane layer around muscles. ![]() ![]() Compartment syndrome affects areas of the body known as fascial compartments. Physiotherapy after fasciotomy surgery is required to regain as much function as possible in the affected area.Ĭompartment syndrome can occur if there is increased pressure within a confined space in the body. The most common area that is affected by compartment syndrome is below the knee. Fasciotomy surgery is effective in relieving symptoms such as pain, swelling and tightness that result from compartment syndrome. Compartment syndrome surgery also known as a fasciotomy is the surgical procedure used to treat compartment syndrome.
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