Leg Questions

Question 1

Chronic Exertional Compartment Syndrome (CECS)

Answer 1

This condition is marked by raised intracompartmental pressure
• Pressure increases have been measured during and after exercise

Question 2

Anterior CECS

Answer 2

cause dorsiflexor weakness and numbness over the first web space
of the dorsum of the foot (deep peroneal nerve)

Question 3

Lateral CES

Answer 3

dorsiflexorweaknessandfirstwebspacenumbness(deepper-
oneal nerve) or everter weakness and numbness of the dorsum of the foot and antero-
lateral distal shin

Question 4

Deep posterior CECS

Answer 4

can cause cramping of the foot intrinsics and numbness of the
medial arch of the foot (tibial nerve)

Question 5

INVESTGIATION CECS

Answer 5

• Plain films, CT, bone scan, and MRI help to investigate other sources of leg pain
• EMG and nerve conduction studies may help diagnose unrelated sources of symptoms
• EMG/NCS pre- and post-exercise have been tried as a diagnostic tool with limited results
Compartment pressure studies (using manometric technique) are the best means to evaluate CECS