Anterior Compartment Syndrome treatment without surgery?

  • healthseeker

    Posts: 161

    Dec 27, 2011 8:46 PM GMT
    Hi.
    Has anyone dealt with anterior compartment syndrome? Recently diagnosed and told surgery is the only answer. Has anyone been able to to beat it without surgery?

    Edit: I was diagnosed with exertional compartment syndrome so it only comes on when running and goes away after. Apologies for not being clear.

    Thanks!
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    Dec 27, 2011 8:58 PM GMT
    Sounds like an acute problem that needs to be dealt with immediately. Get a second opinion but do not dick around.

    I've had nerves and muscles die suddenly. For me, it's only a thumb, but it could be worse. They do not come back.
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    Dec 27, 2011 9:08 PM GMT
    From what I've learned so far, surgery is the only option. Nothing wrong with getting a second opinion, but this is a problem you probably want to deal with sooner than later. Best of luck.
  • healthseeker

    Posts: 161

    Dec 27, 2011 9:13 PM GMT
    Thanks for your responses.
    I'm definitely going in for a second opinion but hoping to avoid surgery if possible. The other option is to give up running, which I'd miss.
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    Dec 27, 2011 9:17 PM GMT
    Express to your physician that you don't want to go to surgery (regardless of the reasons), and ask what are the alternatives, if there are any. Not only ethically is he required to tell you all the possible treatment options, but your doctor should take into account your feelings/hesitations towards surgery and work towards a treatment that's best for you.
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    Dec 28, 2011 12:46 AM GMT
    Hi big guy. Just wanna verify with you, you sure it's ant compartment syndrome... Of your leg. If so, then ok, here's how I'm gonna explain it to you, which I expect your physician has told you already. Also make sure that it is certain of what you've been diagnosed with.

    Ant comp syndrome is Life-Threatening or rather limb-threatening... Take note.
    It is the increase in pressure by arterial bleeding into the compartment resulting the swelling. Why this has happened depends on you and is really not important now. What is important is that this "swelling" results compression on your nerves causing paresthesiae and tingling sensation or worse - loss of sensation distally from the compressed nerven including possible loss of motor function.

    Because the fascia in your leg are strong... The prev guy mentioned there may be medication or other alternatives to help - that is not true! The only way so far I know of, medically, is unfortunately surgery! Take note again.
    They will perform a fasciotomy on you, basically incising the fascia I mentioned earlier, to let the blood out. Otherwise you will lose your leg.

    Actually I find it weird your physician hasn't recommended emergency surgery... Maybe because it hasn't progressed to be bad yet or maybe there are other underlying causes.

    My consultation recommendation: make sure it is an ACS. If it is, then sorry, surgery is the only way... Unless there is some medication in the states or outside south africa that can remove blood in the compartment or relieve the pressure.

    Good luck big guy and stay strong. Hope to hear how it goes.
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    Dec 28, 2011 12:50 AM GMT
    Oh and if you're going for second opinion, please don't go to another GP doc... Specialist is the way. Preferably an orthopaedics (surgeon).