Chronic Exertional Compartment Syndrome (CECS) in the Foot
What is Chronic Exertional Compartment Syndrome (CECS)?
Chronic Exertional Compartment Syndrome (CECS) is a condition that causes pain and discomfort in the muscles of the foot (and sometimes other parts of the body, like the lower leg) during physical activity. This condition occurs when the muscles within a compartment of the foot (or leg) become swollen due to increased pressure during exercise, particularly activities involving repetitive motion like running or cycling. The pressure inside the compartment restricts blood flow to the muscles, leading to pain, swelling and in some cases, numbness.
Symptoms of CECS in the Foot
The primary symptom of CECS is pain that occurs during physical activity and subsides during rest. Other common symptoms include:
- Swelling and a feeling of tightness in the affected area
- Numbness or tingling sensation in the foot
- A feeling of weakness or heaviness in the foot
- Discoloration of the skin (in severe cases)
- Painful cramping during or after exercise
- In some cases, the foot may feel cold or feel like it “falls asleep” due to decreased blood flow
Causes and Risk Factors
Several factors may contribute to the development of CECS in the foot, including:
- Overuse or repetitive activities. High-intensity training, long-distance running or prolonged activities involving the foot can increase the risk of developing CECS.
- Muscle hypertrophy. As muscles grow larger from intense exercise, they may outgrow the fascia surrounding them, resulting in increased pressure within the compartment.
- Biomechanical abnormalities. Foot posture issues, such as flat feet or high arches, can contribute to uneven pressure distribution while exercising.
- Tight or inadequate footwear. Wearing shoes that don’t provide enough support or that cause the foot to be in an unnatural position may exacerbate the condition.
We are independent prescribers able to prescribe any medication from the BNF relevant to the lower limb, foot and ankle.
Are you suffering from any hand or foot condition? At The Chelsea Clinic, we can help. One of our podiatrists can assist and then recommend what treatments are best to get you back on track. Podiatrist South Kensington
Schedule an appointment here or you may call us at +44 (0) 207 101 4000.
We hope you have a feetastic day!
-The Chelsea Clinic and Team
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