About Chronic Exertional Compartment Syndrome
CECS causes predictable lower-leg tightness, pain, or numbness that builds at a consistent time or distance into a run and improves with rest. Physical therapy helps identify the pattern, address mechanics and training variables, and guide next steps if testing or surgery is needed. The goal is a return to running with less limitation and a clear plan forward.
Expected Recovery Window
Conservative trial: 6–12 weeks. Post-fasciotomy: 8–16+ weeks to full return depending on sport demands.
Common Symptoms
Tightness or cramping in the lower leg during running; pain that escalates with continued effort; numbness or tingling in the foot; weakness or foot slap in some cases; rapid relief after stopping.
Common Causes
High repetitive impact and muscle swelling with exercise; limited compartment compliance; training errors; biomechanics that increase lower-leg demand.
How We Treat Chronic Exertional Compartment Syndrome
We screen for bone stress injury and other causes, then work on mechanics, strength, and load strategies that may reduce symptoms. If CECS is strongly suspected, we coordinate for appropriate testing and provide structured rehab pre- and post-procedure when needed.
