11-22-2016 08:13 AM
About a week ago, I started working with an athlete who is complaining of tightness in her calves. She's 20, has been running for a couple of years and has a real thirst to test her limits. She's got a history of calf tightness. She passed on today's workout because her calves were so tight after yesterday. Usually, a post-workout roll helps, but it didn't today. However, the discomfort seems to be sporadic. After several text messages this morning, I began to wonder if she has compartment syndrome. Anyone had any experience with this? And if it's not CS, what else could it be?
12-03-2016 02:27 PM
I have an athlete with lower leg issues similar to your athlete @marpr227. My athlete is a 17 year old female, has played soccer, runs winter and spring track, and came to cross country for the first time this fall where she was our 5th runner yet always unpredictable due to her lower leg issues. Now, on the indoor track her running is compromissed due to significant pain in her calves accompanied by numbness in her feet. Could this be exercised induced compartment syndrome or more significant? Any thoughts? My next move is to suggest to our trainer that he refer her to a sports specialist fo diagnosis.
12-15-2016 12:22 PM - edited 12-15-2016 12:24 PM
Along with maintaining my athlete's (see previous post) fitness level in the cardio room and keeping her optimistic, she finally has an appointment with a sport specialist. Following their evaluation we are looking for a corrective action and rehab plan.
12-20-2016 10:22 AM - edited 12-20-2016 10:24 AM
RichardB, I'm curious as to how your situation turned out. My athlete does not have compartment syndrome. It's sporadic, and she has been using a roller on her lower legs, and that seems to be working (for now, anyway). She's been upping her mileage a bit and running better. She got a forty-five second PR in a 5k time trial about 10 days ago, so all is good.
12-20-2016 12:34 PM
Thanks for your follow up inquiry @marpr227. My athlete followed up with a sport specific specialist and has been diagnosed with anterior tibial compartment syndrome. The good news is that we now have an answer to her issue and can move forward. The bad news is that she is out of indoor track for the next six weeks or more. She will remain on the team and follow a prescribed cardio/physical fitness program. Hopefully the rest will address the issue and have her back for the spring track season. Now to keep her "rehabbing happy" so she can "run happy" again!
Nice to read that your runner is back at it again and continues to improve.
12-20-2016 01:41 PM
@RichardB Sorry to hear about that athlete... the numbness in the feet is definitely the giveaway that something more significant is happening.
That is a good reference point for all of us reading this thread: shin splints and various other foot/ankle commonalities are frustrating with young runners, but we need to do our due diligence in understanding the issue. The pain by itself might tell one story, but when other kinds of things (like numbness, burning, etc.) enter the conversation, it speaks toward other possibilities (often times worse things).
I appreciate hearing you explain these situations - good things to keep in mind!
12-20-2016 01:41 PM
In the case of my athlete (previous post) @marpr227, she has compartment syndrome in both legs. This is the first case I have dealt with which has been medically diagnosed. But, when I consider the number of runners who complained of shin splints over my many years of coaching, I recall a few who simply lived with, and ultimately, had to stop running because of shin splints. With what I have learned, those runners could very well have had compartment syndrome issues.
01-03-2017 04:38 PM - edited 01-03-2017 04:39 PM
Hey @marpr227and @Rip, following is an update on my athlete dealing with anterior tibial CS. Now in her third week, she continues to maintain strength with a daily core and cardio routine. Maintaining her spirits is an ongoing challenge due to an occasional set back. She has a sport specialist follow up at the end of this week to measure progress.
01-03-2017 08:53 PM
Thanks for the update. Will rehab and rest fix this problem? Granted, I've only seen this a couple of times, but when I've seen it, it's always required surgery. Am I missing something?