সংজ্ঞা
Chronic compartment syndrome (CCS) occurs when pressure builds up within the body’s muscle compartments. Over time, this disrupts or blocks blood flow to the muscles. The result is pain, numbness, and tightness in the limb. CCS is often caused by intense exercise. It can affect the lower leg. But, it can also affect the arms, hands, feet, and buttocks.
Unlike acute compartment syndrome, CCS is not an emergency. But you should see your doctor to get treatment.
কারণসমূহ
Under the skin of the arms and legs are sheets of connective tissue called fascia. These wrap around groups of muscles, nerves, and blood vessels. They create a unit called a compartment. When pressure builds up in these enclosed spaces, it has nowhere to go. The pressure is redirected into the compartment. When pressure reaches a certain point, it disrupts blood flow. In CCS, pressure builds gradually.
CCS is most commonly caused by:
- Intense exercise—may affect endurance athletes, especially runners
ঝুঁকির কারণ
These factors increase your chance of developing CCS:
- Participating in endurance sports, especially those involving running or jumping
আপনার যদি এই ঝুঁকির কারণগুলির কোনটি থাকে তবে আপনার ডাক্তারকে বলুন।
লক্ষণ
If you have any of these symptoms do not assume it is due to CCS. These symptoms may be caused by other conditions. Tell your doctor if you have any of these:
- Severe pain during exercise, but typically goes away within in an hour after stopping exercise
- Fullness or tightness in the muscle
- Tender, aching muscles
- পেশীর দূর্বলতা
- Numbness, tingling
- Pain on both sides of the body (most common), for example, both legs are affected
- In severe cases, foot drop (foot slaps hard on the ground when running)
রোগ নির্ণয়
Your doctor will ask about your symptoms and medical history. He will also do a physical exam. Tests may include:
- কম্পার্টমেন্টের ভিতরে চাপ পরিমাপের পরীক্ষা (যেমন, স্লিট ক্যাথেটার, টোনোমিটার)
- Range-of-motion stretching—to assess damage
- MRI scan —a test that uses magnetic waves to make pictures of structures inside the body
- সিটি স্ক্যান—এক ধরনের এক্স-রে যা শরীরের ভিতরের কাঠামোর ছবি তুলতে কম্পিউটার ব্যবহার করে
চিকিৎসা
আপনার জন্য সেরা চিকিত্সা পরিকল্পনা সম্পর্কে আপনার ডাক্তারের সাথে কথা বলুন। চিকিত্সার বিকল্পগুলির মধ্যে নিম্নলিখিতগুলি অন্তর্ভুক্ত রয়েছে:
সার্জারি
Surgery, called fasciotomy, is the main treatment for CCS. This is done to open the compartment and relieve pressure. The doctor makes a long slice into the fascia to open the envelope of tissue and relieve pressure. It takes about three months to recover. You will have to do physical therapy.
ননসার্জিক্যাল পন্থা
If you decide not to have surgery, your doctor may recommend that you:
- Stop the activity that is causing CCS and rest.
- Change your training routine.
- Do physical therapy.
- Take anti-inflammatory medications or muscle relaxants.
প্রতিরোধ
To help reduce your chance of getting CCS, take the following steps:
- Avoid overexercising.
- Change your training routine.