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Deep Posterior Compartment Syndrome: Symptoms, Causes, Treatment

The deep posterior compartment is surrounded by a sheath, which encloses the lower leg muscles. Compartment syndrome is a result of muscles growing more in size than the surrounding sheath.[1]

Deep Posterior Compartment Syndrome

Symptoms of Deep Posterior Compartment Syndrome[2]

  • Prolonged calf pain.
  • Kicking or jumping produces pain in the shin.
  • Pain upon downward pulling of the toes and the foot.
  • There may be weakness causing foot drop when walking.

Causes of Deep Posterior Compartment Syndrome[3]

  • Any trauma or injury causes bleeding inside the compartment and results in swelling.
  • Bleeding may also be caused due to a muscle tear.
  • Any overuse or chronic injury may also cause swelling.

Treatment of Deep Posterior Compartment Syndrome[4]

  • Rest.
  • Ice or cold therapy should be applied for 20 minutes at a time. Preferable to wrap the ice in a towel and applying to the affected areas rather than applying it directly onto the skin.
  • Sports injury specialist should be consulted.
  • Anti-inflammatory medications like ibuprofen is effective in reducing pain, swelling and inflammation.
  • Sports massage techniques can be used after the acute phase (usually 48 hours) has passed.
  • Biomechanical problems should be corrected with the help of proper orthotic devices.


Pramod Kerkar, M.D., FFARCSI, DA
Pramod Kerkar, M.D., FFARCSI, DA
Written, Edited or Reviewed By: Pramod Kerkar, M.D., FFARCSI, DA Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:November 19, 2020

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