Chronic exertional compartment syndrome is the exercise-induced pain and disabilities to a compartment of muscles particularly on upper and lower limbs. Pain is an unpleasant sensation triggered by the nervous system.
- SIGNS AND SYMPTOMS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- CAUSES OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- PATHOPHYSIOLOGY OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- DIAGNOSIS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- TREATMENTS FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- PROGNOSIS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- COMPLICATIONS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- CHRONIC EXERTIONAL COMPARTMENT SYNDROME AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- AYURVEDIC PROGNOSIS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- CHIKITSA- AYURVEDIC TREATMENT FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- AYURVEDIC LOCAL TREATMENT FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- AYURVEDIC SAMANA TREATMENT FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- AYURVEDIC SHODHANA TREATMENT FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- COMMONLY USED AYURVEDIC MEDICINES FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- HOME REMEDIES FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- DIET AND BEHAVIOUR FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- YOGA FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
SIGNS AND SYMPTOMS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Aching pain
- Dull to sharp pain
- Weakness
- Fatigue
- Muscle pain
- Numbness
- In severe cases, foot drop may occur
CAUSES OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Strenuous physical exercise for a long duration
PATHOPHYSIOLOGY OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
The exact pathophysiology of exertional compartment syndrome is not known. The exercise for a long duration causes an increase in the volume of muscle but the fascia surrounded by the compartment of muscle not expanded, leads to increased pressure in the compartment and finally, symptoms are manifested.
DIAGNOSIS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Laboratory tests
- Musculoskeletal examinations
- Neurological examinations
- Magnetic resonance imaging (MRI)
- X – rays
- Electromyography
- Check the pressure inside the affected muscle compartment
TREATMENTS FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Medications – Non-steroidal anti-inflammatory drug, Analgesics
- Treatment of underlying pathology
- Physiotherapy
- Surgical management
PROGNOSIS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Prognosis is based on the duration of onset of pain and condition of the patient
- Surgical and non-surgical remedies are effective in the management of chronic exertional compartment syndrome.
COMPLICATIONS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Nerve damage
- Vascular injury
- Break down of skin in the affected area
- Haemorrhage
- Infections
CHRONIC EXERTIONAL COMPARTMENT SYNDROME AND AYURVEDA
- In Ayurveda,chronic exertional compartment syndrome falls under Vata vyadhi or a Vata dosha imbalance disorder. It is associated with “mamsa dhatu dushti” (vitiation of muscle tissue).
- Vata vyadhi can be correlated to neurological or neuromuscular disorders. The causes and pathogenesis of diseases caused by vitiation of Vata dosha, in general, are the exclusive cause and pathogenesis ofpain, numbness, weakness.
NIDANA- AYURVEDIC CAUSES OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Excess consumption of ununctuous, cold food
- Excessive physical exercise (Athivyayama)
- Suppression of natural urges.
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Dull intermittent pain in the affected limb
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Vata, pitta and kapha dosha move through all channels of circulation. Due to the subtle nature of vata it impels the remaining two doshas.
- The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moved greatly inside them or by getting enveloped by the other doshas.
- The aggravated vata resides in the limbs associated with mamsa dhatu dushti and produces different kinds of aches and pains in limbs.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Toda – aching pain
- Ruk – Pain on the body
- Bhedanam – cutting pain
- Sada – weakness
AYURVEDIC PROGNOSIS OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Difficult to cure – krichra sadhya
- Symptoms are manageable
CHIKITSA- AYURVEDIC TREATMENT FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
Ayurvedic local treatment for chronic exertional compartment syndrome
- Svedam – Fermentation
- Pain-relieving lepa application
- Abhyanga – oil massaging
AYURVEDIC SAMANA TREATMENT FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Dasamoolarishtam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
AYURVEDIC SHODHANA TREATMENT FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- VASTHI – Medicated enema
COMMONLY USED AYURVEDIC MEDICINES FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
Internal administration
- Dasamoolarishtam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
External application
- Snehadhara – with balaswagandha tailam and ksheerabala tailam
- Shashtika Sali panda sweda
HOME REMEDIES FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Proper rest
- Drinking plenty of fluids
- Bathing in warm water
- Body massaging
DIET AND BEHAVIOUR FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Avoid food items that produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Avoid heavy exercises which further aggravate the conditions.
- Oil massage on the whole body is advised. That alleviates vata dosha.
- Take proper rest.
YOGA FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Nadi Shuddi Pranayam – calms the mind and gets relief from aches and pains
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Savasana – relaxes body and mind
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF CHRONIC EXERTIONAL COMPARTMENT SYNDROME
- Pain management through ayurveda
https://www.researchgate.net/publication/331672467_PAIN_MANAGEMENT_THROUGH_AYURVEDA_A
- Various methods of pain management in ayurveda- a review article
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