Leg Pain in a 22 Year Old Female Soccer Player

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A 22-year old female soccer player has had a 3-month history of deep aching pain in the antero-lateral right leg and on some occasions, bilaterally (1). The pain occurs within 15 to 20 minutes of her training regime or upon commencing a run. She reported symptoms of tightness in her anterior leg, and weakness of ankle dorsi-flexors (1). She described that symptoms worsened as the exercise duration was prolonged. When activity ceased, symptoms were alleviated, though pain would return if she re-engaged in the activity. Upon attempting to continue training, she developed numbness in the foot. On examination, mild tenderness was noted on palpation of the antero-lateral compartment (1).

This case study presents an individual who is experiencing frequent leg pain upon participation in physical activity. Leg pain is a common condition experienced by competitive and recreational athletes. However, the diagnosis of leg pain can be difficult as there are numerous possible underlying contributors. A thorough comprehension of human anatomy and biomechanics is essential for a proper understanding (2). Chronic Exertional Compartment Syndrome is one of the most common conditions experienced by athletes (1,2). Of a group of 150 athletes who reported exercise- induced pain, 33 % were diagnosed with chronic exertional compartment syndrome (CECS) (2). Although mostly athletes experience CECS, it is still prevalent amongst non-athletes (3).
Compartment syndrome is an

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