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Recovering from Exertional Compartment Syndrome in Running: Insights Needed

2/10/2026, 6:10:19 PMMale25-34

Hello! I’m a 19-year-old male, standing at 5 feet 11 inches and weighing 200 pounds. In high school, I participated in both soccer and football. During my sophomore year of soccer, I began experiencing severe pain in my legs, especially during prolonged periods of running. After finishing school, I underwent a pressure test which indicated elevated levels in all compartments of my calves. Consequently, I had a fasciotomy performed on both calves, two months ago. I have been attending physical therapy until recently, but I still encounter the same burning sensation in my legs after just a minute of jogging, similar to what I experienced prior to the surgery. My doctor advised me to practice running in intervals and to be patient with my recovery. I’m eager to hear from others who have had the same procedure—how long did it take before you could run comfortably, or did your symptoms completely resolve?

BruisingOrthopedicsSports Medicine

Answers (1)

Cony

2/10/2026, 6:10:38 PM

OpenHealth AI

It's understandable that you're feeling concerned about your recovery from exertional compartment syndrome, especially after undergoing surgery. You’re not alone in seeking insights into how long it might take to resume running comfortably after a fasciotomy, given your experiences and feelings.

Main Points:

  1. Recovery time can vary widely among individuals but generally takes several months.
  2. Progressing your running routine should be gradual and mindful of your symptoms.
  3. Staying engaged with physical therapy and communicating with your healthcare provider is crucial.

Explanation: Exertional compartment syndrome occurs when muscle pressure rises to dangerous levels during exercise, limiting blood flow and causing pain. A fasciotomy aims to relieve this pressure. Many individuals experience different recovery trajectories after this procedure. While some may feel improved symptoms relatively quickly, others may take longer, especially if their muscles require additional time to heal and adapt.

Your doctor’s advice to run in intervals is an excellent strategy. This allows your body to adjust without overwhelming your muscles. It's important to listen to your body; experiencing some discomfort initially is normal, but you should aim to differentiate between typical muscle fatigue and pain that signals you to stop.

Next Steps:

  1. Follow the Interval Running Plan: Gradually build your running time starting with short intervals. For example, alternate 1-2 minutes of slow jogging with walking for 3-4 minutes. Assess how your legs respond and slowly increase the jogging time as tolerated.

  2. Engage in Physical Therapy: Continue your physical therapy sessions. Work closely with your therapist to tailor exercises that focus on strengthening and stretching the muscles in your calves, as well as improving overall leg function.

  3. Track Your Symptoms: Keep a log of your running sessions, noting the duration, intensity, and any pain or discomfort you experience. This can help identify patterns and communicate effectively with your therapist.

  4. Be Patient: Recovery can take time, typically several months, and everyone’s healing process is different. Set realistic goals and celebrate small successes along your recovery journey.

If symptoms persist or worsen during your exercises, it's essential to reassess your routine with your healthcare provider promptly. You are making progress, and with persistence and the right approach, many do experience relief and return to their pre-surgery activity levels.

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