Botulinum Toxin for Chronic Exertional Compartment Syndrome: A Case Report With 14 Month Follow-Up

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
Michael R Baria, Jacob L Sellon

Abstract

Chronic exertional compartment syndrome (CECS) presents a unique therapeutic challenge. Fasciotomy, currently the most well accepted treatment approach, still has a significant number of treatment failures, demonstrating the need for additional options. Botulinum toxin has been introduced as a potential therapeutic agent, but long-term outcomes are unknown. We present the longest documented follow-up (14 months) of a CECS case treated with botulinum toxin injections. At 14 months follow-up, the patient reported continued pain relief and had resumed her active lifestyle without any adverse effects. Although more research is needed to optimize patient selection and treatment protocol, this case illustrates the potential for botulinum toxin as a long duration, low risk alternative treatment option for CECS.

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Citations

Oct 19, 2016·PM & R : the Journal of Injury, Function, and Rehabilitation·Daniel R LuedersJonathan T Finnoff
Feb 9, 2018·Military Medicine·Frank J LebedaZygmunt F Dembek
Oct 10, 2018·Current Sports Medicine Reports·Kevin T Dyer, Christopher P Hogrefe
Nov 16, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Yin-Ting Chen, Keyonna M Jenkins
Jun 10, 2020·Current Sports Medicine Reports·Clint MooreBrett Boyce
Sep 15, 2020·Current Sports Medicine Reports·Teonette O Velasco, Jeffrey C Leggit
Jun 10, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Timothy L MillerPatrick S Vaccaro

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