College of Massage Therapists of British Columbia (CMTBC) Practice Exam

What is the recommended way to manage chronic compartment syndrome?

1. Increase intensity of exercises

2. Modify exercises

3. Rest completely

4. Surgically release pressure

The correct answer is: Modify exercises

Managing chronic compartment syndrome effectively often involves modifying exercises to alleviate the symptoms while still allowing the individual to maintain some level of physical activity. This approach is beneficial because it helps to prevent the progression of the condition and can reduce the risk of more severe complications while promoting overall functional capacity. When exercising is modified rather than completely stopped or intensified, it allows for adaptation to the symptoms. For instance, a therapist might recommend avoiding activities that increase pain or pressure in the affected compartment, while suggesting lower-impact exercises or alternative movements that do not exacerbate the condition. This method also encourages the client to stay active, which is vital for physical and mental well-being. Complete rest may lead to stiffness and deconditioning, while increasing the intensity without addressing the underlying issue may worsen the symptoms. Surgical intervention, like releasing pressure, is generally considered when conservative measures are ineffective over time, making it a last resort rather than a first-line strategy. Hence, modification of exercises is the recommended primary approach for managing chronic compartment syndrome.