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Doctor insights on: Fasciotomy

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Dr. Gary Pess
53 doctors shared insights

Fasciotomy (Overview)

Muscles are surrounded by connective tissue known as fascia and is particularly dense in the arms and legs. When the underlying muscle is injured, due to infection or blood clot, it will swell. If the swelling is severe, the fascia works as a tourniquet and can reduce the blood flow to the muscle leading to more damage. Fasciotomy is a procedure that cuts open the fascia and relives pressure.


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Carpal tunnel surgery painful?

Carpal tunnel surgery painful?

Carpal Tunnel Surger: For most people this is not painful but recovery will vary according to work status (self employed versus workmen's compensation.). ...Read more

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Dr. Gary Pess
53 doctors shared insights

Fasciotomy (Overview)

Muscles are surrounded by connective tissue known as fascia and is particularly dense in the arms and legs. When the underlying muscle is injured, due to infection or blood clot, it will swell. If the swelling is severe, the fascia works as a tourniquet and can reduce the blood flow to the muscle leading to more damage. Fasciotomy is a procedure that cuts open the fascia and relives pressure.


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Is surgery necessary for longitudinal peroneal tendon split?

Is surgery necessary for longitudinal peroneal tendon split?

Function : Studies show surgery if indicated for ruptures or when injuries diminish function. See ortho surgeon for expert consultation. http://emedicine.medscape.com/article/91344-treatment#d10 ...Read more

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Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

Yes: the cavus is the bone position typically as in your condition at the heel. A bone cut can be made to align the heel. The retinacular repair can be done at the same time. ...Read more

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Arthroscopic surgery meniscectomy possible?

Arthroscopic surgery meniscectomy possible?

Yes it is possible: It is very routine surgery to do that. ...Read more

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Is arthroscopic knee surgery painful?

Not particularly. : Most arthroscopic knee surgery is not too painful and can be controlled with mild narcotics, anti-inflammatories, ice and rest. Arthroscopic acl and PCL reconstructions are more painful but still routinely done as outpatient surgery. ...Read more

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Recurring compartment syndrome, 7 leg fasciotomies + 1 foot. Fluid pockets from fasciotomies causing recurrence again, consider amputation?

Recurring compartment syndrome, 7 leg fasciotomies + 1 foot. Fluid pockets from fasciotomies causing recurrence again, consider amputation?

I would tend : To want to avoid an amputation if possible. You need to get an answer as to why the problem reoccurs if fasciiotomies were already performed. Is this the same surgeon? Or is it being done by different surgeons? ...Read more

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Recovery from laparoscopic ventral rectopexy surgery?

Recovery from laparoscopic ventral rectopexy surgery?

What: What about it? You mean recovery time form ventral hernia repair. About a week to two depending on size. ...Read more

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High tibial osteotomy, outpatient or inpatient surgery?

High tibial osteotomy, outpatient or inpatient surgery?

Elective: As an elective procedure, this can be done on an inpatient or 23hr observation with only a few days of admission. However, it's surgeon/ patient preference as some may be willing to do it outpatient. For pain control and depending on medical history, it's more likely to at least have 1-2 nights inpatient. ...Read more

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Recuperation time for lateral release surgery?

Recuperation time for lateral release surgery?

Variable avg 8 weeks: Start range of motion and weight bearing immediately. Start quad exercises immediately. Swelling reduction as well. Usually can resume jogging at 6-8 weeks and slowly work back into full athletics as pain allows ...Read more

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Multiple leg fasciotomies. Fascia scars shut & compartment syndrome returns. All closed imm. Stryker test high, muscle damage & cavus foot. Any ideas?

Multiple leg fasciotomies. Fascia scars shut & compartment syndrome returns. All closed imm. Stryker test high, muscle damage & cavus foot. Any ideas?

???: I'm not sure what you're asking. You have recurrent compartment syndrome? How to treat the residual effects of cavus foot? Where was the C.S.-Leg? Foot? This is too complex for 400 words. See an orthopedic surgeon trained in foot and ankle. ...Read more

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In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

Yes: If the surgery is successful, you will be much better than you were before and as such should be able to participate in amucj higher activity level than before surgery. I would discuss your specific case with your surgeon. ...Read more

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What is endoscopic carpal tunnel surgery?

What is endoscopic carpal tunnel surgery?

CTS Surgery: The endoscopic surgery is performed by a orthopedic surgeon who makes very small incisions in the wrist area and then use them to decompress the median nerve which is involved in cts. The down time is substantially less with this surgery. ...Read more

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Is knee microfracture surgery successful?

Is knee microfracture surgery  successful?

Yes: Usually it help to rebuild the cartilage but it take time. ...Read more

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How is carpal tunnel surgery performed?

How is carpal tunnel surgery performed?

By proper surgeon: Carpal tunnel syndrome, if appropriately diagnosed, shold be treated non-surgically if possible and then if surgery is needed, should be performed by a reputable surgeon trained and skilled in this surgery. An incision is made over the middle of the heels of the hand and wrist and down through a fibrous ligament to release pressure on the nerve. Ortho, neuro or plastic surgeons usually do this. ...Read more

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Is the three cut incision the most minimal approach for anterior/lateral fascia release for exertional compartment syndrome?

Is the three cut incision the most minimal approach for anterior/lateral fascia release for exertional compartment syndrome?

Not realy : With exertional compartment depend on the measurement of the pressure we could make one incision or two incisions to release the compartments. ...Read more

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Can open repair surgery be done on bilateral popliteal aneurysm in 1 surgery? medial approach

Can open repair surgery be done on bilateral popliteal aneurysm in 1 surgery? medial approach

Popliteal aneurysms: Bilateral popliteal aneurysm repairs can be done at the same sitting but I prefer staged procedures as it is easier on the patient and the surgeon. Get one leg fixed, make sure it's ok then get the other fixed. Alternatively placement of popliteal stents is a viable option that I prefer to popliteal bypass and aneurysm exclusion. Bypass option is still available if it becomes necessary. ...Read more

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What is the definition or description of: fasciotomy?

What is the definition or description of: fasciotomy?

Surgical procedure: Muscles are surrounded by connective tissue known as fascia and is particularly dense in the arms and legs. When the underlying muscle is injured, due to infection or blood clot, it will swell. If the swelling is severe, the fascia works as a tourniquet and can reduce the blood flow to the muscle leading to more damage. Fasciotomy is a procedure that cuts open the fascia and relives pressure. ...Read more

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Fasciotomy for chronical anterior compartment, can you tell me more?

Fasciotomy for chronical anterior compartment, can you tell me more?

Can be helpful: This syndrome, which is most common in people who do a lot of leg exercising, can be helped by fasciotomy, however the diagnosis is not easy and requires measurement of the pressure in the compartment before and after exercise. The fasciotomy ( cutting the fascia that contains the muscel) allows the muscle to expand and relieves pain, IT is well tolerated. See a specialist in sports medicine. ...Read more

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Has anyone had a plantar fasciotomy done ? Does it work?

You mean sugery: Yes it dose work, i realy have no failure with about 100 cases. ...Read more

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Please help! what is the procedures for fasciotomy surgery for anterior compartment?

Long incision: This procedure is performed to release the pressure that can build up in severely injured muscle.It entails an incision down the front of the leg through the skin and fascia (connective tissue encasing the muscle)to release increasing pressure that can cause ongoing permanent damage. The incision can be closed later when the pressure has resolved either with stitches or a skin graft. ...Read more

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How much time is the recovery after having a fasciotomy for chronic exertional compartment syndrome?

Depends: Depends on location of fasciotomy (arm or leg), was it open or closed, was the exposed muscle grafted if it was an open fasciotomy? The best person to answer this question is the surgeon who did the procedure. If it was done in a timely manner, with no nerve or muscle injury, recovery is usually quick, a month or two. ...Read more

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May need surgical drains left in for few weeks after next fasciotomy surgery. Do drains hurt when in or when removed?

May need surgical drains left in for few weeks after next fasciotomy surgery. Do drains hurt when in or when removed?

Yes slight pain: When inserting due to anesthesia will not have pain , during the removal will have very brief slight discomfort to moderate pain , don't worry recover quickly form your compartment syndrome and prepare to go for physical therapy speak to your doctor about your concern. ...Read more

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What is the success rate of a fasciectomy or a fasciotomy for chronic exertional compartment syndrome?

Fasc. done for acute: Fasciotomy done for acute cmpt. syndr. when muscle viability at risk and cmpt pressure > 20 mmHg. For mild "Shin Splints" rest, elevation and icing is sufficient. Remember fasciotomy caries about 25% decr. leg strength post-op ...Read more

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What is the success rate of a fasciectomy or a fasciotomy for chronic exertional compartment syndrome?

What is the success rate of a fasciectomy or a fasciotomy for chronic exertional compartment syndrome?

Not sure: If what you mean by exertional compartment syndrome is what is colloquially known as 'shin splints' then you may experience that after massage. True compartment 'syndrome' would necessitate a surgical treatment known as fasciotomy which is unlikely caused by massage. ...Read more

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Please help! what is the success rate of a fasciectomy or fasciotomy for chronic exertional compartment syndrome?

Compartment Syndrome: There is a great success rate for exertional compartment syndrome through Fasciotomy. If you don't have the fasciotomy, there will be chronic pain and the problem will significantly limit your ability to participate in activity. This problem may become worse, and may even be the cause of muscle and nerve damage, and can even result in partial or complete paralysis without treatment ...Read more

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Need repeat fasciotomies again(#6-anterior & #5-lateral). 6 weeks ago had fasciotomy of deep comp and foot-medial. Should lateral foot be released too?

Need clinical: Evaluation to your complex problem, discuss with your doctor will explain , if you are not satisfied take a second opinion to keep your mind at ease. ...Read more

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Feel weakness in my legs 5 weeks after fasciotomy, should I be concerned?

Not sure: It is hard to tell if you had both legs involved with fasciotomy or just one. There may have been nerves disturbed that will need more time to heal. If you had any muscle damage from the high pressure in the compartments (ischemia), this may also need time to resolve and heal. I would recommend a good eval by a physical therapist and let them recommend a therapy plan to help you. ...Read more

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What can be done for knee pain after fasciotomy?

What can be done for knee pain after fasciotomy?

Evaluation + therapy: First get the exact cause of your knee pain diagnosed then do appropriate treatment which usually starts with physical therapy to loosen scar tissue and regain motion and strength. ...Read more

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I recently had a fasciotomy surgery. How do I speed up the healing process?

Wound size?: This depends on the location and size of the wounds. In some cases skin grafting is appropriate. In others, a wound-vac device can speed healing. Your surgeon should be able to advise on this. ...Read more

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Trying to live with exer. Comp. Syn for 1.5 yrs to point where ehl is weak always and calf circumference has decreased; time for fasciotomy?

Your choice...: If you have a confimed diagnosis of ecs (direct measurement of compartment pressures) the only cure is surgery. There are no effective non-operative treatments other than activity modification. I perform an arthroscope-aided minimally invasive compartment release that reduces the incision size to a few milimeters. For more info go to www.Orthodoc.Aaos.Org/footankle. ...Read more

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Fasciotomy of medial foot 12/13 (41 mm/hg) relieved symptoms & pain. Last wk symptoms returned and pressure today was 53 mm/hg. How urgent is this?

Urgent: We consider any compartment with a pressure of over 35 mm of mercury to be enough to limit blood flow and lead to tissue loss. I recommend you have this evaluated by a general or ortho surgeon, or er doc asap. ...Read more

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I'm 8months out from an open planters fasciotomy the inscion is still sore is this normal?

I'm 8months out from an open planters fasciotomy the inscion is still sore is this normal?

Could be: Resection of an area of plantar fibromatosis can take time to heal. It depends where on the undersurface of the foot, the size of the incision and the amount of pressure directed toward the incision the determines healing. By definition the blood supply most distal to the heart is the hardest site to heal. ...Read more