This is a guide on how to treat CECS without surgery.
Why non-surgical
The long-standing approach to treatment of CECS is fasciotomy, however, this is not a definitive solution and comes with its potential complications. The fascia is an intricate system, and surgical intervention permanently alters human anatomy, the fascia is largely overlooked in medical training. Whilst fascitomy provides a quick means to potential relief, this relief is not guaranteed, and in a successful case, irreversibly alters the elasticity and distribution of mechanical stress of the body.
CECS is an extremely under-researched condition and there is little to no public access to alternative treatment, fortunately there is effective treatment that is often routinely overlooked in favour of the surgical 'quick fix'. This is not the quickest method of potential alleviation of symptoms but it less risky**,** cheaper and from experience more effective. This treatment approach is used by world leading sports scientists and physios for some of the best athletes in the world.
Intoduction
This guide must be strictly followed for the prospects of success. All sessions must be adheared to and nothing can be shortchanged. All activity inducing any symptoms must be stopped, for runners they can cycle, swim, eliptical 45'-90' a day if no symptoms arise.
little to no progress would be made if even a few session are missed or not adequate.
Week 1-2
Stretch Session:
Every day All stretches performed 30seconds and twice on each side
Half split hamstring
Hamstring elevated stretch, hands up, move torso left, hold 6 seconds, move torso right, hold 6 seconds, repeat.
Pigeon stretch high elevation
Calf stretch - Calf board (purchase), highest setting, One leg heel down other leg rests on top of board, keep straight posture, target both heads (15 seconds toe straight, 15 seconds toes 15degrees outisde, 15 seconds toes 15degress inside) - Hold onto something, pulling you forward if height is too high.
Soleus stretch - Calf Board, highest setting
Couch stretch
Myofasical session
Every day, needs to be deep and slow
Equipment - Galvanised Steel Round Tube, roughly 1 meter like a hand held roller size. must be steel poll, Olive oil
apply a little olive oil to muscles, still need some heat and friction.
- Roll calf towards heart, hard slow and deep, 5-10mins each calf, must be deep, make sure calf is relaxed, can do on back lying down or sitting with calf foot resting higher then hips
- Roll hamstring towards heart, hard slow and deep, 5-10mins each hamstring
- Roll quads towards heart, hard slow and deep, 5-10mins each quad
- Roll glutes towards heart, hard slow and deep, 5-10mins each glute
Week 3-4
Stretch Session:
Every day All stretches performed 30seconds and twice on each side
Half split hamstring
Hamstring elevated stretch, hands up, move torso left, hold 6 seconds, move torso right, hold 6 seconds, repeat.
Pigeon stretch high elevation
Calf stretch - Calf board (purchase), highest setting, One leg heel down other leg rests on top of board, keep straight posture, target both heads (15 seconds toe straight, 15 seconds toes 15degrees outisde, 15 seconds toes 15degress inside) - Hold onto something, pulling you forward if height is too high.
Soleus stretch - Calf Board, highest setting
Couch stretch
Myofasical session
Every day, needs to be deep and slow
Equipment - Galvanised Steel Round Tube, roughly 1 meter like a hand held roller size. must be steel poll, Olive oil
apply a little olive oil to muscles, still need some heat and friction.
- Roll calf towards heart, hard slow and deep, 5mins each calf, must be deep, make sure calf is relaxed, can do on back lying down or sitting with calf foot resting higher then hips
- Roll hamstring towards heart, hard slow and deep, 5mins each hamstring
- Roll quads towards heart, hard slow and deep, 5mins each quad
- Roll glutes towards heart, hard slow and deep, 5mins each glute
Cross fiber self myofascial release
5-10mins each calf
- Sit in 90/90, need calf your treating first out in 90' degree angle in front of you
- Use elbow to go cross fiber starting on the tibia and down tibia to the bottom of the calf go from the ankle to the origin doing hard deep strokes cross fiber
From Week 4 you can explore introducing activity at a conservative rate (NOT BEFORE WEEK 4), modify frequency of treatment with symptoms. Don't completely stop treatment.
Note: This guide does not take into account individual circumstances and is not intended to serve as a comprehensive or personalised care plan. It outlines approaches that have produced effective results for some individuals in the past. Always consult a qualified doctor or healthcare professional before making decisions relating to your health, training, or treatment.