#1 in Surfski News and Reviews2026-07-21T11:02:44-04:00
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Latest News

The difference between flatwater paddling and downwinding isn't subtle. Grinding a flat stretch is the opposite: all work and no rest, every foot of distance earned stroke by stroke with nothing free about it.  Catching a wave takes a handful of hard strokes, sometimes just one, and then the boat rides [...]

Chronic Exertional Compartment Syndrome: This is a temporary numbing or paralysis of one of the big muscles (most common in the calf muscle) caused by the constriction of the fascia (the membrane surrounding the muscle) when it is insufficiently flexible, or too small, to expand as the muscle enlarges with blood supply under heavy and repetitive exercise. This leads to a pressure increase causing a restriction of blood supply which then leads in turn to "asphyxiation" of the muscle (similar to a heart attack).

It is completely different to Carpal Tunnel Syndrome in which the pain, numbing or tingling in the wrist and hand is caused by pressure on the median nerve (unrelated to blood supply).

Clinical Assessment: Normally it is done by measuring the pre and post exercise pressure in the compartment but the specialist needles required for this have not been available in South Africa for quite some time now. The proxy method used was a Doppler ultrasound measuring speed of blood flow pre and post intense exercise. In my case the blood supply to the upper/outer forearm compartment increased as expected but the supply to the lower/inner compartment (where I have my problem) decreased by approx. 30% and the size of the R forearm swelled, (relative to that of the L which had also been subjected to exercise) by 9mm. 

Whilst I have the condition in both my forearms, it is much worse in my R arm, and I will elect to have the surgery on this one only (at least initially).

I have tried “all therapies under the sun”. The last resort is surgery which involves the longitudinal slicing of the entire fascia. Hold thumbs !

Chronic Exertional Compartment Syndrome: This is a temporary numbing or paralysis of one of the big muscles (most common in the calf muscle) caused by the constriction of the fascia (the membrane surrounding the muscle) when it is insufficiently flexible, or too small, to expand as the muscle enlarges with blood supply under heavy and repetitive exercise. This leads to a pressure increase causing a restriction of blood supply which then leads in turn to "asphyxiation" of the muscle (similar to a heart attack).

It is completely different to Carpal Tunnel Syndrome in which the pain, numbing or tingling in the wrist and hand is caused by pressure on the median nerve (unrelated to blood supply).

Clinical Assessment: Normally it is done by measuring the pre and post exercise pressure in the compartment but the specialist needles required for this have not been available in South Africa for quite some time now. The proxy method used was a Doppler ultrasound measuring speed of blood flow pre and post intense exercise. In my case the blood supply to the upper/outer forearm compartment increased as expected but the supply to the lower/inner compartment (where I have my problem) decreased by approx. 30% and the size of the R forearm swelled, (relative to that of the L which had also been subjected to exercise) by 9mm.

Whilst I have the condition in both my forearms, it is much worse in my R arm, and I will elect to have the surgery on this one only (at least initially).

I have tried “all therapies under the sun”. The last resort is surgery which involves the longitudinal slicing of the entire fascia. Hold thumbs !

20 7

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