Lab Studies:
CMP, Vitamin D, Magnesium, TSH, CPK, & CK-MB all WNL

Other Studies:
X-Ray bilateral lower extremities: No fracture or cortical defect <br>MRI of bilateral lower extremities (non-exertional): No signal abnormality, no bony, fascial, or soft tissue defects. <br>Compartment testing #1 (at rest): Right superficial 15mm Hg, right deep 14mm Hg, left superficial 13mm Hg, left deep 14mm Hg <br>Compartment testing #1 (post-exertional, performed at sub-symptom threshold): Right superficial 18mm Hg, right deep 14mm Hg, Left superficial 17mm Hg, Left deep 18mm Hg <br>Compartment testing #2 (at rest): Right anterior 39mm Hg, right lateral 22mm Hg, right deep posterior 22mm Hg, right superficial posterior 18mm Hg; Left anterior 24mm Hg, <br> left lateral 12mm Hg, left deep posterior 28mm Hg, left superficial posterior 24mm Hg <br>Compartment testing #2 (1 minute post-exertional): Right anterior 48mm Hg, right lateral 22mm Hg, right deep posterior 39mm Hg, right superficial posterior 18mm Hg; Left anterior 29mm Hg, left lateral 19mm Hg, left deep posterior 41mm Hg, left superficial posterior 24mm Hg

Consultations:
The patient was initially sent for an exertional MRI which was pre-arranged with an MSK-radiologist. On the day of the MRI this radiologist was not working and a resting MRI of bilateral lower extremities was performed (insurance would not approve an exertional MRI thereafter). <br> <br>The patient was initially sent to an orthopedic surgeon to perform exertional compartment testing (compartment testing #1). The patient was tested in only two compartments in both legs (notably excluding the patient's very tender anterior compartments) and was made to "jump up and down a few times" for exertional testing (this exertion did not elicit any symptoms from the patient). <br> <br>After conservative care was attempted for a period of five months the patient was sent to an orthopedic surgeon due to relapse of his symptoms. At this time he was sent to a primary care sports medicine physician who performed accurate compartment testing on the patient (compartment testing #2).

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