I have obtained consent from her orthopedic surgeon and physical therapist; the PT suggested slow progression into plyometrics. I have been researching the topic, and have not found any particular guidelines. She is 6 months post-surgery, and is still having some symptoms in the left leg; such as tingling and numbness. I have reinforced the stretches/foam rolling prescribed by her PT, and proper hydration. Thank you for your feedback!
Assuming the surgery was a success. There will still be some inflammation and edema in the medial tibial crest. Elevate the leg as much as possible. As Daniel says ROM should be utilized. Also take into consideration that a muscle imbalance could now occur with the calf in this type of injury. improper footwear could complicate this problem. I have used isometric movements with tolerable pressure as indicated by client. Being a female as indicated, I would have her PT make sure her legs are the same length. Extra pressure can occur because of this. I have always treated all the muscles of the extremity that had surgery. To only treat the injury can cause the balance of the synergistic muscles to be altered which may hinder recovery. Of course talk to PT with a new plan of treatment.
It depends on the severity and outcome of the episode(s) of compartment syndrome. I would certainly ask the PT for more specific descriptions of the types of exercises and movements, as well as the appropriate recommendations for overload and frequency, that are included in the recommendation for a “slow progression to plyometrics.” Further, should the plyometrics be bodyweight overload or with external resistance?
In addition, I would include flexibility exercises to achieve and maintain ~20 degrees of dorsiflexion past neutral ankle, and ‘lots’ of ankle rolls and other ankle ROM movements.