Which intervention is NOT effective for treating chronic compartment syndrome?

In the context of chronic compartment syndrome, the effectiveness of various interventions can significantly differ based on the underlying pathology of the condition. Chronic compartment syndrome occurs when there is increased pressure within a muscle compartment that leads to pain and dysfunction, typically provoked by exercise.

Applying ice to the affected area is generally not effective in treating chronic compartment syndrome. While icing can temporarily reduce swelling and alleviate pain in some acute injuries, it does not address the underlying issue of elevated compartment pressures or the mechanical factors that contribute to the syndrome during physical activity. The underlying problem is not inflammation or acute swelling that can be alleviated through ice application, but rather an anatomical restriction within the fascial compartments concerning muscle and nerve function.

On the other hand, modifying exercises and increasing rest periods can help manage symptoms by reducing the frequency and intensity of activity that triggers the syndrome. These approaches aim to minimize pressure buildup during activities. Surgical fasciotomy is often the definitive treatment for chronic compartment syndrome when conservative measures fail, as it directly alleviates the pressure within the compartment.

Therefore, applying ice to the area does not effectively manage chronic compartment syndrome, making it the least appropriate intervention compared to others listed.