What condition is suggested by the symptoms of pain and tingling between the first and second toes after running?

• A. Medial tibial stress syndrome
• B. Shin splints
• C. Exertional compartment syndrome
• D. Achilles tendonitis

Answer: (C)

The symptoms of pain and tingling between the first and second toes after running are indicative of exertional compartment syndrome. This condition arises when there is increased pressure within a muscle compartment, often due to physical exertion, which can compress nerves and blood vessels. The tingling sensation between the toes suggests nerve involvement, which aligns with the characteristics of this syndrome.

During running, particularly in activities that involve repetitive muscle contractions and increased swelling in the muscle compartments of the lower leg, symptoms may present as pain and neurological symptoms due to nerve compression. In this case, the location of the tingling—between the toes—can be related to the deep peroneal nerve's pathway in the lower leg, which can be affected when pressure builds up in the anterior compartment.

Medial tibial stress syndrome and shin splints primarily cause localized pain along the tibia but do not typically involve tingling sensations or pain between the toes. Similarly, Achilles tendonitis primarily affects the heel and the back of the ankle, which is not relevant to the symptoms described.