Which symptom typically appears first in compartment syndrome?

Pain is the first symptom to typically appear in compartment syndrome. This condition arises when there is increased pressure within a closed anatomical space, usually surrounding muscles, leading to compromised circulation and function. The pain associated with compartment syndrome is often severe and disproportionate to the injury or condition, serving as an early warning sign.

The initial pain may be exacerbated by movement or muscle use, making it a critical symptom for early recognition of the syndrome. As the condition progresses, other symptoms such as paresthesia (an abnormal sensation, like tingling), pallor (paleness of the skin), and paralysis may occur, but these typically follow the onset of pain. Understanding this sequence helps in timely diagnosis and intervention, which is crucial to prevent irreversible damage to the affected muscles and nerves.