Creatine seems to just sit in your forearms for some reason, Its not just me that has this problem most every rider knows to stay away from Creatine. There are a few Riders that have problems with arm pump with Winstrol but not as many with Creatine.strange but true. Plus if it gets real bad you can have a surgery to open up the blood flow to your forearms.
The steroids don’t cause the arm pump, Let me re-phrase that. If you have arm pump (witch 80% of all Motocrosses do) Creatine and some steroids can make it worst. Arm pump ranges in severity from slightly annoying to completely debilitating.
Arm pump is academically known as chronic exertional compartment syndrome (CECS). At its most basic: arm pump is the failure of blood to leave your forearm fast enough. New blood is constantly coming into your forearm, and if the old blood is not removed, backpressure builds up. The forearm compartment is not elastic, so when the pressure does build up, other structures such as nerves and muscles get compressed and lose their ability to function properly. (Picture stepping on a garden hose….) This compression of important structures is what causes the loss of sensation and inability to contract your muscles.
Pro riders have sometimes taken drastic measures to reduce the pressure that causes arm pump. Fasciotomy is a surgery that releases the compartment that houses the muscle, blood vessels and nerves. Little research exists regarding the effectiveness of surgical fascial release for chronic exertional compartment syndrome; however, conservative estimates place its effectiveness at just over 50%, meaning that nearly every other rider who gets this procedure done has no noticeable improvement. (Also note that surgery is very successful and in fact necessary for acute compartment syndromes).