Iliotibial Band Syndrome: Myotherapy treatment and management.

Iliotibial Band Syndrome: Myotherapy treatment and management.

ITB Syndrome is a common pain complaint involving irritation of the lower part of the Illiotibial Band (ITB) where it attaches onto the outer aspect of the knee. This is a long tendon like structure between our hip and knee. In most cases this injury is seen in distance runners, cyclists or triathletes and occurs because of impingement between the ITB and lateral knee bony structures as the knee bends and extends, resulting in an inflammatory response. R Baker et al 2011 states there can be a point of impingement during weight bearing just after heel strike and where the knee is bent at a 30 degree angle, where irritation is likely to occur. Contributing factors to the development of ITB Syndrome include over training or incorrect overload, technique errors, strength imbalances, poor flexibility, incorrect footwear and even the surface being run on. J Aderem et al (2015) includes Predisposing factors to developing ITB syndrome are Postural imbalances most notably people who an increase in hip adduction (where the thigh bone moves closer to the centre line of the body in combination with increased inward rotation of the thigh bone while standing.

Myotherapy Treatment

ITB syndrome pain can be treated with manual therapy and massage to release tight muscles as well as, different types of stretching or sports taping can also be effective forms of treatment.

Management in the early phase of injury will be adopting the RICE (Rest, Ice, Compression, Elevation,) principle. Referral to other appropriate health professionals may be needed to improve treatment outcomes. In middle to later stages treatment includes, giving stretching exercises for tight muscles and then correcting strength and biomechanical imbalances using correcting exercises to strengthen hip, core and lower leg imbalances. Other management includes addressing over training problems, self-massage using a foam roller, and review of footwear and surfaces being run on.

If you’re noticing any outer knee soreness after running or if there is a gradual increase in soreness during a run the ITB may be the issue. To help prevent injury make sure you warm up properly and do stretching after running.

References

J, Aderem, Q, Louw (2015) Biomechanical risk factors associated with iliotibial band syndrome in runners: systemic review. BMC Musculoskeltal Disorders 16:365.

R, Baker, R, Souza (2011) Iliotibial Band Syndrome: Soft Tissue and Biomechanical Factors in Evaluation and Treatment. the American Academy of Physical Medicine and Rehabilitation Vol. 3, 550-561,

Bahr, R. Maehlum, S. (2004) Clinical guide to sports injuries. Chanmpain, Human Kinetics.

Author: Mark Kelly

Registered Myotherapist and Exercise Professional at Move Muscle Training.

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