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Iliotibial Band Syndrome (Itbs)

Date post: 13-Jul-2015
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Iliotibial Band Syndrome Iliotibial Band Syndrome (ITBS) (ITBS) What is it? What is it? Diagnosis Diagnosis Treatment Treatment Prevention Prevention Stretches Stretches
  • Iliotibial Band Syndrome (ITBS)What is it?DiagnosisTreatmentPreventionStretches

  • Iliotibial Band

    A thickening of the fascia that runs up the outside (lateral) thigh Connects to 2 muscles at the hip (Gluteua Maximus and Tensor Fasciae Latea) and then down below the outside of the knee to the tibia (shin bone) The Primary function is to provide stability to the lateral knee while standing It helps to maintain hip extension in standing and hip/knee flexion in running and walking The IT-Band moves forward at the knee as the knee extends and slides backward at the knee as the knee flexes, but is tense in both positions


  • Iliotibial Band SyndromeITBS is an overuse injury that may be sustained by physically active people as a result of training errors, anatomical factors, or functional characteristics.

    Iliotibial Band Syndrome Jerry M. Linenger and Karen Maxwell Williams - NASA

  • CausesTraining ErrorsAnatomical FactorsDynamics

  • Training Errors

    Abruptly increasing running mileageRunning on uneven surfacesRunning on slippery surfacesRunning too many hillsImproperly using a varus wedgeVarus heel wedges can be used to reduce pronation and supination by angling heel bone either medially or laterally and when running.

  • Contributing Anatomical Factors Prominent lateral femoral epicondyleTight iliotibial bandExcessive genu varumHigh arch in footHigh Q angleRestricted range of motionDifference in leg lengths

  • DynamicsAbove-average maximal foot pronationHigh maximum velocity of pronation during support phaseExcessive intoeing during the support phase of the running stepExcessive rearfoot movement

  • DiagnosisRenne TestStand with all body weight on the affected leg. Stinging pain is felt on the lateral epicondyle when he or she flexes the knee approximately 30 degrees.Noble compression test Lay on your back and the affected knee flexed 90 degrees. Pressure is applied to the lateral femoral epicondyle as the patient extends the leg at the knee. Patients with ITBS experience stinging pain at approximately 30 degrees of flexion

  • TreatmentStage one involves resting the knee, stretching the band, applying ice, and taking anti-inflammatory drugs. Stage two includes a local steroid injection, phonophoresis, and podiatric evaluation. Stage three involves surgical intervention for refractory cases.

  • PreventionGaitThe stride should be as much inline with the direction of travel as possible, especially in longer distance workouts. Avoid uneven terrain.Avoid rapid rampup of training mileageThe intermediate runs between long runs are importantProper footwear Reduces lateral strain on the kneeStretch after warmup

  • StrechesThe Figure 4 StretchWhile StandingTake the affected leg and place your foot above the knee of the other legHold onto something for balanceSlowly sit bending your unaffected legThe Side IT Band Stretch

  • Stretcheshttp://crossroadsmedicalmission.org/education/ortho/patello-femoral.htmlUsing a foam roller, lie on your side with lateral hip on the foam roller.Roll back and forth to loosen up muscles on outside of the hip. http://www.therapeuticassociates.com/events/lower-quadrant-stretching-exercises/