While the articles were inconsistent regarding the treatment of itbs, hipknee coordination and running style appear to be key factors in the. Cross one leg in front of the other leg and lean in the opposite direction from the front leg. Based on dissections of 1 orangutan, 3 chimpanzees, 1 gorilla, 1 bear, and other 4legged. It accounts for up to 12% of running injuries and up to 24% of cycling injuries. Ten studies met the inclusion criteria by focusing on the athletic population in their discussion of the. Several etiologies have been proposed for iliotibial band syndrome, including friction of. The functional anatomy of the iliotibial band during flexion and extension of the knee. Nonsurgical treatments are usually successful in treating it band syndrome. Evidence based treatment for iliotibial band friction syndrome. Here we go into how to treat it, causes, how to avoid, and exercises and stretches for strengthening. The most commonly recommended treatment is the use of a foam roller to reduce it band tension. It is frequently related to hip weakness and instability standing on one leg. The iliotibial band is a thick band of fascia on the lateral aspect of the knee, extending from the outside of the pelvis, over the hip and knee, and inserting just below the knee.
Iliotibial band syndrome itbs riverside physical therapy. Iliotibial band syndrome itbs is an overuse injury that affects nearly 22% of. Iliotibial band itb syndrome itbs is the most femoral condyle lfc. Runners predisposed to this injury are typically in a phase of overtraining and often have underlying weakness of the hip abductor muscle. Pdf iliotibial band syndrome in runners researchgate. Iliotibial band syndrome is also known as runners knee, it band syndrome itbs or itbfs. Iliotibial band syndrome in runners semantic scholar. In order to facilitate the evidencebased management of itbs in runners, more needs to be learned about the aetiology, diagnosis and treatment of this injury. Gillettea a department of health and human performance, iowa state university, ia, united states. It is an overuse injury that results from repetitive friction of the iliotibial band itb over the lateral femoral epicondyle. Iliotibial band syndrome itbs is one of the most common causes of knee pain, particularly in individuals involved in endurance sports. It is usually seen in runners and typically causes pain at the outer aspect of the knee where the iliotibial band itb crosses the knee joint. It band syndrome itbs is the result of the large band that runs from your pelvis to your shin getting too. The influence of iliotibial band syndrome history on running biomechanics examined via principal components analysis.
Cross one leg over the other into a figure 4 position. Longterm treatments, including gait retraining to increase running. The real cause of iliotibial band syndrome performax health group. The iliotibial band is a piece of fascia, which acts as a stabiliser on the outside of the knee and attaches into muscles surrounding the hips.
Iliotibial band syndrome aka ibs is a pain in thewell, knee actually. It extends from the outside of your pelvis hip bone to the outside of your tibia shin bone. Iliotibial band syndrome is a painful condition of the knee caused when the iliotibial tendon becomes inflamed. Iliotibial band syndrome is caused by excessive friction of the iliotibial band and the underlying bursa due to repetitive kneebending activities. Researchers have previously described biomechanical factors associated with itbs. It can hit the beginner runner and elite runner alike. Iliotibial band syndrome itbs is an overuse injury caused by repetitive friction of the iliotibial band and the underlying bursa or lateral recess across the lateral femoral epicondyle.
Iliotibial band syndrome is a relatively common condition characterised by rubbing of the iliotibial band against a bony prominence at the outer aspect of the knee femoral epicondyle. Iliotibial band syndrome itbs is an overuse injury of the lateral knee that occurs primarily in runners and was first described in 1973. Iliotibial band syndrome history and exam bmj best practice. Iliotibial band itb syndrome is an overuse injury that results from constant friction of the itb over the lateral femoral epicondyle often seen in runners. Its usually felt as a pain on the outside of the knee, where the tight band of connective tissue known as the itb connects the knee. Competitive female runners with a history of iliotibial band syndrome demonstrate atypical hip and knee kinematics. Iliotibial band syndrome itbs is a common injury in runners and other. Iliotibial band syndrome strengthening exercises it band. Interestingly, women who are runners are more likely to develop iliotibial band syndrome.
Iliotibial band syndrome is an overuse injury of tissues of the outer thigh and knee, and its one of the most common injuries experienced by runners from all training backgrounds and fitness levels. It band syndrome, itb syndrome, or itbs is one of the most common overuse injuries among runners. The aggravating activity must be avoided in the acute phase. If the foam roller is initially too painful, utilize a thera band roller massager to perform the mobilization. Iliotibial band friction syndrome itbfs is an inflammatory, nontraumatic, overuse injury of the knee affecting predominantly longdistance runners.
Treatment recommendations can vary slightly depending on the severity of the pain. Also known as itb syndrome, or it band syndrome, this is a frustratingly painful overuse condition which sidelines many runners and cyclists. The purpose of this case report is to present the treatment outcomes in a runner with distal itbs utilizing running gait re. The first three can be started immediately after the injury. Treatment often focuses linea aspera femur from greater trochanter up to and on. Male runners may exhibit kinematic faults such as increased hip internal r. Background iliotibial band syndrome itbs is the most common cause of lateral knee pain in runners1. Iliotibial band syndrome history and exam bmj best. Each year, handfuls of runners, cyclists, and hikers are plagued with iliotibial band syndrome it band syndrome. Iliotibial band syndrome itbs is an overuse injury of the lateral knee.
Iliotibial band syndrome treatment by oakland chiropractor. Dec 23, 2012 iliotibial band syndrome itbs is the most common injury of the lateral side of the knee in runners, with an incidence estimated to be between 5% and 14%. Muscle performance factors and altered loading mechanics have been linked to a variety of lower extremity musculoskeletal disorders. Lower extremity mechanics of iliotibial band syndrome. Lower extremity injuries account for over 50% of injuries in college 1 and high school athletes 2, and among lower extremity injuries, the knee is one of the most commonly injured regions. The first method is to push your leg away from your head as shown. Iliotibial band syndrome itbs is an overuse injury.
Iliotibial band syndrome, or it band syndrome, is a painful condition that results from excessive tightness or inflammation in the it band. It is still possible to treat iliotibial band syndrome without properly identifying the causes, but this is akin to putting a bandaid on a bullet wound. Gillettea a department of health and human performance, iowa state university, ia, united states bdepartment of ecology, evolution, and organismal biology, iowa state university, ia, united states received 5 june 2006. Practical management of iliotibial band friction syndrome in. Slowly roll the massager back and forth along the entire length of the it band and lateral thigh. Iliotibial band syndrome itbs in runners run with strength. The aim of this study was to assess the effect of antipronation orthotic insoles on pain and hip and knee kinematics in runners with overpronation and iliotibial band syndrome. Iliotibial band syndrome references bmj best practice. The proximal iliotibial band syndrome is a painful hip condition that, although infrequent, needs to be correctly dealt with by general orthopedists. Often the deceleration of running down hills may lead to the excessive friction. Iliotibial band syndrome itbs pain on the outside part of the knee and one of the most common overuse injuries in runners.
Background iliotibial band syndrome itbs is the most common cause of. Each exercise listed after the first three should be. Hip abductor weakness in distance runners with iliotibial band syndrome. Iliotibial band syndrome itbs is a common injury associated with long distance running. It is an overuse injury that results from repetitive friction of the iliotibial band itb over the lateral femoral epicondyle, with biomechanical studies demonstrating a maximal zone of impingement at approximately 30 of knee flexion. Itbs develops as a result of inflammation of the bursa surrounding the itb and usually affects athletes who are involved in sports that require continuous running or repetitive knee flexion and extension. Iliotibial band syndrome itbs is the second most common cause of knee pain in runners and the most common cause of lateral knee pain. Proximally, the iliotibial band provides an insertion for the tensor fascia lata and gluteus maximus muscles. Illiotibial band syndrome protocol princeton university.
This is an overuse injury, although direct trauma to the outer knee may cause the bursa to get inflamed. Sep 18, 2018 iliotibial band itb syndrome itbs is the most common cause of lateral knee pain among athletes. The it band is a structure that basically connects your hip to your knee and lower leg. A foam roller is a hard foam cylinder that is about 6 inches in. Iliotibial band syndrome is a common injury, occurring in up to 12 percent of all runners. Oct 02, 20 iliotibial band syndrome itbs is a common injury in runners and other long distance athletes with the best management options not clearly established. Heres what causes it, how to treat it, and how to prevent it. Abstractiliotibial band syndrome itbs is the most common cause of lateral knee pain in runners. Iliotibial band syndrome itbs is the result of inflammation. Iliotibial band syndrome itbs is the most common injury of the lateral side of the knee in runners, with an incidence estimated to be between 5%.
The most common symptom is lateral knee pain caused by inflammation of the distal portion of the iliotibial band. Itb pain is common in runners but there is little guidance in the literature for treating this tricky injury. Do not roll it over the greater trochanter of the hip the boney part near your. This irritation or inflammation occurs when the iliotibial tendon rubs against the lateral femoral condyle. Iliotibial band syndrome is the most common cause of lateral knee pain in runners. Itbs, also known as runner s knee, happens when your iliotibial band itb becomes injured and causes pain.
Iliotibial band syndrome and running mechanics lower. A home exercise program that includes a flexibility and strength conditioning routine and modified training recommendations can aid in the treatment and prevention of further injury. Ten studies met the inclusion criteria by focusing on the athletic population in their. Iliotibial band syndrome treatment algorithm bmj best. Sat0603 an innovative treatment modality for acute iliotibial band. Reach the arm on the side of the back leg over your head while you do this. Pain develops where the iliotibial band itb courses over the lateral femoral epicondyle lfe, just proximal to the lateral joint line. However, it is a common misconception that iliotibial band syndrome will resolve by simply stretching the iliotibial band because the band is extremely tough and cannot. A frequent knee injury, especially among runners, is iliotibial band it band syndrome. Lower extremity mechanics of iliotibial band syndrome during an exhaustive run ross h. Iliotibial band syndrome is a common injury in runners. Itbs is a wellknown cause of lateral knee pain in endurance sports and particularly in longdistance runners. Downhill running tends to be tion, patients with itbs report pain on their.
Iliotibial band syndrome is a common condition that results in knee pain for many runners itbs is caused by an inflammation of the it band, which is connective tissue that runs along the outer. Sat0603 an innovative treatment modality for acute ilio. The iliotibial band is a long, thin, fibrous tissue running from your hip to the outside of your knee, but when it acts up, the only part that suffers is the outside edge of your knee. Iliotibial band syndrome is one of the leading causes of lateral knee pain in runners. This is the second of a twopart series by rich willy, pt, phd, on iliotibial band itb pain. Learn if you can run with it band syndrome, or whether you should stop. It band mobilization with thera band roller massager. Dr brad neal explains if its sensible to continue marathon training through iliotibial band syndrome. The real cause of iliotibial band syndrome by thomas michaud, dc iliotibial band syndrome is a common injury, occurring in up to 12 percent of all runners. Iliotibial band syndrome itbs is one of the most common injuries in endurance runners. It is a very common injury for runners to receive, and the pain is usually located around the knees. Iliotibial band syndrome exercises what you need to know.
What do i need to know about iliotibial band syndrome itbs. Once rangeofmotion and myofascial restrictions have been resolved, recovery and strengthening can be started. It is an overuse injury that results from repetitive friction of the iliotibial band itb over the lateral femoral epicondyle, with biomechanical studies demonstrating a maximal zone of impingement at approximately 30 degrees of knee flexion. Everything you need to know about it band syndrome including symptoms, prevention, solutions and exercises to relieve the pain. Its diagnosis should be suspected from the clinical picture, especially among women who are runners or obese elderly women, and should be confirmed by means of properly requested mri.
According to research, this injury accounts for about 10 percent of all running. If you feel pain on the outside of your knee, you might have iliotibial band syndrome. Iliotibial band syndrome itbs is the most common cause of lateral knee pain in runners. It is an overuse injury that results from repetitive friction of the iliotibial band itb over the. Iliotibial band syndrome itbs is the most common injury of the lateral side of the knee in runners, with an incidence estimated to be between 5% and 14%. Iliotibial band syndrome itbs is a common injury in runners and other long distance. This condition causes pain on the side of the knee and is most commonly caused by activities that involve a repetitive bending to the knee. Department of rehabilitation services physical therapy standard of care. Itbs is typically managed conservatively through physical therapy and temporary activity modification.
Okeeffe sa, hogan ba, eustace sj, syndrome in runners. This injury does not discriminate nor differentiate. It can be replaced with alternative activity, such as swimming using arms only. Initial treatment includes activity modification, nonsteroidal antiinflammatory medication, taping, stretching exercise and in severe cases, a corticosteroid. Lower extremity mechanics of iliotibial band syndrome during. Stretching at home is a method which can strengthen the muscles in the leg and can help to lessen the impact of the repetitive motions. Treatment recommended for all patients in selected patient group.
437 987 227 305 1136 1617 443 383 1340 803 928 247 1439 286 552 1593 211 792 164 69 175 1010 708 1377 902 460 811 315 951 1457 147 1207 1052