Iliotibial Band Syndrome

Iliotibial Band Syndrome

What is Iliotibial Band Syndrome (ITB)?
The Iliotibial band is a band of strong tissue that begins on the outer side of the pelvis and attaches to the outer part of the knee.  The purpose of the band is to extend the knee joint (straightening it) as well as abducting the hip (moving it out sideways).  Excessive strain can lead to the tendon shorting which causes the band to rub on the knee cap and produces pain.  It is a classic overuse injury which comes on during running.
What are the symptoms of Iliotibial Band Syndrome?
Often a sharp or burning pain is felt over the outside of the knee during running.  It often begins at a set time or distance during a run.  The pain is usually worse when running downhill and the knee feels tender when walking downstairs.  Occasionally swelling may be present around the outside of the knee.
What are the causes of Iliotibial Band Syndrome?
Due to this being an overuse injury, factors such as; an increased mileage and a different running surface, can bring on the condition.  Muscle weakness may also be a factor that leads to a person suffering with the condition.  Significantly flat feet that cause a person’s feet and legs to roll inwards (pronate) can also predispose an individual to this condition.
What should I do if I have Iliotibial Band Syndrome?
It is imperative that the current running regime is reviewed and modified, it may be necessary to stop running for a certain period of time.  An assessment with a podiatrist and a physiotherapist is necessary to ensure the condition is managed correctly.
What shouldn’t I do if I have Iliotibial Band Syndrome?
If you have ITB syndrome, it may be harmful to continue running at the same pace.  It is also important not to ‘run through’ the pain.
Could there be any long term effects of Iliotibial Band Syndrome?
ITB syndrome often recurs unless the running regime is modified.  Stretching the ITB and applying cold therapy to the area can help prevent it from recurring.
Podiatry treatment for Iliotibial Band Syndrome
Orthotics (shoe inserts) can be provided by the podiatrist that are custom made for your feet.  These support the arch and help prevent the foot from collapsing inwards (pronating) quite as much and so the ITB is not being put under as much strain.  Advice will be given so as to modify the current running regime in terms of distance, mileage and running surface.

Telephone: 01257 263173

Email: info@parkviewchiropody.co.uk