ILIOTIBIAL BAND SYNDROME
WHAT IS IT?
The ilio tibial band runs from the hip to the lateral or outside of the top
end of the tibia. It's function is to resist internal rotation of the tibia as
well as to maintain the lateral integrity of the leg.
Ilio tibial band syndrome is a condition where the ilio tibial band is
stretched and torqued and the distal or farthest end of the band rubs across the
lateral condyle of the femur which is located at the knee joint.
Most people with this condition complain of pain on the lateral side of the
knee often extending up the outside of the thigh as high as the hip area.
HOW IS IT CAUSED?
Over stress of the ilio tibial band. During normal walking cycles, the femur
and the tibia rotate in unison. However, when a person over pronates or walks on
the arch of the foot (flat footed), the tibia is locked into what we call a
saddle joint and rubs across the outside of the femur at the knee joint which
causes the band to become stretched and put on a torque.
Since the problem is over pronation (poor or weak arches, flat footed), the
person should be fitted with orthotics to correct the counter rotation between
the femur and the tibia. One should also strengthen the arch of the foot by
performing various exercises. Please feel free to ask questions at APTA therapy
department in the gym.
One of the more frustrating injuries for a runner or anyone who is an avid
exercise individual involves a tendonitis of the knee specifically the ilio
tibial band. It hurts going up or down stairs, when you start up for a run or
vigorous activity (but usually subside as one continues the activity) until you
stop to get a drink, then attempt to start up again. It also hurts during
regular daily routines.
The standard treatment has been to rest, take anti-inflammatories,
stretching, and slowly ease back into your usual exercise routine or running.
Now
an addition to the treatment is the Patt-strap. This latest protocol is a very
snug band worn about 2 to 3 inches above the patella (kneecap). You may also
want to see a therapist to help alleviate the inflammation with ultrasound and
ice as well as ensure proper stretching techniques.
The key to returning to running or exercise is to terminate the activity when
you sense the knee getting stiff or tight.
You can't work through it, so don't even try!
Knowledge is prevention