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Body Scenes Gazette Jan/Mar 2005 Banner

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Iliotibial Band Syndrome
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ILIOTIBIAL BAND SYNDROME
By StephenQuestell RPTA
Advanced Physical Therapy Assoc.

Iiliotibial band syndromeWhat is iliotibial band syndrome? Iliotibial band syndrome is inflammation and pain on the outer side of the knee. The iliotibial band is a layer of connective tissue. It begins at a muscle near the outer side of your hip, travels down the outer side of your thigh, crosses the outer side of the knee, and attaches on the outer side of your shine bone (tibia).

How does it occur?

Iliotibial band syndrome occurs when this band repeatedly rubs over the bump of the thighbone (femur) near the knee, causing the band to be irritated. This most often occurs in running.

This condition can result from

Having a tight iliotibial band

Having tight muscles in your hip, pelvis, or leg

Your legs not being the same length

Running on sloped surfaces

Running in shoes that have a lot of wear on the outside of the heel

What are the symptoms?

Pain on the outer side of the knee

The symptom is pain on the outer side of the knee.

How is it diagnosed?

Your doctor or Physical Therapist can examine your knee and find tenderness where the band passes over the bump on the outer side of your knee. Your iliotibial band might be tight.

 

 

How is it treated?

Treatment includes the following

Place an ice pack over your iliotibial band for 15 to 20 minutes every 2 to 4 hours for 2 to 3 days or until the pain goes away

You can also do an ice massage. Massage your knee with ice by freezing water in a Styrofoam cup. Peel the top of the cup away to expose the ice and hold onto the bottom of the cup while you rub ice over your knee

Do the stretching exercises recommended by your physical therapist

Additional treatment may be required if the pain does not go away in 2 weeks. You will then need to go to physical therapy on a regular basis for about 2 to 4 weeks

While your knee is healing, you will need to change your work out and activities so the condition does not become worst.

When can I return to my regular activities?

You can return to your normal activities when you have been taught proper mechanic so this should not happen again or when you can:

Area of pain in iliotibial band syndromeFully straighten and bend your knee without pain

Your knee has gained normal strength compared to the unaffected one

You are able to jog straight ahead without limping

You are able to sprint straight ahead without limping

You are able to do 45 and 90 degree cuts

You are able to do 90 degree cuts

You are able to do 10 & 20 yard figure eight runs

You are able to jump on both legs without pain and especially jump on the effected leg without pain

How can I prevent iliotibial band syndrome?

By learning from your experience and following thru your home exercise program that will be given to you from your therapist.

 

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