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Adjustments of the low back, hip, knee and foot to free up joint motion.Specific deep tissue procedures to the muscles of the thigh and leg to free up soft tissue motion.Treatment of iliotibial band friction syndrome at Dr. For runners, cross training with swimming, biking and the elliptical machine will maintain aerobic capacity and help in the prevention of iliotibial band friction syndrome.Include a proper strength training program to improve stabilization of the knee joint.After a run, stretch and then ice the outside of the knee for 20 minutes.A semi-rigid orthotic may be useful for athletes who have excessively flat feet or high arches, both of which can increase the risk of developing iliotibial band friction syndrome.A heart rate monitor may be a useful training device. Training at higher intensities will lead to lactic acid production, which will fatigue the muscles and increase the chance of injury. Long training runs should be conducted at an aerobic capacity where you can talk and run at the same time. Marathon runners should alternate two pair of sneakers during their training program. Change sneakers every 250-400 miles, approximately every 3-4 months, when they have lost 40% of their shock absorbing abilities.The repetitive flexion and extension of the knee, combined with overstrain of the iliotibial band due to fatigued quadricep musculature, will predispose a runner to the development of iliotibial band friction syndrome. Downhill running will fatigue the quadricep musculature, muscles on the front of the thigh, which are the main stabilizers of the knee. Avoid adding many down hills to training runs.Avoid training on uneven surfaces, as the down leg would be predisposed to the development of iliotibial band friction syndrome.Repetitive flexion and extension of the knee will cause inflammation of the bursa and iliotibial band or irritation of the periosteum of the lateral femoral condyle, resulting in iliotibial band friction syndrome.Ĭhecklist for the Prevention of Iliotibial Band Friction Syndrome: A thin bursa, or a fluid filled sac, separates the iliotibial band from the lateral femoral condyle, acting to decrease friction between these neighboring structures. band causes the band to move forward over the lateral femoral condyle (Fig.
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Conversely, when the knee extends, tension on the I.T. band, causing it to be pulled backwards over the lateral femoral condyle (an outgrowth of the thigh bone on the outside of the knee) (Fig. When the knee flexes approximately 30 degrees, tension acts on the I.T. Iliotibial band friction syndrome can be explained by describing what goes on with the surrounding muscles when the knee flexes and extends. The gluteus maximus and tensor fascia lata muscles contract and increase tension on the iliotibial band, aiding in stabilization of the hip and knee joint. The gluteus maximus muscle (buttocks muscle) and the tensor fascia lata muscle (just outside the pelvis) attach to the back and front of the iliotibial band respectively (Fig.
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band travels from the outside of the hip, thigh, and knee, and inserts below the knee on a bump on the leg bone called Gerdy’s tubercle. (Fascia is a sheath-like tissue that surrounds muscles and muscle groups). It is a lateral thickening of the fascia that surrounds the thigh. band”) is located on the outside of the thigh. The iliotibial band (also called the “I.T. At this later stage of the injury, the speed and distance of the training runs are decreased because of extreme discomfort with flexion of the knee, and the intensity of the pain may eventually force the athlete to stop training. If training continues without proper treatment, the mild ache the outside of the knee may progress to an intense burning or stabbing sensation, which can then radiate to the outside of the thigh and calf. Typically this ache does not hinder training, and the discomfort disappears before the next training session. The first symptom of iliotibial band friction syndrome is a mild ache on the outside of the knee. Iliotibial band friction syndrome is a common knee injury afflicting athletes who participate in sports that involve repetitive flexion (knee bends) and extension (knee straightens out), such as cycling and running.