Medifit Active Rehabilitation Center [mkd_accordion style=”toggle”][mkd_accordion_tab icon_pack=”” title=”What is Iliotibial band syndrome (ITB)?”]
Iliotibial syndrome band (IT band syndrome or ITBS) is pain and tenderness in the knee joint and outer thigh area. Iliotibial syndrome band (ITBS) is the most common cause of lateral knee and thigh pain in runners and cyclists.
[/mkd_accordion_tab][/mkd_accordion][mkd_accordion style=”toggle”][mkd_accordion_tab icon_pack=”” title=”What is the anatomy of Iliotibial band syndrome (ITB)?”]
Iliotibial band (ITB) The ITB is a connective tissue that runs along the outer side of the thigh, from the hip to the shin. It is an extension of the tensor fascia lata muscle. The ITB plays a crucial role in maintaining the stability of the hip and the outer side of the knee. It assists in knee straightening, leg extension, and external pelvic rotation.
[/mkd_accordion_tab][/mkd_accordion][mkd_accordion style=”toggle”][mkd_accordion_tab icon_pack=”” title=”What causes Iliotibial band syndrome (ITB)?”]
ITBS is caused by excessive use of bending and straightening movements of the knee joint which causes friction (friction) between the ITB and the prominence of the thigh bone (lateral epicondyle of the femur). In addition, the ITB is clamped against the prominence of the thigh when the knee is bent 20-30 degrees.o. Weakness of the gluteal muscles also increases the risk of ITBS.
[/mkd_accordion_tab][/mkd_accordion][mkd_accordion style=”toggle”][mkd_accordion_tab icon_pack=”” title=”What are the risk factors for Iliotibial band syndrome (ITB)?”]
The risk factors for ITBS are multifactorial, and the underlying pathology remains poorly understood. Anatomical abnormalities such as bow-leggedness, weak gluteal muscles, or leg length discrepancies can cause ITB strain. Environmental factors such as sloping, uneven, winding, or uphill road surfaces are also thought to increase the incidence of ITBS.
[/mkd_accordion_tab][/mkd_accordion][mkd_accordion style=”toggle”][mkd_accordion_tab icon_pack=”” title=”What are the Signs and Symptoms of Iliotibial band syndrome (ITB)?”]
- Stabbing or sharp pain in the outer thigh and knee area
- Sometimes swelling appears along the outer side of the thigh to the hip or below the knee.
[/mkd_accordion_tab][/mkd_accordion][mkd_accordion style=”toggle”][mkd_accordion_tab icon_pack=”” title=”How is Iliotibial band syndrome (ITB) diagnosed?”]
A diagnosis of ITBS can be made through a history and physical examination. Patients typically complain of pain on the outer side of the knee, especially during knee flexion movements such as kneeling or squatting. Radiological examination is usually not necessary to confirm the diagnosis of ITBS. A knee X-ray is performed if a femur fracture is suspected.
[/mkd_accordion_tab][/mkd_accordion][mkd_accordion style=”toggle”][mkd_accordion_tab icon_pack=”” title=”How to treat Iliotibial band syndrome (ITB)?”]
Management of ITBS to reduce pain and inflammation can be done with conservative therapy such as RICE, NSAID, taping, corticosteroid injection, ITB massage with foam rolling or by using therapy dry needling. Stretching (stretching) on the tensor fascia lata, gluteus maximus, and gluteus medius can improve ITBS symptoms. Physical exercise aims to normalize joint range of motion, strengthen lower extremity muscles, especially the external hip rotators and abductors, and improve cardiopulmonary fitness. Surgical ITB release therapy is indicated if conservative therapy fails to improve the patient's complaints and symptoms.
[/mkd_accordion_tab][/mkd_accordion][mkd_accordion style=”toggle”][mkd_accordion_tab icon_pack=”” title=”How to prevent Iliotibial band syndrome (ITB)?”]
- Do the correct physical exercise techniques, namely warming up, stretching and cooling down.
- Frequently stretch the iliotibial connective tissue area, pelvic muscles, thigh muscles, and gluteal muscles.
- Don't increase your running mileage by more than 101 minutes per week. Always take a day off between your workouts.
- Choose shoes that fit well when running because uncomfortable shoes will cause and worsen ITBS symptoms.
- Consider alternating your running training with other types of exercise to balance your body's strength (e.g. swimming).
- Choose flat terrain when running practice.
- Try the backward running method to correct muscle imbalances and reduce stress on your knees.
- Consult a doctor regarding the possibility of using assistive devices. orthotics.
[/mkd_accordion_tab][/mkd_accordion][mkd_accordion style=”toggle”][mkd_accordion_tab icon_pack=”” title=”Source”]
- Brukner, Peter; Khan K. Clinical sports medicine. 3rd ed. Clinical Sports Medicine. McGRAW-HILL; 2014. 9 p.
- Aderem J, Louw QA. Biomechanical risk factors associated with iliotibial band syndrome in runners : a systematic review. BMC Musculoskelet Disord. 2015;(16):1–16.
- Flynn SH, Medical O, Hospital G. Iliotibial band syndrome: a common source of knee pain. Ame Fam Physician. 2005;71(8):1545–50.
[/mkd_accordion_tab][/mkd_accordion]