Health & Fitness: IT Band Syndrome a major pain for runners

col-lieslliotibial (IT) band syndrome is a common overuse injury experienced by runners and active adults. It typically presents as a painful area on the outside of the knee that can be tender to touch and often increases in pain with activity. The IT band begins along the hip crest where the tensor fasciae latae and gluteus maximus muscles join to form this tendinous band. The band then tracks over the hip, down the outside of the leg, crosses the knee joint and inserts just past the knee joint line on the outside of the lower leg. Dysfunction of this IT band often arises from poor biomechanics during repetitive activities such as running, cycling, etc for various reasons such as muscle imbalances and/or leg length discrepancies.

One example of poor biomechanics that can contribute to IT band syndrome is described as a valgus knee position that people sometimes experience during the weight bearing phase of running. This valgus angle describes a position of the knee that is more medial (or towards the midline of the body) than the hip and foot during weight bearing. This position of the knee relative to the hip during repetitive activities such as running causes significant stress and strain to the IT band. This strain multiplied by the thousands of times that individuals will take a step can lead to undue muscle tension and tightness, known as myofascial restrictions. These myofascial restrictions present as palpable taught muscle bands or even knots known as trigger points that can also be tender to touch. They can occur anywhere along the length of the IT band and cause tension and tightness resulting in strain, inflammation and pain where the tendon inserts into the bone just past the knee.

Once an individual develops symptoms related to IT band syndrome, it is helpful to see a Physical Therapist for evaluation to decipher what might be their specific impairment leading to poor biomechanics and this particular overuse injury.  One common cause of the valgus knee position during weight bearing is weakness present in the muscles located on the outside of the hip. When these muscles function properly, they aid in maintaining a neutral knee position while an individual weight bears on one leg. If there is weakness present, these muscles will stretch and allow the knee to translate medially (or towards the midline of the body) leading to the valgus knee position.
Another cause of this valgus knee position can be located on the opposite end of the chain, the foot. If a person has more of an unstable foot, where the arch collapses during weight bearing, this causes the lower leg, and thus the knee, to translate into the valgus leg position when bearing weight on one leg.  If either or these factors are found to be causes in the case of an individuals IT band syndrome, the physical therapist can direct the individual with appropriate exercises to help strengthen and stabilize where necessary to reduce strain on the knee.

In addition to addressing the biomechanical causes related to muscle imbalances, it is imperative to address the myofascial restrictions present in the IT band in order to increase soft tissue extensibility, reduce inflammation, and decrease pain. Soft tissue restrictions will be addressed through various techniques such as foam rolling, soft tissue massage, and/or dry needling as well as therapist instructed stretches to most appropriately address the individual’s restrictions. Dry needling is a procedure where fine gauge solid filament needles are inserted into the symptomatic tissue in order to stimulate the body’s natural response of healing and to release or deactivate active trigger points. Dry needling is now being offered at all of our Professional Rehabilitation Services Offices.

If an individual suspects they have symptoms related to IT band pain syndrome, they would benefit from being evaluated by a physical therapist to decipher their specific impairments contributing to the dysfunction. Then, through soft tissue technique and the instruction of proper exercise, they can eliminate their current pain symptoms as well as learn appropriate exercises to maintain in order to ensure their symptoms do not return as they return to their sport and continue to lead an active lifestyle.

Comments

comments

Chiefs stumble at Stags, suffer first loss of season

Chiefs stumble at Stags, suffer first loss of season North Myrtle Beach's record-setting season came to an end Friday [more]

Chants land in Bahamas with hot hand for hoops

Chants land in Bahamas with hot hand for hoopsFour players reached double digits for Coastal Carolina in the [more]

Gamecocks bounce back, blow out UTEP in Conway

Gamecocks bounce back, blow out UTEP in ConwaySouth Carolina's debut in the Puerto Rico Classic at the [more]

Beach Ball Classic lineup has big names, top teams

Beach Ball Classic lineup has big names, top teamsThe 2017 Beach Ball Classic announced its schedule for the [more]

Coastal shuts out Mercer, advances to face Clemson

Coastal shuts out Mercer, advances to face ClemsonFrantzdy Pierrot teamed up with Martin Melchor to give the [more]

Chants go west in quest for first Sun Belt victory

Chants go west in quest for first Sun Belt victoryThe Coastal Carolina football team (1-9, 0-6 Sun Belt) will [more]

Redbirds top Gamecocks in opener of PR Tip-Off

Redbirds top Gamecocks in opener of PR Tip-OffThe South Carolina men's basketball team has home court of [more]

CCU men, women suffer narrow six-point losses

CCU men, women suffer narrow six-point lossesJaylen Shaw scored 17 points, but it was not enough [more]

CCU nets honors, enters SBC tourney as top seed

CCU nets honors, enters SBC tourney as top seedThe Sun Belt Conference announced its final weekly volleyball awards [more]

Chants win Sun Belt title, face Mercer in NCAA tilt

Chants win Sun Belt title, face Mercer in NCAA tiltCoastal Carolina men's soccer team gathered in the athletics field [more]

Golf: SJ's White inks deal; CF's Spencer closes strong

Golf: SJ's White inks deal; CF's Spencer closes strongSt. James High golfer Jordan White made her first hole-in-one [more]

Gamecocks invade Strand to compete in PR Tip-Off

Gamecocks invade Strand to compete in PR Tip-OffFresh off its first Final Four appearance, South Carolina travels [more]

Riptides Racing swimmers dive in for rare double dip

Riptides Racing swimmers dive in for rare double dipRiptides Racing team had a busy weekend with two squads [more]

Youth Soccer: BUFC, Coast claim four championships

Youth Soccer: BUFC, Coast claim four championshipsSixteen Coast  FA teams entered the Adidas Clash in Greensboro, [more]

CCU volleyball captures Sun Belt title, No. 1 seed

CCU volleyball captures Sun Belt title, No. 1 seedThe Coastal Carolina volleyball team clinched the number one overall [more]

CCU suffers ninth straight defeat to big-play Trojans

CCU suffers ninth straight defeat to big-play TrojansMarcus Jones returned the opening kickoff 91 yards for a [more]

Late goal lifts Chanticleers into Sun Belt tourney final

Late goal lifts Chanticleers into Sun Belt tourney finalFrandzty Pierrott scored the winning goal in the 82nd minute [more]

NMB holds off Crestwood, goes to Lower State semis

NMB holds off Crestwood, goes to Lower State semisThe North Myrtle Beach High had to battle to keep [more]

Seahawks stunned on final play by Lower Richland

Seahawks stunned on final play by Lower RichlandShocking! That's the only word to describe Myrtle Beach's heartbreaking [more]

Class 5A: Tigers, Panthers defeated in second round

Class 5A: Tigers, Panthers defeated in second roundThis looked like it could be the year for Conway [more]

CCU men, women open seasons with big victories

CCU men, women open seasons with big victoriesCoastal Carolina University started the 2017-18 season in strong fashion [more]

Local trio of girls golfers playing in North-South

Local trio of girls golfers playing in North-SouthA trio of Horry County senior golfers are closing out [more]

Playoff Previews & Picks: Catch fire when it counts

Playoff Previews & Picks: Catch fire when it countsIt's not how you start, but how you finish. That [more]

CCU baseball announces 'ambitious' 2018 schedule

CCU baseball announces 'ambitious' 2018 scheduleHome games versus eight 2017 NCAA Regional teams and facing [more]

Carolina Forest, St. James top local list of signees

Carolina Forest, St. James top local list of signeesCarolina Forest and St. James had four student-athletes sign college [more]

Chiefs stumble at Stags, suffer first loss of season

Chiefs stumble at Stags, suffer first loss of season North Myrtle Beach's record-setting season came to an end Friday [more]

Chants land in Bahamas with hot hand for hoops

Chants land in Bahamas with hot hand for hoopsFour players reached double digits for Coastal Carolina in the [more]

Comments are closed.

© 2017 Grand Strand Sports Report · RSS
Myrtle Beach Web Design
Kayaking in Myrtle Beach