Do you know about - Iliotibial Band Syndrome - Exercises and treatment
Orthopedic Dr! Again, for I know. Ready to share new things that are useful. You and your friends.Iliotibial Band (It Band) Syndrome is a frustrating source of knee and hip pain for athletes, and is one of the most common causes of lateral knee pain in runners. Most cases of iliotibial band syndrome occur as the result of "too much, too soon" or poor biomechanics and can be prevented with these easy tips and listening to your body.
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Anatomy of the Iliotibial Band
The iliotibial band is a thick layer of tissue along the outer part of the leg that runs from the hip to the knee. Irritation can occur either in the hip or the covering part of the knee as the iliotibial band rubs across the greater trochanter and the lateral epicondyle of the femur.
Iliotibial Band Syndrome Symptoms
Symptoms of iliotibial band syndrome contain pain at the covering part of the knee that is worse when bending or extending the knee, such as during running or cycling Other symptoms contain pain on the covering part of the hip over the greater trochanter.
Causes of Iliotibial Band Syndrome
Tightness in the iliotibial band is a common cause. Weakness in the muscles colse to the hip and buttocks (gluteus muscles) can cause immoderate hip and leg rotation, resulting in increased stress on the iliotibial band. Other factors that can lead to It band syndrome contain running on a sloped covering such as the beach or road and immoderate pronation or rolling in of the foot.
Iliotibial Band Syndrome Prevention
Iliotibial band syndrome can be prevented by avoiding overtraining, allowing for enough saving and rest, following a regular stretching and strengthening program and selecting allowable running shoes for your running style.
Treatment of Iliotibial Band Syndrome
Ice massage to the painful area for 10 to 15 minutes after workouts can decrease the pain. For acute injuries (less than 2 weeks) anti-inflammatory medications such as ibuprofen (Motrin or Advil) or naproxen (Aleve or Naprosyn) can help with pain and irritation. In continuing injuries there is less inflammation of the tissue, therefor acetaminophen (Tylenol) may be more appropriate.
Iliotibial Band Stretches
Stretching of the iliotibial band is an leading component of allowable recovery if the band is tight. One easy stretch is to stand and cross your injured leg behind your uninjured leg and bend over to touch your toes. A more industrialized version of this practice is to then extend the arms overhead and gradually reach to the opposite side (for the right It band, extend the arms to the left) and then continue the stretch as the arms reach for the floor. As you achieve this exercise, you should feel the stretch in the side and back on the hip. If you contact pain or muscle spasm then reduce the motion during the stretch.
The seated It band stretch is performed while sitting on the floor with the legs out straight. Bending at the hip and knee, take the injured leg and cross it over the uninjured leg. Twist the upper body towards the injured side to continue the stretch. An alternative formula is to gradually extend the knee and leg of the tight It band to increase the stretch.
Seated Iliotibial Band Stretch
The"Figure-4' stretch is an practice that can be done while seated at a desk. While seated, cross the ankle of the injured leg on top of the opposite knee. The stretch can be extended by either lightly pushing the flexed knee down towards the floor or by leaning forward at the waist and allowing your body weight to increase the stretch. Hold the stretch for 5 to 10 seconds and then gradually relax.
Foam Roller Stretch
A foam roller is a great tool to break up scar tissue and help with myofascial release of the iliotibial band. The stretch is performed by rolling the injured leg back and forth across the foam roller. Focus on the hip and covering part of the thigh. The practice can be done daily for several minutes. Try the rolling with the knee level and the knee flexed. gradually increase the estimate of time each week.
Strength Exercises for Iliotibal Band Syndrome
Strengthening the gluteus muscles is also leading in iliotibial band syndrome. Step lunges and leg squats can help increase gluteal muscle strength and are preclude immoderate hip internal rotation and added stress across the knee and iliotibial band. For athletes that are trying to rehab from It band syndrome, a gradual advent to strength training of the gluteal muscles is recommended.
Side Leg Lifts
Side leg lifts focus on strengthening the lateral gluteal muscles as well as teaching the athlete the definite muscles to focus on. Side leg lifts are performed lying on the side, with the injured leg on top. Keeping the hip and knee straight, gradually lift the top foot twelve to twenty-four inches directly above the lowest foot.
Hold the position for 5 to 10 seconds and gradually return the leg to the beginning position. Focus on using the gluteal muscles and not the lateral thigh muscles to lift the leg. Repeat this practice 5 to 10 times in sets of 2 or 3.
Hip Hitches (Pelvic Drop) Exercises
Hip hitches or pelvic drop exercises are someone else formula of improving gluteal muscle strength. Stand on a step or elevated platform with the injured leg. The unaffected side should hang off the edge of the step. gradually relax your hips and the pelvis should tilt down towards the unaffected leg as the foot lowers. Integrate on contracting the gluteal (buttock) muscles on the standing leg and bring the hips back to a level position.
Wallbangers
Wallbangers help contribute someone else formula of improving gluteal muscle strength. Stand perpendicular and one to two feet away from the wall with the injured hip towards the wall. With arms extended out in front, gradually drop and twist away from the wall until the hip lightly contacts the wall. Don't hold this position - return to the beginning position. As you achieve this exercise, you should feel the gluteal muscles in the hip closest to the wall ageement as you return to the upright position.
Frontal Plane Lunges
Frontal plane lunges are someone else easy practice that increase gluteal muscle strength. Standing with the feet shoulder-width apart, gradually step to the right and lower the body into a squat position. Shift the body weight from the left to the right leg and rise from the squat position as you bring the left leg back underneath your body. Repeat the practice in the opposite direction by stepping to the left and repeating the above steps.
Sample practice Program
Week 1
Every day - Stretching exercises - Once daily for total of 5 to 10 minutes in each session. Ice as needed after stretching. Days 1, 3 and 5 - strength exercises - start with 8 to 10 repetitions and one or two sets. Focus upon allowable form.
Week 2
Everyday - Stretching exercises - Twice daily for total of 5 to 10 minutes in each session. Ice as needed after stretching. Days 1, 2,4 and 5 - strength exercises - start with 10 to 12 repetitions and two to three sets. Continue to focus upon allowable form.
Key Points to Remember for Iliotibial Band Syndrome
There are several key points to remember with iliotibial band syndrome. The focus should be on stretching of the iliotibial band and strengthening the muscles colse to the hip since Weakness in these muscles often is the primary cause of the injury. Limiting increases in running mileage to practically 10% weekly can help preclude injuries from "too much, too soon". allowable stretching after warming up and before cooling down can help preclude re-injury.Sometimes, worn running shoes with poor arch sustain can lead to immoderate pronation of the foot and increased stress on the iliotibal band. Remember that most running shoes last for 300 to 400 miles and need to be replaced. Having an specialist at a running shoe store can help in selecting the allowable shoe for your foot and running style.
Don't forget the point of saving and moderation in an practice program. While a little soreness is a sign that your body is adapting to the increased training, pain is your body's signal to slow down.
Return to Running and Activity
The often-asked query of most runners and stamina athletes is when they can return to running with iliotibial band problems. A gradual return to running can begin once an athlete can achieve the exercises without pain. While personel results may vary, most iliotibial band syndrome cases rule with 4 to 6 weeks of rehabilitation.
A return to running program should focus on allowable biomechanics and avoid triggering factors (sloped or uneven surfaces). Studies have shown that faster paced running has less irritation of the iliotibial band due to the flexed position of the knee at foot strike versus slow paced jogging.
We recommend easy and short fast-paced running on alternating days on flat ground for the first week with a gradual return to longer, slower paced runs over the next 2 weeks. Additionally, avoiding downhill running or on sloped surfaces (side of the road) can help preclude re-injury.
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