cassie and heathers powerpoint[1]
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What is it? Iliotibial band syndrome is an overuse problem that is
often seen in bicyclists, runners, and long-distance walkers.
Anatomy of the iliotibial band (ITB) The ITB is a long tendon which means that it connects
muscles to bone. It attaches to a short muscle at the top of the pelvis called the tensor fascia lata. The ITB runs down the side of the thigh and connects to the shinbone just below the middle of your knee. You can feel this tendon on the outside of your thigh when you tighten your leg muscles.
Anatomy continued To cushion the body tissues a fluid filled sac called a
bursa is present. These are there when muscles and tendons glide over each other. A bursa rests between the femoral condoyle and the ITB.T his bursa allows the tendon to glide smoothly back and forth as the knee bends and straightens.
Diagnosis
The diagnosis of ITB syndrome can usually be made without any complicated tests. Your doctor will take a history of the problem and ask about any other injuries that may have occurred in the past. X-rays may be taken to make sure that there are no other injuries that could be adding to the problem. Generally, no swelling is visible. The snapping sensation usually cannot be heard.
Pain on the outside of the knee can be caused from conditions other than ITB syndrome. Your doctor will perform an examination of the knee and will look at your entire leg. You may want to take the shoes that you use to run or walk with you to your appointment
Risk Factors preexisting iliotibial band tightness
high weekly mileage
time spent walking or running on a track
interval training
muscular weakness of the knee, hip, or pelvis.
Signs and Symptoms Knee pain that worsens with movement and can be
less pain when relaxing the knee
Weakness in hip abduction
Tender points in the gluteal area.
Why is it happening to me? Mechanical problems – over pronate, leg length
discrepancies, or bowlegged
Tight or wide IT band
Weak hip muscles – gluteus medius
Overuse of the IT band
Interventions Rest
Heat and stretching before exercising
After exercise use cold modalities – cold pack or ice massage
Iontophoressis and cryotherapry like I said above
Physical therapy to modify pts exercising and proper stretching for pt
PT or PTA can apply ultrasound or do deep tissue massage
Stretch Examples1 2
3
Functional Training Knee pains worsens when walking/running.
ADL function would include, standing up and sitting down, getting in and out of bed, and walking/running without pain.
ReferenceE-Medicine from WebMT. Iliotibial band syndrome.
Retrieved November 21, 2010, from http://emedicine.medscape.com/article/307850-treatment
Iliotibial band syndrome. Retrieved November 19, 2010, from http://www.eorthopod.com/content/iliotibial-band-syndrome.com
Mama’s Health. Iliotibal band syndrome. Retrieved November 21, 2010, from http://www.mamashealth.com/syndrome/itbs.asp
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