condition of the week - ilio-tibial band syndrome
DESCRIPTION
VIMG's Condition of the Week - Ilio-Tibial Band Syndrome. Learn more about ilio-tibial band syndrome including ideas for treatment and prevention. www.markjpitcher.com www.vailhealth.comTRANSCRIPT
Ilio-Tibial Band Syndrome Prevention and RehabilitationPrevention and Rehabilitation
Mark J Pitcher DC, MScchiropractor, exercise physiologist
www.markjpitcher.com www.vailhealth.com
Ilio-tibial band
A tract of thickened fascia that arises • Anteriorly off the tensor fascia lata
Tensor fascia lata
Ilio-tibial band
A tract of thickened fascia that arises • Anteriorly off the tensor fascia lata• In the middle off the iliac crest •
Iliac crest
Ilio-tibial tract
Ilio-tibial band
A tract of thickened fascia that arises • Anteriorly off the tensor fascia lata• In the middle off the iliac crest • Blends posteriorly with the glutes
Iliac crest
Ilio-tibial tract
Gluteus Maximus
Ilio-tibial band
A tract of thickened fascia that inserts
• distally at Gerdy’s tubercle
Ilio-tibial band
It’s important to remember that the fascia around the thigh is continuous and is just thickened into the ilio-tibial band (IT band) at the lateral aspect of the thigh.
Ilio-tibial band Syndrome
Pain is usually located at the distal aspect of the tract, just above the joint line of the knee
Ilio-tibial band Syndrome
Muscle imbalance of weak glutes coupled with overactive tensor fascia lata and adductor musculature creates a fascial pull
that draws the ilio-tibial band anteriorly.
This creates increased friction over the lateral femoral condyle and
ultimately inflammation
and pain.
ITB Treatment:
Success of treatment depends on severity and ability to modify current activity.
RICE: Rest, Ice,
Compression,
Elevation
Addressing Mechanical Deficits Sacroiliac joint dysfunction Pronation Talo-calcaneal dysfunction Internal rotation at the tibia
Myofascial soft tissue work
ARTGraston
Foam Roller
ITB Treatment:
Success of treatment depends on severity and ability to modify current activity.
Iontophoresis using electrical stimulation todeliver steroid into the tissue
Local steroid
injection
Surgical Release considered a last resort only if all conservative methods fail.
Dry Needling
ITB Treatment:
Success of treatment depends on severity and ability to modify current activity.
Foam RollingGlutesITB
Adductors
Stretching Gluteus medius
Tensor fascia lata
ExerciseGluteus Maximus
Gluteus Medius
GlutesGlutes
Self Care:Self Care: Foam RollingFoam Rolling
Glutes Glutes GlutesGlutes
11
Glutes Glutes GlutesGlutes
22
Piriformis and Piriformis and external hip rotatorsexternal hip rotators
(part of the glutes)(part of the glutes)
Piriformis and external hip rotators Piriformis and external hip rotators
11
Glutes/PiriformisGlutes/PiriformisPiriformis and external hip rotators Piriformis and external hip rotators
22
AdductorsAdductors(groin / inside of leg)(groin / inside of leg)
AdductorsAdductors
11
CalvesCalvesAdductorsAdductors
22
Ilio-tibial band Ilio-tibial band
(outside of leg)(outside of leg)
Very tender in most athletes, especially runners
IT bandIT band
11
IT bandIT band
22
Self Care:Self Care: Sample ExercisesSample Exercises
What exercises are appropriate depends on What exercises are appropriate depends on the particular needs of the patient. the particular needs of the patient.
The following are examples of some The following are examples of some exercises we prescribe in the office. exercises we prescribe in the office.
Hip HikeHip Hikeglute mediusglute medius
11 22
SL Glute BridgeSL Glute Bridgeglute max strengthglute max strengthhip flexor stretch hip flexor stretch
Crab WalkCrab Walk
11 22
TFL stretchesTFL stretches
Mark J Pitcher DC, MScchiropractor, exercise physiologist
www.markjpitcher.com www.vailhealth.com