ILIOTIBIAL BAND FRICTION SYNDROME
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||Iliotibial Band Friction
Syndrome is an overuse problem of a tight piece of tissue on the
outside part of the knee.
||The Iliotibial (IT) band is a long piece
of muscle and tendon that starts around the hip and ends just below
the knee. When the knee bends and straightens, this band can snap
across the outside part of the knee.
of the Iliotibial Band
||Repetitive snapping of the IT band can
cause friction and lead to inflammation in the area. This can lead
to scarring and subsequent tightness of the IT Band. This disorder
is common in long distance runners and cyclists. Occasionally,
hiking especially in rough terrain can be a cause. An abnormal foot
position (hyperpronation) can also be a contributing
||IT Band Friction syndrome typically
causes pain on the outside part of the knee. The area is also
usually quite tender to the touch. Tightness of the IT band can be
found by your physician on a careful physical examination. Usually,
no x-rays or other tests are needed to confirm the diagnosis.
Occasionally, however, an MRI is very useful in evaluating the
severity of the inflammation.
of IT Band Inflammation
||RICE (Rest, Ice, Compression, Elevation)
is the initial treatment.
It is especially important to avoid any activity that makes the pain
worse. A stretching program coupled with
anti-inflammatory medication is typically also recommended.
Orthotics (devices used to correct abnormal foot positions) or
modification of running technique may also be needed. Steroid
injections may also be used. Very rarely, surgery is required.
Band Stretch Example
Stretching of the IT Band prior to any activity
Maintaining flexibility and strength of all leg muscles