Condition of the Week - Ilio-tibial Band Syndrome
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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.com
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Condition of the Week - Ilio-tibial Band Syndrome
- 1. Mark J Pitcher DC, MSc chiropractor, exercise physiologist www.markjpitcher.com www.vailhealth.com Ilio-Tibial Band Syndrome Prevention and Rehabilitation
- 2. Ilio-tibial band A tract of thickened fascia that arises • Anteriorly off the tensor fascia lata Tensor fascia lata
- 3. 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
- 4. 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
- 5. Ilio-tibial band A tract of thickened fascia that inserts • distally at Gerdy’s tubercle
- 6. 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.
- 7. Ilio-tibial band Syndrome Pain is usually located at the distal aspect of the tract, just above the joint line of the knee
- 8. 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.
- 9. ITB Treatment: Success of treatment depends on severity and ability to modify current activity. Address RICE: Mechani ing Rest, Ice , cal Defic ion, its C ompress Sacroilia c joint dy Elevation Pronation sfunction Talo-calc aneal dys Internal r function otation a t the tibia Myofascial soft tissue work ART Graston Foam Roller
- 10. ITB Treatment: Success of treatment depends on severity and ability to modify current activity. ry Needling Iontoph D using e lectrical oresis deliver stimulat steroid io into the n to tissue Surgic ocal s teroid consi al Rele dered a se L a last r jection conser esort o vative method nly if all in s fail.
- 11. ITB Treatment: Success of treatment depends on severity and ability to modify current activity. rcise Foam R Exe s Maxim us olling Glutes Gluteu us Gluteus Medi ITB Adducto rs Stretching Gluteus medius Tensor fascia lata
- 12. Self Care: Foam Rolling Glutes
- 13. 1 Glutes Glutes
- 14. 2 Glutes Glutes
- 15. Piriformis and external hip rotators (part of the glutes)
- 16. 1 Piriformis and external hip rotato
- 17. 2 Piriformis and external hip rotato Glutes/Piriformis
- 18. Adductors (groin / inside of leg)
- 19. 1 Adductors
- 20. 2 Adductors Calves
- 21. Ilio-tibial band (outside of leg) Very tender in most athletes, especially runners
- 22. 1 IT band
- 23. 2 IT band
- 24. Self Care: Sample Exercises What exercises are appropriate depends on the particular needs of the patient. The following are examples of some exercises we prescribe in the office.
- 25. Hip Hike glute medius 1 2
- 26. SL Glute Bridge glute max strength hip flexor stretch
- 27. Crab Walk 1 2
- 28. TFL stretches
- 29. Mark J Pitcher DC, MSc chiropractor, exercise physiologist www.markjpitcher.com www.vailhealth.com