What is it?
The Iliotibial Band (ITB) is a broad band of connective tissue extending from the tensor fascia latae and gluteus muscles in the hip to the lateral side of the proximal tibia. The ITB is a hip and knee stabilizer and contributes to hip extension, flexion, abduction, and lateral rotation, it can also contribute to both knee flexion and extension depending on the position of the knee. ITB Syndrome is thought to be the result of rubbing of the band on the lateral aspect of the knee, imbalances of the musculature of the surrounding area, impingement during knee flexion, lateral knee inflammation, or other contributing factors.
Possible Causes:
- Poor training technique
- Large Q angle (the angle formed between the quadricep and the patella)
- Sacroiliac (SI) joint dysfunction
- Genu valgum (knock kneed)
- Strength imbalances between the hip abductors/adductors
- Excessive femur or tibial rotation
Symptoms:
- Prominent area of pain is the lateral side of the knee. Initially pain may only be present when running. As the syndrome progresses, pain may be felt when not running.
Solutions:
- Modifying activities/intensity according to symptoms.
- Myofascial release of ITB, lateral quad, hamstring, and glute may be helpful depending on the causative factors.
- Orthopedists and Physical Therapists typically check for muscle strength and length discrepancies in the surrounding areas.
Products:
- Myofascial release tools (foam roller/stick, massage guns, etc.)
- Modification of shoes or insoles
- Hydration & Nutrition (Nuun, GU Energy, Nathan)
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