Running Injury Clinic
I T Band Syndrome
Ilio-tibial band syndrome or IT Band Syndome is commonly described as "runners knee" This is a painful knee condition which gives discomfort to runners and can interfere with their training progranmme.
Located on the lateral (outside) of the knee over the epicondyle of the femur the ITB can become inflamed at its insertion point. Continual long distance running can produce inflammation as the ITB flicks across the epicondyle every time the knee bends.
The ITB is a lateral stabiliser of the knee and will play a bigger part in stability when running on uneven ground or running on a continual camber of the road.
Ilio Tibial Band Insertion
Runners knee is often experienced by people who run repeated long distances in their training. It is a repetitive strain injury or overuse injury which manifests itself in inflammation of the Ilio-tibial band insertion point on the outside of the knee. Outside knee pain or side of the knee pain will often lead to diagnosis of this condition.
Marathon runners who pronate excessively or overpronate will be prone to experiencing this type of knee pain. Overpronation is a rolling inwards of the ankle when fully weight bearing and a flattening of the medial arch of the foot. Fallen arches or dropped arches cause an internal rotation of the tibia which creates instability stresses on the ITB. Runners who take part in the 2010 Virgin London Marathon will no doubt suffer from "runners knee" and require treatment from a sports physiotherapist with running injury experience.
Continual overworking of the ITB as it attempts to stabilise the knee joint results in ITB tightening and thus becoming more prone to the flicking action over the epicondyle.
Identification and diagnosis should be easy for the experienced therapist, however treatment regimes may differ.
Soft tissue stripping out of the ITB in an attempt to lengthen the band of fascia is employed by some, together with attempts to give home stretches.
Stretching this area is very difficult and needs to come from the pelvic area as the knee has little lateral movement.
Ultrasound and other electrotherapy modalities can be useful alongside a cryotherapy (ice) regime in an attempt to reduce inflammation.
An accurate diagnosis of the cause is needed in order for this knee pain condition to be resolved. Following rest alone without treatment, this condition will return once running commences.
If your biomechanics need attention and you require foot orthotics or foot inserts in your running shoes, ensure you get custom prescription orthotics which may resolve your problem.
Custom prescription orthotics can be purchased from Atlas Running Sports Injury Clinic in Solihull Birmingham
or Atlas Pain Relief Centre in Tamworth Staffordshire
Telephone 0121 709 5222 Solihull or
01827 59943 Tamworth for advice or an appointment
It band syndrome or It band pain is common in runners and cyclists as it involves frequent bending of the knees. Tight It bands can result in inflammation and an It band injury. Once the pain has been treated It band stretches and It band massage with a specially designed roller can be introduced.
An It band stretch is difficult to achieve due to the position of affected tissue. Use of the ITB roller makes self treatment easier and icing the knee pain will all assist in reducing inflammation and reducing pain.