Iliotibial Band Syndrome

Condition Explained

Iliotibial band syndrome is an overuse injury of tissues of the outer thigh and knee causing pain on the outside part of the knee especially during running when the heel strikes the ground.

What causes it?

If the foot over-pronates, this is accompanied by internal rotation of the entire lower limb, producing a constant friction between the band and the bony prominence of the femur. ITB syndrome is very common among runners especially if they run on cambers or downhill.

Treatment

First the patient must rest from the causative activity. During this time anti-inflammatory measures should be employed (ice, various modalities).
The biomechanical gait fault, (over-pronation, leg length discrepancy) must then be corrected reduce the tendency for the lower limb to rotate excessively.
A custom made orthotic with appropriate modifications can accomplish this task to successfully remove the underlying cause of the Iliotibial band syndrome.

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