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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. 1. Mark J Pitcher DC, MScchiropractor, exercise physiologist www.markjpitcher.com www.vailhealth.com Ilio-Tibial Band Syndrome Prevention and Rehabilitation
  2. 2. Ilio-tibial bandA tract of thickened fascia that arises • Anteriorly off the tensor fascia lata Tensor fascia lata
  3. 3. Ilio-tibial bandA 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. 4. Ilio-tibial bandA 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. 5. Ilio-tibial bandA tract of thickened fascia that inserts • distally at Gerdy’s tubercle
  6. 6. Ilio-tibial bandIt’s important to remember that the fasciaaround the thigh is continuous and is justthickened into the ilio-tibial band (IT band)at the lateral aspect of the thigh.
  7. 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. 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. 9. ITB Treatment:Success of treatment depends on severity and ability to modifycurrent 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. 10. ITB Treatment:Success of treatment depends on severity and ability to modifycurrent 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. 11. ITB Treatment:Success of treatment depends on severity and ability to modifycurrent activity. rcise Foam R Exe s Maxim us olling Glutes Gluteu us Gluteus Medi ITB Adducto rs Stretching Gluteus medius Tensor fascia lata
  12. 12. Self Care:Foam Rolling Glutes
  13. 13. 1 Glutes Glutes
  14. 14. 2 Glutes Glutes
  15. 15. Piriformis andexternal hip rotators (part of the glutes)
  16. 16. 1 Piriformis and external hip rotato
  17. 17. 2 Piriformis and external hip rotato Glutes/Piriformis
  18. 18. Adductors(groin / inside of leg)
  19. 19. 1Adductors
  20. 20. 2 AdductorsCalves
  21. 21. Ilio-tibial band (outside of leg) Very tender in most athletes, especially runners
  22. 22. 1IT band
  23. 23. 2IT band
  24. 24. Self Care:Sample ExercisesWhat exercises are appropriate depends onthe particular needs of the patient.The following are examples of someexercises we prescribe in the office.
  25. 25. Hip Hikeglute medius1 2
  26. 26. SL Glute Bridgeglute max strengthhip flexor stretch
  27. 27. Crab Walk1 2
  28. 28. TFL stretches
  29. 29. Mark J Pitcher DC, MScchiropractor, exercise physiologist www.markjpitcher.com www.vailhealth.com

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