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IT Band Syndrome
Transcript of IT Band Syndrome
What's IT Band Syndrome?
Reasons for Getting IT Band Syndrome
The IT, or iliotibial band is thick connective tissue extending from the ASIS(anterior superior iliac spine) to the lateral part of the tibia, attaching to the gluteus maximus and tensor fascia latae(TFL).
IT Band Syndrome is the inflammation or irritation of the distal end of the the IT band as it rubs against the lateral femoral epicondyle.
Injury occurs with repetitive flexion and extension of the knee.
Signs and Symptoms
Anything that causes the IT Band to become tight
Lack of flexibility
Any anatomical, muscular, or external factors that cause tightness.
Gait and Anatomical Abnormalities
Excessive internal tibial rotation
stabilizers of the hip
weak back muscles
Other Common Reasons
Shoulder of a road
Rapid Mileage increase
Running down hills
Role of the Athletic Trainer
1st level -
2nd Level -
Deep Tissue Massage
Debatable Treatment Myths
"Steamrolling" your IT Band is NOT beneficial for IT Band Syndrome
Focus on other key muscle areas as well
Deep Tissue Massage
Assist in strengthening, stretching, and icing of the injured athlete.
Request changes to mileage and training surfaces.
Pain on outside of the knee or at the hip on the greater trochanter, especially during activity
Tenderness along outside of the knee
Discomfort along outside of the thigh
Weakness in hip abduction
Tender trigger points in the gluteal area
ITBS is a common injury among runners.
higher among distance runners than sprinters due to increased stance phase.
also seen in the military, cyclists, tennis players, and teens.
prevalent among 15-50 years of age
reported equally among men and women
Two different tests used to identify whether it is ITBS:
Thomas Test- a strength test used to see if knee flexors or extensors or hip abductors are tight
The Ober Test- used to evaluate a tight, contracted, or inflamed It band and TFL.
Running on level surfaces or alternating running on sides of the road
Orthotics (short term)
Heat the Area before exercise
Fire Hydrant Exercise
Bryce McConville &
"Last Resort" Treatments
If conservative treatment fails to work: