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Illiotibial Band Pain and Lateral (Outside) Knee Pain
Definition of illiotibial band pain
Illiotibial band pain is often described as pain
and inflammation in the lateral knee or the outside
of the knee, where the iliotibial band (a
broad ligamentous band on the outside of the thigh) becomes tendinous,
and results in a friction syndrome by rubbing against the femur (thigh
bone) as it runs alongside the knee joint.
Symptoms of illiotibial band pain:
Initially, a dull ache 1-2 kilometers into a
run, with pain remaining for the duration of the run. The pain disappears soon
after stopping running, later, severe sharp pain which prevents running pain is
worse on running downhill, or on cambered surfaces pain may be present when
walking up or downstairs.
Causes of illiotibial band pain:
Anything that causes the leg to bend inwards, stretching the ITB against
the femur. For example over
pronation (feet rotate too far inward on impact), tightness of
the ITB muscle, lack of stretching of the ITB, incorrect or worn shoes,
excessive hill running (especially downhills) and running on cambered
surfaces overtraining
Treatment of illiotibial band pain
Rest –
activity should be limited to those, which are unlikely to aggravate the
injured site such as swimming and cycling.
Ice – ice will help
reduce inflammation in to the area and will also help to reduce pain involved
with the injury. Ice should be applied for 10 minutes 3 times per day for the
first 72hrs or following activity.
Anti-inflammatory medication -
will also reduce the pain and inflammation associated with the injury and will
speed up recovery. Anti-inflammatory medication can be purchased over the
counter from your chemist (Neurofen).
Stretching & Strengthening
– stretching of the iliotibial band helps to relieve the tension on the
iliotibial band, which will reduce the amount of discomfort.
Orthotics – used when there is a mechanical deformity in the
bony structure of the foot (usually over
pronation). Orthotics balance the foot which
allows it to function more efficiently. This will in turn relieve
the amount of force that travels through the iliotibial band.
Surgery – is used when all of
the above treatments have failed to relieve the pain. This usually involves a
cortisone injection into the ITB, or surgery to release the ITB may be
indicated.
Recovery
Your recovery will depend your
individual health. If you are suffering with iliotibial band friction syndrome,
it normally takes about 4 to 6 weeks for a healthy individual to recover. This
of course depends on the duration the condition has been untreated for and your
compliance with treatment methods.
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