I’m often asked what are the commonest Sports Injuries I treat. Knee injuries are the most frequent injuries that pass through our clinic doors. Medial collateral ligament injuries and Iliotibial Band syndrome.
What is Iliotibial Band Syndrome?
Iliotibial band syndrome causes lateral knee pain. It is regarded as a friction syndrome where the ITB rubs against the lateral femoral epicondyle. When the leg is in a straight (in the extended position) the band fibers are anterior to, or in front of, the condyle (a bony projection on the femur, or thigh bone). As the knee flexes, the fibers move across the condyle and are positioned behind or posterior to it. A bursa or sac in this area allows the iliotibial band to glide over the end of the femur.
It is normally an overuse injury which results in damage to the insertion of the Iliotibial band, this is the long fibrous band that runs from the Gluteal muscles down the outside of the leg attaching to the area of the lateral knee.
There are other contributing factors which may help to cause this injury such as: mechanical issues with poor flexibility and decreased strength in the quadriceps muscles of the thigh lead to the inflammation. Spasm of the Gluteal muscles causes tightness of the ITB , and factors such as leg length discrepancy, an abnormal pelvic tilt, and “bowlegs” (genu varum: genu=knee + varum=angles in) may cause iliotibial band syndrome because of excess stretching of the IT band across the femoral condyle. High or low arches of the feet may also be a contributing factor. As with most Sports Injuries their will be some of these predisposing factors involved.
Treatment for Iliotibial band syndrome
We use a multi-factorial approach to treatment of Sports injuries. We believe that the specific primary treatment should be soft tissue therapy, this is used in conjunction with exercises/stretching and support/kinesio taping. Quite often practitioners just give exercises and or taping, this helps but is only half the answer, the soft tissue methods we use are listed below. We also give advice on using medication, ice and heat treatment.
Our particular soft tissue techniques involve:
General Soft Tissue Therapy
Myofascial Myofascial Correction
Therapeutic Massage Therapy
Instrument Assisted Soft Tissue Therapy
Trigger point therapy
Kinesio-taping (This is a therapeutic treatment for soft tissues, in particular the Myofascia)