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Iliotibial band friction syndrome in runners (ITBFS)


IT BAND FRICTION SYNDROME KNEE PAIN RUNNING
INCREASED IT BAND LOAD WITH LANDING IN INCREASED KNEE FLEXION ON HILLS

IT band pain is not due to friction, rather compression of the underlying adipose tissue which is innervated by nerves so can produce pain.


It is characterised by lateral knee pain that is tender to press and aggravated by running and climbing stairs.


ITBFS is typically caused by an increase in training load (ie distance, hills and frequency). Fatigue, weakness at the hip and a cross over gait pattern also put increase load on this tissue.


So how do we treat ITBFS? Stretching and massaging the ITB are not effective and can even make symptoms worse. To effectively treat ITBFS we need to increase tolerance to load by way of a graded exercise program. Gait, training schedule, motor control, muscle strength, fatigue and recovery all need to be considered.


The ITB is a strong and adaptable tissue that is capable of adapting to training.


If you have knee pain physio can help. At embrace we have face to face and virtual appointments available. Our physio clinic is ideally situated for Gawcott, Steeple Claydon, Padbury, Preston Bissett, Winslow, Buckingham and Bicester. Covid measures are in place.

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