Condition of the Week - Ilio-tibial Band Syndrome
-
Upload
mark-pitcher-dc-msc -
Category
Health & Medicine
-
view
3.293 -
download
4
description
Transcript of Condition of the Week - Ilio-tibial Band Syndrome
![Page 1: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/1.jpg)
Ilio-Tibial Band Syndrome Prevention and RehabilitationPrevention and Rehabilitation
Mark J Pitcher DC, MScchiropractor, exercise physiologist
www.markjpitcher.com www.vailhealth.com
![Page 2: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/2.jpg)
Ilio-tibial band
A tract of thickened fascia that arises • Anteriorly off the tensor fascia lata
Tensor fascia lata
![Page 3: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/3.jpg)
Ilio-tibial band
A tract of thickened fascia that arises • Anteriorly off the tensor fascia lata• In the middle off the iliac crest •
Iliac crest
Ilio-tibial tract
![Page 4: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/4.jpg)
Ilio-tibial band
A 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
![Page 5: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/5.jpg)
Ilio-tibial band
A tract of thickened fascia that inserts
• distally at Gerdy’s tubercle
![Page 6: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/6.jpg)
Ilio-tibial band
It’s important to remember that the fascia around the thigh is continuous and is just thickened into the ilio-tibial band (IT band) at the lateral aspect of the thigh.
![Page 7: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/7.jpg)
Ilio-tibial band Syndrome
Pain is usually located at the distal aspect of the tract, just above the joint line of the knee
![Page 8: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/8.jpg)
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.
![Page 9: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/9.jpg)
ITB Treatment:
Success of treatment depends on severity and ability to modify current activity.
RICE: Rest, Ice,
Compression,
Elevation
Addressing Mechanical Deficits Sacroiliac joint dysfunction Pronation Talo-calcaneal dysfunction Internal rotation at the tibia
Myofascial soft tissue work
ARTGraston
Foam Roller
![Page 10: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/10.jpg)
ITB Treatment:
Success of treatment depends on severity and ability to modify current activity.
Iontophoresis using electrical stimulation todeliver steroid into the tissue
Local steroid
injection
Surgical Release considered a last resort only if all conservative methods fail.
Dry Needling
![Page 11: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/11.jpg)
ITB Treatment:
Success of treatment depends on severity and ability to modify current activity.
Foam RollingGlutesITB
Adductors
Stretching Gluteus medius
Tensor fascia lata
ExerciseGluteus Maximus
Gluteus Medius
![Page 12: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/12.jpg)
GlutesGlutes
Self Care:Self Care: Foam RollingFoam Rolling
![Page 13: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/13.jpg)
Glutes Glutes GlutesGlutes
11
![Page 14: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/14.jpg)
Glutes Glutes GlutesGlutes
22
![Page 15: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/15.jpg)
Piriformis and Piriformis and external hip rotatorsexternal hip rotators
(part of the glutes)(part of the glutes)
![Page 16: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/16.jpg)
Piriformis and external hip rotators Piriformis and external hip rotators
11
![Page 17: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/17.jpg)
Glutes/PiriformisGlutes/PiriformisPiriformis and external hip rotators Piriformis and external hip rotators
22
![Page 18: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/18.jpg)
AdductorsAdductors(groin / inside of leg)(groin / inside of leg)
![Page 19: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/19.jpg)
AdductorsAdductors
11
![Page 20: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/20.jpg)
CalvesCalvesAdductorsAdductors
22
![Page 21: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/21.jpg)
Ilio-tibial band Ilio-tibial band
(outside of leg)(outside of leg)
Very tender in most athletes, especially runners
![Page 22: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/22.jpg)
IT bandIT band
11
![Page 23: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/23.jpg)
IT bandIT band
22
![Page 24: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/24.jpg)
Self Care:Self Care: Sample ExercisesSample Exercises
What exercises are appropriate depends on What exercises are appropriate depends on the particular needs of the patient. the particular needs of the patient.
The following are examples of some The following are examples of some exercises we prescribe in the office. exercises we prescribe in the office.
![Page 25: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/25.jpg)
Hip HikeHip Hikeglute mediusglute medius
11 22
![Page 26: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/26.jpg)
SL Glute BridgeSL Glute Bridgeglute max strengthglute max strengthhip flexor stretch hip flexor stretch
![Page 27: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/27.jpg)
Crab WalkCrab Walk
11 22
![Page 28: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/28.jpg)
TFL stretchesTFL stretches
![Page 29: Condition of the Week - Ilio-tibial Band Syndrome](https://reader035.fdocuments.net/reader035/viewer/2022062312/5562816bd8b42a0d398b53ce/html5/thumbnails/29.jpg)
Mark J Pitcher DC, MScchiropractor, exercise physiologist
www.markjpitcher.com www.vailhealth.com