Our team of clinicians can help plan a safe return to running with a specifically designed rehabilitation training program to get you back running, sooner. All of our clinicians are runners and share your passion. The podiatrists at the intraining Running Injury Clinic are experienced at treating lateral knee pain. Article by: Steve Manning – Podiatrist and coach at intraining Running Injury Clinic It is important that you have an accurate diagnosis in order to recover from the injury and reduce risk of it recurring. Lateral knee pain is one of the most common injuries for runners. Osteoarthritis in the lateral knee compartment can also cause joint line pain. Clinical tests can often identify meniscal abnormality but an MRI may be needed. It is sore along the joint line crossing under the ITB and below where the ITB usually hurts. The knee sometimes gives way when there is a tear in the meniscus. Pain on the knee joint is often from trauma or degeneration to the lateral meniscus. Sometimes tension from Biceps Femoris affects the fibrous joint between the two lower leg bones requiring mobilisation. The symptoms can be very similar to ITBFS however the location of pain is distinctly different being more posterior. It usually hurts just before its insertion on the head of the smaller leg bone the Fibula. One injury often misdiagnosed as ITBFS is tendinopathy of Biceps Femoris one of the hamstring muscles. Icing and anti-inflammatory gel will quickly reduce the severity of symptoms. Regular use of ITB rollers will reduce recovery time and the risk of recurrence of the injury. Mechanically stretching the ITB with massage is much more effective at increasing flexibility and reducing adhesion’s. Stretching of the ITB has not been shown to be effective. Tightness of the ITB or adhesion’s to the deeper muscle are a factor in the risk of ITBFS. It is critical that the biomechanics that is causing the tension be identified as any orthotic or footwear intervention can make the problem worse if misdiagnosed. Lateral instability and rolling out of the foot also puts tension and strain on the ITB. Excessive pronation or rolling in of the foot causes a stretching strain of the ITB as the pronation results in internal rotation of the knee. One interesting factor in ITBFS is that it can be caused by two opposite motions. Downhill running with its increased impact forces are more painful than running on the flat.Īre you experiencing ITBFS? Click here to see one of our podiatrists at intraining Running Injury Clinic TREATMENT It will usually not warm up as you run but get worse the longer you go. The pain from ITBFS can be sharp and intense or aching. This usually happens just after footstrike at about 20 degrees of flexion. Bursa’s are lubricating sacks that help to reduce the friction between a tendon and the bone.Įxcessive compression force from the ITB as it slides past the bursa during gait can cause trauma to the Bursa triggering the injury. It is more commonly caused by inflammation or irritation of a bursa on a bump on the thigh Bone (femur). The pain in ITB friction syndrome is rarely within the ITB itself. However it becomes more like a thick cord as it approaches and passes the knee joint to attach to the main lower leg bone, the Tibia. Through most of its length the ITB is a flat thickening of the deep fascia that holds the muscles in place. The purpose of the ITB is to add to the lateral stability of the knee. Gluteus Maximus also partially attaches to the ITB but at an oblique angle so that it has less mechanical advantage then the Tensor Fascia Latae. The Illiotibial band (ITB) is a long tendon of a small muscle from the hip – the Tensor Fascia Latae. Collateral ligament injuries.Lateral knee pain on the outside of the knee is most often ITB Friction Syndrome, however the rarer types of lateral knee pain should not be missed as the optimum treatment will differ between them. Iliotibial band syndrome rehabilitation in female runners: A pilot randomized study. Effects of static and dynamic stretching with strengthening exercises in patients with patellofemoral pain who have inflexible hamstrings: A randomized controlled trial. Anatomy, bony pelvis and lower limb, calf common peroneal (fibular) nerve. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. We link primary sources - including studies, scientific references, and statistics - within each article and also list them in the resources section at the bottom of our articles. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations.
0 Comments
Leave a Reply. |