A home exercise program that includes a flexibility and strength conditioning routine and modified training recommendations can aid in the treatment and prevention of further injury. Iliotibial band friction syndrome is frictionless dynamic chiropractic. Department of rehabilitation services physical therapy standard of care. Iliotibial band syndrome itbs is a common injury in runners and other long distance athletes with the best management options not clearly established. Iliotibial band syndrome references bmj best practice. Effect of hip abductor strengthening among nonprofessional cyclists with iliotibial band friction syndrome. If you have iliotibial band friction syndrome itbfs, you may benefit from the skilled treatments of a physical therapist to help relieve your pain and improve your mobility. Iliotibial band friction syndrome ronald lavine published online. Iliotibial band syndrome itbs is the most common injury of the lateral side of the knee in runners, with an incidence estimated to be between 5% and 14%. These articles cover the epidemiology, etiology, anatomy, pathology, prevention, and treatment of.
Once considered an injury indigenous to runners, it is now. This article highlights evidence which challenges these views. Here we explain the symptoms, causes, treatment, and exercises. Itbfs is a condition that occurs when abnormal rubbing or friction occurs at the side of the knee where the iliotibial band it band crosses.
Iliotibial band friction syndrome itbfs is an inflammatory, nontraumatic, overuse injury of the knee affecting predominantly longdistance runners. The dilemma of knee osteoarthritis and iliotibial band syndrome. Iliotibial band syndrome deep tissue massage manual. Dec 23, 2012 iliotibial band syndrome itbs is the most common injury of the lateral side of the knee in runners, with an incidence estimated to be between 5% and 14%. Iliotibial band syndrome is the most common cause of lateral knee pain in runners. Often the deceleration of running down hills may lead to the excessive friction.
Pdf is the iliotibial band syndrome really a friction syndrome. The injury mainly plagues runners, but a few unlucky cyclists and hapless hikers will get it too, and it may even be common in inactive people in. Iliotibial band syndrome itbs is a common knee injury that usually presents with pain andor tenderness on palpation of the lateral aspect of the knee, superior to the joint line and inferior to the lateral femoral epicondyle. The conventional view of the iliotibial band friction syndrome. Iliotibial band itb syndrome is widely recognised as an overuse injury that is a common cause of exerciserelated, lateral knee pain in running and other sports. The iliotibial band friction syndrome lization and manipulation are executed relative to the pelvic unleveling that has ensued. It results from overuse that is most common in athletes, particularly marathoners and cyclists 10, 11, due to chronic compression of the iliotibial band over a thin layer of fat richly innervated interposed between the iliotibial band and the lateral.
Iliotibial band syndrome is caused by excessive friction of the iliotibial band and the underlying bursa due to repetitive kneebending activities. The band is crucial to stabilizing the knee during running, as it moves from. It is an overuse injury and is a common cause of pain on the outside of the knee, especially in runners. Iliotibial band friction syndrome statpearls ncbi bookshelf.
Relationship between foot pronation and rotation of the tibia and femur during. Illiotibial band syndrome protocol princeton university. Male runners may exhibit kinematic faults such as increased hip internal r. This repeated motion produces inflammation of the underlying structures and causes pain.
You may have iliotibial band syndrome as the result of poor flexibility of muscle, and other mechanical imbalances in the body. Iliotibial band syndrome is the most common presentation of iliotibial band disease. There is debate on whether iliotibial band syndrome is truly a friction. Iliotibial band itb syndrome itbs is the most common cause of lateral knee pain among athletes. The dilemma of knee osteoarthritis and iliotibial band. Exercise program for iliotibial band friction syndrome. It is believed to be associated with excessive friction between the tract and the lateral femoral.
Pdf in this chapter, evidence is presented to support the idea that iliotibial band itbsyndrome is a form of enthesopathy of the insertion of. Training should be modified to include nonpercussive exercise such as cycling and swimming with ice massage of the affected areas following the activity. It extends from the outside of your pelvis hip bone to the outside of your tibia shin bone. Iliotibial band syndrome itbs also known as iliotibial band friction syndrome is a common1 and often maddeningly stubborn repetitive strain injury that causes pain mainly on the side of the knee, especially when descending stairs and hills. Iliotibial band itb syndrome is regarded as an overuse injury, common in runners and cyclists. Repetitive knee flexion will create excessive friction of the iliotibial band on the femur which can be exacerbated by running on the same side of the road or always running the same direction around the track.
Iliotibial band syndrome is an inflammatory response of the fat pad between the insertion of the iliotibial band a thick layer of connective tissue and the bony prominence around the outside of the knee called the lateral femoral condyle. All clients are strongly advised to check with their doctor about any specific questions or concerns they may have. Is iliotibial band syndrome really a friction syndrome. What do i need to know about iliotibial band syndrome itbs.
Iliotibial band syndrome strengthening exercises it band. Iiliotibial band friction syndrome aka it band friction syndrome is a common overuse injury to the lateral outside aspect of the knee. Pain on the outside of the knee, more specifically at or. In order to facilitate the evidencebased management of itbs in runners, more needs to be learned about the aetiology, diagnosis and treatment of this injury. Pain is felt most commonly on the lateral aspect of the knee and is most intensive at 30 degrees of knee flexion. In order to facilitate the evidencebased management of itbs in runners, more needs to be learned about the. Pain develops where the iliotibial band itb courses over the lateral femoral epicondyle lfe, just proximal to the lateral joint line. Itbs develops as a result of inflammation of the bursa surrounding the itb and usually affects athletes who are involved in sports that require continuous running or. Each exercise listed after the first three should be. It is believed to be associated with excessive friction between the tract and the lateral femoral epicondyle friction which inflames the tract or a bursa. The iliotibial band friction syndrome itbfs is a syndrome caused by inflammation deep to the iliotibial band itb, which is a band of tough fascia going from the hip to the knee along the outer. Iliotibial band syndrome is an overuse injury caused by repetitive friction of the iliotibial band across the lateral femoral epicondyle. Iliotibial band syndrome is one of the leading causes of lateral knee pain in runners.
Although iliotibial band syndrome is easily diagnosed clinically, it can be extremely challenging to treat. Iliotibial band syndrome itbs is a common knee injury that usually presents with. The first three can be started immediately after the injury. The etiology of iliotibial friction syndrome is often multifactorial. Iliotibial band syndrome itbs is the most common cause of lateral knee pain in. Iliotibial band syndrome symptoms, diagnosis and treatment. This most commonly occurs at the bottom of the band where it inserts on the outer side of the knee. The anatomic relationship of the iliotibial tract itt to the lateral recesses of the knee joint and the lateral femoral epicondyle. Itb friction syndrome runners knee introduction the iliotibial band itb is a thick band of connective tissue that runs along the outer side of the thigh and attaches to the knee. As the leg bends and straightens, the it band glides over a bony lump on the side of the knee that sticks out slightly, called the lateral epicondyle. Iliotibial band friction syndrome, tractusiliotibialissyndrom, iliotibialbandsyndrom, iliotibial band syndrome. Iliotibial band syndrome definition of iliotibial band. Iliotibial band friction syndrome is a common cause of lateral knee pain related to intense physical activity resulting in chronic inflammation. Iliotibial band syndrome, or it band syndrome, is a painful condition that results from excessive tightness or inflammation in the it band.
Shamus j, shamus e2 2015 the management of iliotibial band syndrome with a multifaceted approach. It is believed to be associated with excessive friction between. This is an overuse injury, although direct trauma to the outer knee may cause the bursa to get inflamed. To define magnetic resonance mr imaging findings in patients with the iliotibial band friction syndrome itbfs and to correlate these findings with anatomic features defined at magnetic resonance mr arthrography in cadavers.
The exact prevalence is unknown, but one study has found the prevalence among actively training. Mar 24, 2019 iliotibial band friction syndrome is also known as itbs and runners knee. Ten studies met the inclusion criteria by focusing on the athletic population in their discussion of the. The knee goes from flexion to extension and excessive pressure from the itb causes friction over the lateral femoral epicondyle. Pdf is the iliotibial band syndrome really a friction. Mr imaging findings in 16 patients and mr arthrographic study of. Physical therapy for iliotibial band friction syndrome. Commonly affect young patients who are physically active, most often long distance runners or cyclists. Iliotibial band syndrome itbs is the result of inflammation.
Ilitotibial band syndrome itbs is the second most common knee injury caused by inflammation located on the lateral aspect of the knee due to friction between the iliotibial band and the lateral epicondyle of the femur. These articles cover the epidemiology, etiology, anatomy, pathology, prevention, and treatment of the condition. This fact sheet is designed to provide you with information on iliotibial band friction syndrome. Findings are compatible with itb friction syndrome.
Other biomechanical problems can lead to it band issues such as. Iliotibial band syndrome itbs is an overuse injury of the lateral knee that occurs primarily in runners and was first described in 1973. If youve got a nagging pain on the outer part of your knee, especially if youre a runner, it could be a symptom of iliotibial band it band syndrome. M e d icine is p o r ts op journal of sport medicine. It is believed to be associated with excessive friction between the tract and the lateral femoral epicondylefriction which inflames the tract or a bursa. Risk factors in women include increased hip adduction, knee. Fullem bw 2015 overuse lower extremity injuries in sports. Is iliotibial band syndrome really a friction syndrome j sci med. Effects of multimodal physiotherapy, including hip abductor strengthening, in patients with iliotibial band friction syndrome.
It is frequently related to hip weakness and instability standing on one leg. It is a very common injury for runners to receive, and the pain is usually located around the knees. Iliotibial band syndrome exercises what you need to know. What is a possible cause of iliotibial band friction syndrome. Knee pain has been reported to limit mobility and impair quality of life in 25% of adults. Itbs, also known as runners knee, happens when your iliotibial band itb becomes injured and causes pain. Iliotibial band syndrome radiology reference article. The iliotibial band is a thick band of fascia on the lateral aspect of the knee, extending from the outside of the pelvis, over the hip and knee, and inserting just below the knee.
Jun 01, 2014 what is iliotibial band friction syndrome. It was first seen in us marine corps recruits during their training in 1975 and has been diagnosed frequently in long distance runners, cyclists, skiers and participants of hockey, basketball, and soccer since then. Iliotibial band syndrome develops when the it band gets irritated and inflamed due to friction. It band syndrome is one of the most common problems amongst runners. Journal of science and medicine in sport, april 2007. Biomechanics of iliotibial band friction syndrome in runners. Iliotibial band a common source of hip andor knee pain. Evidence based treatment for iliotibial band friction syndrome.
It band syndrome itbs is the result of the large band that runs from your pelvis to your shin getting too tight and rubbing against your thigh bone. Iliotibial band itb syndrome is an overuse injury that results from constant friction of the itb over the lateral femoral epicondyle often seen in runners. It is not intended to replace the need for a consultation with your doctor. Runners predisposed to this injury are typically in a phase of overtraining and often have underlying weakness of the hip abductor muscle. Based on these anatomical considerations, they believe that anteriorposterior glide of the itb is impossible, and a friction syndrome cannot truly. Iliotibial band syndrome can cause significant morbidity and lead to cessation of exercise.
1096 527 1173 328 776 310 1656 864 1117 1100 144 785 1207 61 497 1517 611 515 774 67 1352 406 314 1413 1209 76 1646 1595 780 272 958 679 1433 278 832 1657 1268 311 1168 489 367 325 201 127 754 37 424 1416