Iliotibial Band Syndrome

The signs of iliotibial band syndrome are pain in the knee and in the trochanteric region. Several factors may contribute to the problems associated with the iliotibial band during running.2 As the speed of forward ambulation increases, the base of the gait narrows. This is accompanied by increased adduction at the hip, which subjects the lateral hip musculature, including the iliotibial band, to increased tension. If other hip abductors become fatigued or weaker, as they often do, additional stress on the iliotibial band is created. As the contralateral hip drops inferiorly with the swinging limb, more hip adduction is created on the support limb, with more tension on the iliotibial band. The iliotibial band also plays a role in transverse plane rotation at the hip and lower leg. When the runner's rear foot pronates excessively as the lower leg internally rotates, stress is created on the iliotibial band. The increased internal rotation intensifies the stress and tightness on the external rotators of the hip.

To reduce the stress on the iliotibial band, homeo-static acu-reflex points on the lower back, hip, thigh, and leg should be all treated. In addition, hamstring and adductor muscles should be treated together.

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Essentials of Human Physiology

Essentials of Human Physiology

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