On this page we tackle a common overuse injury that inflicts up to 22% of all runners – the ITB friction syndrome.
The symptoms are generally pain at the outside of the knee that can radiate down the side of the calf. The onset of knee pain is normally after a period of running and this time this will generally shorten as the condition progresses. If it is really bad then there is pain at rest and pain with walking.
The ITb or illiotibial band is a large dense fascia that originates at the top of the pelvis and attaches below the knee. Its function is to allow for the pull of the hip muscles on the lower leg. It has a thickening in the region that passes over the lateral aspect of the knee and has a region of compression against the knee when the knee is bent at 30 degrees with normal movement. This angle corresponds to the angle of the knee generally when the foot hits the ground with running and the hip muscles are working to decelerate the leg on heel strike.
The factors that are responsible for all lower leg overuse injuries include either extrinsic or intrinsic factors or a combination of both.
The first thing is to listen to the symptoms and try not to run through it.
We have had some success with various taping techniques to unload the ITb or to correct the biomechanics but most of our clients need to decrease their running or even have a lay off to work on the underlying factors responsible for this condition.
Your All Care Physiotherapist can provide an assessment on the factors that have caused the condition in the first place and start the process of recovery and getting you back on track with your running.
Here is a video of a common ITB stretch done with a foam roller
All Care Physiotherapy