Can Chiropractic Treat Iliotibial (ITB) Syndrome?

Iliotibial band syndrome is one of the leading causes of lateral knee pain in runners. The iliotibial band is a thick band of connective tissue on the outside aspect of the knee, extending from the ASIS of the pelvis, over the hip and knee, and inserting just below the knee. The band is important to stabilizing the knee, as it moves from behind the femur to the front of the femur during activity. Overuse results in irritation of the lateral femoral condyle and inflammation of muscles and connective tissue leading to pain.

Predisposing Activities:

  • Cycling (toed-in)
  • Running hills
  • Running on banked surface
  • Squat like exercises
  • Long distances hiking, stairs

Predisposing Congenital Structures:

  • High or low arches
  • Overpronation
  • Uneven leg length
  • Bowlegs

Treatment Options:

  • In acute stages: Try to avoid the activities that cause pain and swelling just for the first 24-48 hours- substitute with low impact activities
  • Address any predisposing activities or congenital structures
  • Ice: 15-20 minutes at a time, 2-3 times per day
  • Stretch tight muscles: most common: tensor fasciae latae, gluteal muscles and quadriceps muscles
  • Strengthen weak muscles: most common: gluteus medius, pelvic and lumbar stabilizers
  • Physician administered soft tissue treatments: myofascial release to break up adhesions and restrictions
  • Self-administered soft tissue treatment: foam rolling

Carone Chiropractic Center is very well versed on using the conservative options available while working in collaboration with your medical doctor.ITB


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