Dear Alan,
I don't have any literature that reports outcomes etc. I can only tell you what I have experienced in the clinic. Usually if managed correctly it will settle. The ITB becomes excesively tight from internal rotation of the lower limb during the particular sporting activity in question. This may be cycling, running etc. Improving external rotation range of motion by stretching the anterior hip capsule may help. Stopping the need for internal rotation at the end of stance phase by improving hip flexor length may also help. improved hip extension means less pelvic rotation. I trigger point the TFL and deep tissue massage the ITB. Local CTS injections may help if it is recalcitrant. Preventing excessive prontation etc. by adressing ankle tightness in dorsiflexion (from the 1stMCP, midfoot, t/c joint and calf) may help also. Finally I look at strengthing the gluts.
Hope this helps.
Regards,
Scott.
---
Scott Epsley
BPhty., MAPA, SPG.
PRINCIPAL PHYSIOTHERAPIST
Clifford Chambers Sports Medicine
Suite 4, 120 Russell Street
Toowoomba QLD 4350
Australia
e-mail: [log in to unmask]
On Mon, 18 Feb 2002 19:42:38
Alan Ward wrote:
>Dear All,
>
>I would be very grateful for any, input, info, comments, regarding the
>efficacy of treatment regimes/methods for 'iliotibial band friction
>syndrome'. I am particularly interested in the long term outcome
>(Recurrence rates ect) of treatments with regard to high impact sports,
>i.e. Football, Running, ect.
>
>Any info appreciated,
>
>Alan Ward
>
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