Conservative Treatments And Their Efficacy In The Treatment Of Iliotibial Band Syndrome - An Extended Literature Review

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[“Conservative treatments and their efficacy in the treatment of iliotibial band syndrome - An extended literature review”]


Conservative treatments and their efficacy in the treatment of iliotibial band syndrome

Iliotibial Band Syndrome Overview

            The iliotibial band (IT band) is a broad band of fibers that starts at the iliac crest (the boundary of the most famous skeletal part of the pelvis) in the pelvis and sprints on the lateral or out-of-doors part of the thigh until it attaches into the tibia (shinbone). The gluteal or buttock sinew fibers and the tensor fascia latae (muscles of the hip joint) adhere to it, and the band actions to coordinate sinew function and stabilize the knee throughout running. (Holmes 1994)

            Iliotibial band syndrome recounts the agony initiated by inflammation of the band as it crosses the lateral condyle of the femur. When the leg is in a directly (known as extended) place, the band fibers are anterior to, or in front of, the condyle (a bony projection on the femur, or thigh bone). As the knee flexes, the fibers proceed over the condyle and are positioned behind or posterior to it. A bursa or sac in this locality permits the iliotibial band to glide over the end of the femur. (Barber 1992)

            When the band becomes annoyed, friction may happen with strolling or running, initating knee agony due to inflammation on the lateral part of the knee joint. If symptoms are disregarded, farther inflammation and blemishes may happen in the bursa, initating progressive agony with declined activity.

Picture of Iliotibial (IT) Band Syndrome


Iliotibial Band Syndrome Causes

            Inflammation of the iliotibial band happens because of overuse and is most often glimpsed in marathon or other long-distance runners. Commonly, mechanical matters with poor flexibility and declined power in the quadriceps sinews of the thigh lead to the inflammation. Factors for example leg extent discrepancy, an abnormal pelvic tilt, and "bowlegs" (genu varum: genu=knee + varum=angles in) may origin iliotibial band syndrome because of surplus extending of the IT band over the femoral condyle. (Gerlach 1990)

            Training mistakes in long-distance runners (for demonstration, running on one edge of the street only) may furthermore origin symptoms. Since most streets are higher in the center and gradient in the direction of the for demonstration, running on only one edge will origin one leg to habitually be downhill from the other. Runners who go incorrect to identify this topic are at risk to evolve inflammation of the iliotibial band.

Because of the mechanics of running, in compare to long-distance runners, sprinters are inclined not to evolve this syndrome, but tennis players and bicyclists may.


Iliotibial Band Syndrome Symptoms

            Knee agony is the prime symptom due to inflammation as the iliotibial band downhill rides over the femoral condyle on the out-of-doors, or lateral, facet of the knee. Pain is most critical with the heel hit of strolling or running and may radiate from the knee up the leg to the hip. Pain may furthermore be sensed with knee flexing, particularly going up ...
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