Lackluster Leg - Iliotibial Band Syndrome

Continued...

Iliotibial band syndrome has many causes: worn-out shoes, excessive impact from overtraining, speed training, downhill running, running on a slanted surface, hyperpronation, tight ITB, limb length discrepancy, or a combination of a broad pelvis and "knock-knees."

Diagnosing and treating this problem early and identifying the cause is essential in preventing it from becoming chronic. Ice, rest, and stretching are an important part of treatment.

To stretch the ITB, place one leg forward with your toes pointed out at a slight angle. With your weight on the extended foot, drop your pelvis on the opposite side. If you put your hands on your hips, it will help you "feel" when the stretch is being done correctly.

Ice massage, ultrasound, or deep-tissue, cross-fiber massage and assisted stretching can help in chronic cases to break up the scar tissue and resolve the tightness of the band. See a physical therapist for treatment and to learn proper technique for stretching and/or massage. See a sports medicine specialist to identify biomechanical problems like limb length discrepancy, which can be partially corrected.

Orthotics can help with this syndrome, but a correct diagnosis and fit is important. Anti-inflammatory medication may be prescribed. In difficult cases an injection of cortisone in the soft tissue next to the ITB, not in it, can help. No more than one or two injections should be used.

Shorten your stride and avoid downhill running, or any running at all if you feel the area being irritated. Switch to bicycling or swimming to maintain aerobic fitness while you recover.

Is your marathon career over? Not necessarily, but you are going to have to get this problem under control before you can do serious distance work again.

| 1 | 2 | Previous

About the authors: Carol L. Otis, M.D., is Chief Medical Advisor to the Sanex WTA and a UCLA student health physician. Roger Goldingay is a former professional soccer player. They are married and the co-authors of The Athletic Woman's Survival Guide.

Order Now!

Table of Contents

Foreword: Billie Jean King

Comments by Barb Harris
Editor in Chief,
Shape Magazine

General Health
Nutrition
Exercise
Common Medical Problems
Dental Health
Emergency!
Infectious Disease
Sexual Health
Emotional Well-Being
Eating Disorders
Alcohol & Other Drugs
Environmental Health
Prevention