The Illiotibial band (ITB) runs down the outside of the thigh, from its origin on the outside of the pelvis at the TFL muscle down to its insertion below the knee.
Cause and Symptoms
Tensioning of the tendon will cause it to rub on the bone at the knee and this will eventually become inflamed and painful. Tensioning may occur due to injury to soft tissue or, due to inappropriate leg rotation caused by collapsing foot structure overloading the ITB. When this happens running can become very painful. If you rest, the inflammation may settle down but if the causative factors are not identified correctly, when you start to run again the symptoms are likely to return. This occurs because the band is tight the tendon will once again become inflamed.
Treatment
Initially implement rest, ice, compression, and elevation (RICE) to control acute factors. Stretch and massage of the Iliotibial band to alleviate contractile forces. Failure to stretch the Iliotibial band properly is highly likely to result in a recurrence of the injury when returning to training.
Gradual return to activity with a graded strengthening program Seek professional podiatry treatment for controlling of excessive leg rotation caused by poor foot function through prescription of foot orthoses to alleviate any mechanical strain and muscular rebalancing.
WARNING : This information is for educational purposes only and is not intended to replace professional podiatric advice. Treatment will vary between individuals depending upon your diagnosis and presenting complaint. An accurate diagnosis can only be made following personal consultation with a Podiatrist.