How to Diagnose IT Band Pain FAST

By dpope2020

November 8, 2024

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How to Diagnose IT Band Pain FAST

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In today's video we go over How to Diagnose IT Band Pain FAST:

Are you finding it hard to diagnose Iliotibial band syndrome in your patients? Today, I'll show you the clinical examination techniques to accurately identify and treat IT band syndrome. This type is one of the most common knee issues, especially in runners, and understanding the correct diagnostic process is important for effective treatment. So let's examine this knee pain issue so you'll know what to say to your patients.

Key takeaways:

➡️ IT band pain: Why IT band pain occurs, especially in runners and high-mileage athletes.

➡️ Reliable diagnostic tests: Perform the Ober Test, Noble Compression, and other tests to accurately pinpoint IT band issues.

➡️ Difference from other injuries: How to rule out meniscus and LCL injuries so you can focus on the real problem.

Learn how to safely and effectively apply these diagnostic techniques to get clear answers.Pay attention that no single test reliably diagnoses IT band syndrome, so combine multiple tests for more accuracy.

TIMELINE

  • 00:00 - Intro
  • 00:22 - IT band pain causes
  • 01:46 - Mechanism of injury
  • 02:21 - Running mechanics and IT band strain
  • 03:10 - Location of symptoms
  • 04:35 - Noble’s compression test
  • 05:29 - Step-down test
  • 06:28 - Sensitivities & Specificities
  • 06:52 - Ober test
  • 09:02 - Differential diagnosis
  • 11:22 - Fulcrum test

Hmmmm, I think it's the IT Band!

- Dan Pope DPT,OCS,CSCS

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. Opara M, Kozinc Ž. Stretching and Releasing of Iliotibial Band Complex in Patients with Iliotibial Band Syndrome: A Narrative Review. J Funct Morphol Kinesiol. 2023 Jun 4;8(2):74. doi: 10.3390/jfmk8020074. PMID: 37367238; PMCID: PMC10299000.
  2. Hutchinson LA, Lichtwark GA, Willy RW, Kelly LA. The Iliotibial Band: A Complex Structure with Versatile Functions. Sports Med. 2022 May;52(5):995-1008. doi: 10.1007/s40279-021-01634-3. Epub 2022 Jan 24. PMID: 35072941; PMCID: PMC9023415.
  3. Willett GM, Keim SA, Shostrom VK, Lomneth CS. An Anatomic Investigation of the Ober Test. Am J Sports Med. 2016 Mar;44(3):696-701. doi: 10.1177/0363546515621762. Epub 2016 Jan 11. PMID: 26755689.