IT Band PAIN – 3 Keys to Physical Therapy Treatment

By dpope2020

September 22, 2024

dan pope, fitness pain free, hip pain, iliotibial band, iliotibial band friction syndrome, iliotibial band syndrome, iliotibial band syndrome treatment, IT band, it band exercises, it band knee pain, it band massage, it band pain, it band stretch, it band stretches, IT Band Syndrome, it band syndrome exercises, it band syndrome stretches, it band syndrome treatment, it band tightness, itb syndrome, knee pain, physical therapy, runners knee, tight it band

IT Band PAIN - 3 Keys to Physical Therapy Treatment

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In today's video we go over IT Band PAIN - 3 Keys to Physical Therapy Treatment: FPF Show Episode 146

  • 0:00 Introduction
  • 1:08 How common is IT Band Pain?
  • 1:27 What population is IT Band Pain most common in?
  • 4:15 What is the relevant anatomy for IT Band Pain?
  • 5:10 What is the function of the IT Band?
  • 7:09 What functional activities load the IT Band most?
  • 9:35 Does the IT Band "Snap" over the lateral femoral condyle?
  • 14:06 Does hip weakness cause IT Band Pain?
  • 19:24 Should you foam roll and stretch the IT Band? 
  • 21:02 Is IT Band stiffness bad?  Does the IT Band get looser after rehab?
  • 25:40 The importance of taking a solid inventory (Subjective exam) in patients
  • 28:01 Why we want to MODIFY training (running) before REMOVING and how to do it
  • 28:47 Gait retraining (mirrors, cadence visual feedback)
  • 37:25 Phase treatment approach: Phase 1 - Calm down the angry tissue
  • 40:01 Phase treatment approach: Phase 2 - Building patients back up
  • 47:44 Phase treatment approach: Phase 3 - Return to running phase
  • 55:52 Additional treatments: Orthotics, Shockwave, Cortisone, Surgery

Super stiff IT bands!

- Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

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  5. Willy RW, Meardon SA, Schmidt A, Blaylock NR, Hadding SA, Willson JD. Changes in tibiofemoral contact forces during running in response to in-field gait retraining. J Sports Sci. 2016 Sep;34(17):1602-11. doi: 10.1080/02640414.2015.1125517. Epub 2015 Dec 17. PMID: 26679058.

  6. Meardon SA, Campbell S, Derrick TR. Step width alters iliotibial band strain during running. Sports Biomech. 2012 Nov;11(4):464-72. doi: 10.1080/14763141.2012.699547. PMID: 23259236.

  7. Bonoan, M., Morales, M., Liu, X.W. et al. Iliotibial Band Syndrome Current Evidence. Curr Phys Med Rehabil Rep 12, 193–199 (2024). https://doi.org/10.1007/s40141-024-00442-w

  8. Bolia IK, Gammons P, Scholten DJ, Weber AE, Waterman BR. Operative Versus Nonoperative Management of Distal Iliotibial Band Syndrome-Where Do We Stand? A Systematic Review. Arthrosc Sports Med Rehabil. 2020 Jun 10;2(4):e399-e415. doi: 10.1016/j.asmr.2020.04.001. PMID: 32875305; PMCID: PMC7451906.