Recently an article titled The Surprising Iliotibial Band in the Journal of American Chiropractor Association 2011 Sept-Oct; 48(7): 2-6. Dr Thomas Michaud made some interesting points in treating the ITBand friction syndrome afterhe reviewed the research since 1997. This may help practitioners and those treating themselves improve their results and at bare minimum stimulate some thought. At this time I’m attempting to get the original research on few points Dr Michaud referred to in his article:
- Views ITBand as an extensive fascial network that stabilizes the whole femur
- Proposes the most the ITBand elongates is <0.2% – Foam rolling just at ITband probably doesn’t affect length
- Cited high success with focus on the stretching and massage of the Gluteus Maximus and Tensor Fascia Latae
- No correlation with foot pronation causing “snapping” of ITband
- Lastly, a strengthening program consisting of gluteus medius exercises in one of the critical strength components of any ITBand program
In addition to his recommendations I always include a program of trunk/core exercises to provide good proximal stability for the pelvic girdle. In addition to this approach I also look at any gross lower extremities asymmetries in range of motion and strength sometimes using the Functional Movement Screen (FMS) or as part of our general biomechanical assessment.
If you not getting results from your current treatment of ITBand Syndromes feel free to talk to our orthopedic and sports physical therapists at Apex Orthopedic Rehabilitation in Paramus, NJ for some helpful tips for a consultation.
Apex Orthopedic Rehabilitation in Paramus, NJ provides orthopedic and sports physical therapy services for the greater Ridgewood, Paramus, and Bergen County region. This blog is intended for informational purposes only and should not be used for diagnostic or prescriptive purposes. The views expressed here are the author’s views and should be taken as suggestions. Always consult your physician before engaging in a physical therapy or rehabilitative regimen.