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ITBand Friction Syndrome- A review of the current literature

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.
 

Tom Willemann

Tom Willemann

Tom Willemann is a premier physical therapist based out of Bergen County, New Jersey. He holds an MS in physical therapy from the University of Miami, is credentialed in the world-renowned McKenzie Method of Mechanical Diagnosis and Therapy (MDT), and holds an OCS (Orthopedic Clinical Specialist) certification. As of 2018, there are approximately 14,000 ABPTS certified specialists in the nation and less than 400 of them are located in the state of New Jersey. Tom is the owner and director of Apex Orthopedic Rehabilitation in Paramus. He opened the clinic, which specializes in spine and sports injury prevention, in 2004 after many years of experience in the field. Tom’s caring interest in others and his strong belief in continuity of care, combined with his clinic’s ability to find solutions for the most difficult orthopedic problems, have earned Apex Orthopedic Rehabilitation its excellent reputation with patients and medical professionals in northeastern New Jersey and beyond. A true “family man,” Tom takes pride in his clinic’s warm and welcoming environment.
Tom Willemann

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