Iliotibial band syndrome — The iliotibial band consists of connective tissue that runs from the ilium to the fibula. In patients with this syndrome, an aching or burning pain is felt at the site where the band courses over the lateral femoral condyle and, occasionally, the pain radiates up the thigh toward the hip. There may also be an abnormal shortened iliotibial tract. The tightness of the iliotibial band can be tested for by having the patient lie on the side with the involved side up. The examiner lowers the straight involved leg forward and downward noting any discomfort, tautness, and tenderness, when compared to the uninvolved leg. Risk factors include a varus alignment of the knee, excessive running mileage, worn shoes, or continuous running on uneven terrain [57]. The role of hip abductor weakness which has been noted in runners with this injury is uncertain, but the weakness typically improves with rehabilitation [58].
The treatment of iliotibial band syndrome includes rest, NSAIDs, stretching, physical therapy, and attention to contributing factors, such as shoes, techniques and running surface. Local corticosteroid injection into the areas of tenderness can be helpful, but the patient must refrain from running for at least two weeks following the injection. Anecdotally, some patients have found relief with the use of a pull-on knee sleeve, possible due to a decrease in knee flexion. Rarely, in selected patients, surgical release of the iliotibial band may be beneficial.
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2007-01-04 08:51:52
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answer #1
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answered by HK3738 7
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