RUNNERS KNEE (AKA Iliotibial Band Friction Syndrome)
Iliotibial band (ITB) friction syndrome is an overuse injury in the knee that occurs
mainly in runners and cyclists. It affects the outside of the knee where the ITB
rubs across the outside of the knee. Improper or excessive training can cause irritation
and lead to pain, swelling, and problems with training. Athletes who are flatfooted
or hyperpronated (irregular foot rotation) produce unusual pressure on their legs,
which puts extra strain on the IT band. The pain with Runners knee is usually centered
on the outside of the knee and pain often occurs when flexing or extending the knee
at about 30 degrees. The diagnosis of ITB friction syndrome can be made by physical
examination by a physician and confirmed with an MRI.
Recommendations:
- Consult a physician if you think you have Runners Knee
- Warm up and stretch before, during, and after an activity, for muscle and tendon
flexibility
- Rest is the most important part of the treatment program for ITB friction syndrome.
Decrease training program by 50 percent. If that does not cure the problem, training
should be decreased again by 50 percent.
- Develop a Cross-training program
- Use Knee supports to help treat and prevent Runners
Knee
- Use Foot Orthotics to help correct foot problems which may be contributing to Runners
Knee