Document Detail

Practical management of iliotibial band friction syndrome in runners.
MedLine Citation:
PMID:  16778549     Owner:  NLM     Status:  MEDLINE    
This article outlines the practical management of iliotibial band friction syndrome (ITBFS) in running athletes. ITBFS is the most common cause of lateral knee pain in runners and is related to repetitive friction of the iliotibial band sliding over the lateral femoral epicondyle. Runners predisposed to this injury are typically in a phase of over training and often have underlying weakness of the hip abductor muscles. The diagnosis of ITBFS is clinical and is based on a thorough patient history and physical exam. In the acute phase, treatment includes activity modification, ice, nonsteroidal anti-inflammatory medication, and corticosteroid injection in cases of severe pain or swelling. During the subacute phase emphasis is on stretching of the iliotibial band and soft tissue therapy for any myofascial restrictions. The recovery phase focuses on a series of exercises to improve hip abductor strength and integrated movement patterns. The final return to running phase is begun with an every other day program, starting with easy sprints and avoidance of hill training with a gradual increase in frequency and intensity. In rare refractory cases that do not respond to conservative treatment, surgery can be considered.
Michael Fredericson; Adam Weir
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine     Volume:  16     ISSN:  1050-642X     ISO Abbreviation:  Clin J Sport Med     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-06-16     Completed Date:  2006-10-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9103300     Medline TA:  Clin J Sport Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  261-8     Citation Subset:  IM    
Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Stanford University Medical Center, Stanford, CA 94305-5336, USA.
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MeSH Terms
Cumulative Trauma Disorders / therapy*
Fascia Lata / injuries*
Knee Injuries / therapy*
Physical Therapy Modalities
Running / injuries*
Tibia / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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