Pelvis Sighting

Continued...

Usually the ITB becomes irritated either directly over the side of the hip or on the side of the leg an inch or two above the knee. However, it can become inflamed along the entire length.

A sharp pain is usually felt near the skin's surface, sometimes accompanied by a snap or pop. The pain can be reproduced by standing on the affected leg and then bending the knee 30 degrees or by pressing directly over the band as it crosses over the femur.

Other types of tendinitis or torn cartilage in the knee can mimic ITB pain, so a careful evaluation by a sports medicine specialist is essential.

This irritation, like other forms of tendinitis, can seem like a minor annoyance at first and go on to become a major problem due to the repeated cycle of inflammation, swelling and scarring.

Its causes are many: worn-out shoes, excessive impact from over-training, speed training, wnhill running on a slanted surface, hyperpronation, tight ITB, limb-length discrepancy or the alignment condition characterized by a broad pelvis and knock-knees.

A broad pelvis makes the femur come inward at an increased angle so that the distal end of the condyle is parallel with the ground. The quadriceps, patella and patellar tendon make an angle centered at the patella. As the quadriceps contracts, this angle tends to straighten, which forces the patella laterally.

Prevention and Treatment

As with all injuries, early diagnosis, treatment and identification of the underlying cause is essential in preventing chronic ITB syndrome. Rest and stretching are an important part of treatment. To stretch the iliotibial band, stand with your knees straight, cross the painful leg behind the other as far as possible, then bend your trunk to the side of the leg in front.

Ice massage, ultrasound, deep-tissue cross-fiber massage and assisted stretching can be helpful to break up the scar tissue and resolve the tightness of the band. See a physical therapist for these treatments and to learn proper technique for stretching and massage. See a sports medicine specialist to identify biomechanical problems, such as a limb-length discrepancy which can be partially corrected.

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Foreword: Billie Jean King

Comments by Barb Harris
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