| What
is it?
Iliotibial Band (ITB) Syndrome
is one of the most common running injuries around. The pain is usually
felt on the lateral side, or outside, or the knee. It becomes more
painful when the knee is bending more, such as when one is running
hills. Quite often though, the pain is never felt until one actually
tries running, and sometimes is not felt until a few kilometers
into the run. But what is it? Despite what it may feel like, it's
not a problem with your knee. The ITB is a ligament that runs from
the hip to the shins on the outside of your thigh, passing over
the knee. The pain which is most commonly felt is the band rubbing
against the bones in the knee. This results in inflammation in the
area. The most common cause of ITB syndrome is increasing your mileage
when you are not ready for it.
What should
I do?
The
first step should always be to back off on your training. Whether
this means stop all together or reduce your mileage is up to you
and the severity of the injury. When you back off on your mileage,
you can always supplement your training with pool running, swimming,
rowing, and activities like that. The important thing is to stop
before it becomes chronic. If you are able to run with minimal pain,
doing a complete and slow warm-up before your run could solve the
problem. As far as stretching goes, there are some very effective
ITB stretches out there.
The easiest is to cross the leg which is hurting behind the other
leg, and then push your hips to the injured side. You should feel
a pull along the outside of your leg. After runs, you should always
ice the tender area to take the inflammation down. ITB can be treated
like most other running injuries; with rest, ice, compression, and
elevation.
Could
it be my shoes?
Shoes are actually
one of the first things to look at when you are experiencing ITB
pain. If you are an overpronator, meaning your foot rolls in too
much, you may need more support to align your knees correctly. The
same goes for supinators, where the foot doesn't roll enough, there
could be too much stability in a shoe pushing them further outwards
and misaligning their knees. The best way to tell this is to come
into the store and have one of us look at your feet and shoes. Beyond
this, as a shoe breaks down, the stability and cushioning eventually
break down and this is probably the leading cause of injuries like
ITB syndrome.
Basically, ITB
problems can be resolved very quickly if they are dealt with in
time. Most runners, however, choose to continue running through
the pain. This can make the problem chronic, and in this case it
may never leave you. If the problem doesn't clear up with some rest
and stretching, try seeing a sports-medicine doctor. They will usually
be able to target the cause of the problem.
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