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Iliotibial Band (ITB) Friction Syndrome?

Question: Iliotibial Band (ITB) Friction Syndrome?

For over the past year, I have been having pain in my left knee - seems to be ITBS, but I'm not sure. An MIR was done last summer and was negative. Had a cortisone shot and some PT for 8 weeks - pain went away be came back after 1-2 months at a low level. Started riding the trainer indoors this winter and it has flared back up.

For the past 2 weeks, I have eliminated all riding & running, used ice daily (15 minutes on , 15 minutes off for as many iterations as I have time), started stretching my gluts, hamstrings, quads and calves. Additionally, I have also been working on strengthening my hip abductors.

Here is the current problem:
I rode the trainer last night for 10 minutes at a very low resistance setting at about 40-50 rpm. Pain flared right back up.

What else could be going on here?

thx

Answer:

Hi there

I am an Australian Kinesiologist/sports therapist

You did all the right things for the wrong muscles. The muscle most commonly involved in knee problems is the Tensor fascia lata. This muscle runs from the top/front of the pelvis to the outside of the tibia and is a major hip stabiliser. It helps bend the thigh and draws it away from the body sideways and keeps it turned in. It is connected to the iliotibial tract and, when in under energy, often causal in meniscus and cruciate problems as it pulls the tibialis out of its normal confinement,causing lateral pressure on the meniscus. This leads to meniscus or cruciate operations, while the actual problem is the fascia lata.
Massaging the muscle from the middle of the upper leg to hip and knee daily for 30 seconds at a time and about 10 times daily will activate the spindles and 2000 mg of Vitamin C daily will help in the production of collagen to repair the iliotibial band.
Icing is wonderful for inflammation or bruising, but not for this sort of problem. Cortisone is not of much use as there is no inflammation, and of very limited use as a painkiller and there are heaps of problems associated with cortisone use, as it stops the adrenals producing cortisone.
Vitamin C deficiencies are rampant because of the pollution of our foods and environment, in particular in cities.
It is called subclinical scurvy and in people involved in sports it manifests as connective tissue injuries.

Good luck

Hans de Rycke Fr.R.C.
'Bahk-Ge's retreat'
Natural and Spiritual Healing center
hderycke@hotmail.co.uk