Iliotibial Band Friction Syndrome – ITBFS

Studies have shown that the pathology of ITBFS is due to fluid build up in a sac of fluid near the attachment of the ITB around the knee joint.
Common Signs and Symptoms
• Pain located on the outside of the knee
• Pain aggravated with running
• Running down hill may increase symptoms
Predisposing Factors
ITBFS is commonly related to our biomechanics and there are a number of mechanical faults which may predispose a person to ITBFS, these include:
• Excessive pronation or rolling in of the feet
• Varus alignment of the lower limb or knock-knee
• Weakness through the inner quadriceps muscle (VMO)
• Poor gluteal strength and control
What Can You Do To Help Avoid Getting ITBFS?
Footwear:
Having the correct running shoes for your foot type is vital for minimising injury.  When we run we place 4-5times our body weight through each leg which places a lot of pressure on our feet.  Going to places like Athletes Foot will help to get the right shoe for you, or your local physiotherapist or podiatrist should also be able to assist you.
Orthotics:
Over 70% of the population has pronated feet or feet that roll in.  This in turn changes the mechanics of your lower limb thus adding to unwanted stress through the knee.  A simple orthotic may be enough to realign your foot which can be fitted by your physiotherapist.  However more complicated mechanical faults can be seen to by a podiatrist.
Poor Inner Quadriceps Strength:
Our quadriceps muscle is divided into 4 parts and the inner quadriceps (VMO) is of great importance for stabilising the knee joint. Simple single leg squat exercises can help to strengthen this muscle making sure that correct alignment is carried out during the exercise.

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