Iliotibial Band Syndrome


The Iliotibial Band (ITB) is a wide sheath of fibrous connective tissue originating along the lateral edge of the iliac crest, tensor fascia latae and gluteus maximus.

it ilotibial band syndrome flat feet effect

The IT Band travels down the length of the lateral thigh and inserts into the lateral femoral condyle and tibial plateau.  ITB Syndrome is defined as a spasm, pain or inflammation of this connective tissue, often seen in runners and cyclists. 

What are the biomechanical causes of Iliotibial Band Syndrome?

ITB Iliotibial Band Stress Caused by Increased Q - Angle and Hyper Pronated Foot Posture

Biomechanicalcauses of ITB Syndrome are debated through literature, with most theories identifying either friction or compression at the point of the lateral femoral epicondyle as the likely cause.

By expanding a review of the research, a direct link is found between a hyperpronated foot posture and internal rotation of the tibia and femur, resulting in an increased Q-angle. This combination of postural faults coupled with excessive activity, such as running or cycling, may easily be identified as the cause of irritation to the IT Band.

Hyperpronation of the foot with excessive dorsiflexion at the ankle joint correlates with anterior hip rotation and femoral internal rotation.  This affects length-tension relationship of the IT Band along with arthrokinematics of the entire limb. 

 

MASS4D® helps the Iliotibial Band with a rehabilitation program

Healthy Q - Angle in Iliotibial Band SyndromeA complete active rehabilitation program for ITB Syndrome will include stretching, strengthening and anti-inflammatory modalities for acute care relief. Deep tissue massage can also be particularly helpful to this end.

Beyond acute pain relief, the treatment program must address the biomechanical causes that allow for the progression of the condition, in order to speed recovery and prevent reoccurrence.

MASS4D® will support the foot in its corrected posture ensuring optimal supination at mid-stance and functional pronation during gait.  This leads to optimal foot alignment, which allows for proper arthrokinematics in the proximal kinetic chain.

Reduction of tibial and femoral rotation and decreased Q-angle will limit irritation to the ITB and allow healing to occur whilst preventing future re-injuries. 

Recommended Links

How Pes Planus - Flat Feet Affect The IT Band
The Foot-Knee Arthrokinetic Relationship

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