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Iliotibial Band Syndrome (IT Band) in Vancouver


Blog by Dr. Michael Horowitz | June 8th, 2011


IlioTibial Band (IT Band) Treatment in VancouverITBS is one of the leading causes of lateral knee & leg pain in runners. The iliotibial band is a superficial thickening of tissue on the outside of the thigh, extending from the outside of the pelvis, over the hip and knee, and inserting just below the knee. The band is crucial to stabilizing the knee during running, moving from behind the femur to the front while walking. The continual rubbing of the band over the lateral femoral epicondyle, combined with the repeated flexion and extension of the knee during running may cause the area to become inflamed.

IT Band issues often result from faulty foot mechanics due to the fallen or flat arch of the foot. This is best treated by prescribing custom orthotic inserts which treat the source of the problem and allow for most rapid healing. Call 604-733-7744 for relief!

ITBS symptoms range from a stinging sensation just above the knee joint (on the outside of the knee or along the entire length of the iliotibial band) to swelling or thickening of the tissue at the point where the band moves over the femur. The pain may not occur immediately during activity, but may intensify over time, especially as the foot strikes the ground. Pain might persist after activity. Pain may also be present below the knee, where the ITB actually attaches to the tibia.

ITBS can also occur where the IT band connects to the hip, though this is less likely as a sports injury. It commonly occurs during pregnancy, as the connective tissues loosen and the woman gains weight -- each process adding more pressure. ITBS at the hip also commonly affects the elderly. ITBS at the hip is studied less; few treatments are generally known.

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