Iliotibial Band Syndrome

Diagnosis/Definition

• The iliotibial band (ITB) is a thick band of connective tissue that runs along the outside of the thigh. ITBS is an overuse injury caused by repetitive friction of the ITB across the knee joint area.

Initial Diagnosis and management

• History and physical examination
• Relative rest: decrease or stop running
• Ice and massage
• NSAIDs
• Adults - 200 to 400 milligrams (mg) every four to six hours as needed for up to 2 weeks. Example: Ibuprofen
• Take tablet or capsule forms of these medicines with a full glass (8 ounces) of water.
• Do not lie down for about 15 to 30 minutes after taking the medicine. This helps to prevent irritation that may lead to trouble in swallowing.
• To lessen stomach upset, these medicines should be taken with food or an antacid.
• Stretches and strengthening
• Appropriate restrictions of activity

Ongoing Management and Objective

• Rest is individualized depending upon severity
• Ice for 10 to 15 minutes with hourly reapplication.
• Slow and sustained active stretches

Indication a profile is needed

• Any limitations that affect strength, range of movement, and efficiency of feet, legs, lower back and pelvic girdle.
• Slightly limited mobility of joints, muscular weakness, or other musculo-skeletal defects that may prevent moderate marching, climbing, timed walking, or prolonged effect.
• Defects or impairments that require significant restriction of use.