ITB Friction Syndrome

 

Client presented with crippling knee pain six days before the Melbourne Marathon.  Two weeks before race day she broke down at 15km mark with crippling pain in the right knee. GP advised she could not run the event and to take rest. If determined to run, a pain killing injection on the day of the event was offered.

 

Sx/Ax: Lower back & glutes tight+++. Both hips, TFL & inguinal crease pain++++. Right ITB tight+++. Lateral aspect right knee pain+++. Medial aspect of right scapula pain+. Right patella tracking correctly. Slight inflammation & heat on lateral aspect of knee. No pain in centre of knee. 

 

Suspected ITB friction syndrome

 

First Rx (Monday): Lower/Upperback, Glutes & Lower limb Rx. Cupping QL, Glutes & Piriformis. Myofascial Stretch spinal erectors. Myofascial Release ITB...seriously painful bruising inflicted. TCM herbal patches supplied to clear bruising. Client advised to rub down lateral aspect of right thigh daily from Greater Trocanter to Knee using 50mm dowel. Technique demonstrated. While client in habit of pre­ and post ­training stretching, clearly no where near enough being done.

 

Second Rx (Thursday): Lower back Rx and light Lower Limb Rx. Cupping left and right Glutes, Piriformis, TFL, Greater Trocanter and distal aspect of right ITB. Integrative Fascial Release for left and right hips and adductors. Lymph node drainage...not full MLD...nodes, cisterna chyli & thoracic duct only.

 

Client ran event (Sunday). Half marathon, in lieu of full marathon, without pain killing injection. She reported good form, no pain and took 15min off her personal best. 

 

Awaiting signed photograph of client crossing the finish line.

 

ITB - Illio-Tibial Band

TFL - Tensa Fascia Latae

QL - Quadratus Lumborum

Sx - Symptoms

Ax - Assessment

Rx - Treatment

TCM - Traditional Chinese Medicine

MLD - Manual Lymphatic Drainage