ITB: Misunderstood and Mistreated?

There is, it seems to me, a major dichotomy in the way ITB syndrome is assessed and treated. Time to change that I believe! Over the years, I have seen literally hundreds of athletes, especially runners, complaining of the dread Iliotibial Band Syndrome (ITBS). Not only that, but on occasion, these athletes have had ITB…

Simon Bartold
Director of Bartold Clinical

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5 responses to “ITB: Misunderstood and Mistreated?”

  1. Really good article! I never knew that about an underactive Illiopsoas and Tensor Fascia Lata/Rectus Femoris compensation. This stuff will be great to use going forward.
    What are some of the other muscle imbalances that can contribute to dynamic knee valgus?

  2. Thanks for the blog, enjoyed it and (love a bit of subjective) liked how it fed into my evolving understanding of things. Given that little, if anything, in the body works in isolation I wonder if we might understand tension and compression as a continuum? Particularly in the more long term and/or chronic presentations. Thereby, compression, in the region, that we consider to be causative (and I don’t disagree with the compression hypothesis role you outline in the blog – don’t know enough) might be more subsequent to tension less locally, which you touched upon.

    You mention G Max in the blog and these bits of anatomy description might be of interest to people:

    1. Stecco C, on fascia of the lower limb portion
    https://www.sciencedirect.com/topics/medicine-and-dentistry/tensor-fascia-lata-muscle

    2. Summary section
    https://www.bodyworkmovementtherapies.com/article/S1360-8592(13)00064-8/abstract

    Clearly there is a fascia bias in the refs, and we are a long way from understanding the influence of contiguity of fascia (or more specifically its constituents) with tissues but of anatomical interest perhaps in light of your comments and, if, we were to consider less optimal function of fascia over and within G Max as adding to tension.
    Again, thanks.

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