IT BAND SYNDROME

• PRESENTED BY-
AKILA. A
MPT MUSCULOSKELETAL &
SPORTS
 WHAT IS IT BAND SYNDROME ?

• IBS IS AN INFLAMMATORY, NON TRAUMATIC, REPETITIVE STRAIN INJURY

AFFECTING KNEE PREDOMINANTLY LONG DISTANCE RUNNERS AND CYCLIST.
 ANATOMY

• FORMATION
• ORIGIN, INSERTION
• NERVE SUPPLY
• ACTION
 ETIOLOGY
DURING FLEXION AND EXTNSION OF KNEE IT BAND RUBS OVER THE
LATERAL FEMORAL EPICONDYL

RESULTING AN IRRITATED AND INFLAMED BURSA

PAIN
 RISK FACTORS
• TIGHTNESS OF QUADRICEPS, IT BAND, LATERAL RETINACULUM
• WEAK QUADRICEPS, ABDUCTORS
• EXCESSIVE SITTING
• REPETITIVE ACTIVITIES SUCH AS RUNNING AND CYCLING
• KNEE ARTHRITIS
• LLD
• GENU VARUM
• PES PLANUS, PES CAVUS
• LATERAL FEMORAL CONDYL PROTRUSION
 CLINICAL SYMPTOMS
• ACHING, BURNING, OR TENDERNESS ON THE OUTSIDE OF THE KNEE
• FEELING A CLICK, POP, OR SNAP ON THE OUTSIDE OF THE KNEE
• PAIN MAY RADIATE FROM KNEE PROXIMALLY AND DISTALLY
• WARMTH AND REDNESS ON THE OUTSIDE OF THE KNEE
• ABNORMAL GAIT
 ON EXAMINATION

• INSPECTION – CHECK FOR ANY LOCALIZED EDEMA

• PALPATION – 1. TENDERNESS OVER LATERAL FEMORAL CONDYL AND DISTAL

ATTACHMENT OF IT BAND OVER THE LATERAL TIBIAL TUBERCLE.
2.SNAPPING, CREPITUS OVER THE LATERAL FEMORAL CONDYL.
 SPECIAL TEST

• OBER’S TEST
• NOBELS TEST
• RENEES CREEK TEST
• THOMAS TEST
 DIFFERENTIAL DIAGNOSIS

• HAMMSTRING STRAIN
• OA HIP, KNEE
• PATELLOFEMORAL PAIN SYNDROME
• TROCHANTRIC BURSITIS
• MENISCAL INJURY
• LATERAL COLLECTRAL LIGAMENT INJURY
• MYOFACIAL PAIN
• OVERUSE INJURY
 MANAGEMENT
ACUTE PHASE
ACTIVITY MODIFICATION
IF EDEMA-
 SNAIDS
 ICE PACKS
 PHONOPHORESIS
 ULTRASOUND
 IONOTOPHORESIS
 SHOCK WAVE THERAPY
SUB ACUTE PHASE
MYOFASCIAL RELEASE
STRETCHING
RECOVERY PHASE

PROGERESSIVE STRENGTHENING EXERCISE

 ALTERNATIVE TREATMENT

IT BAND STRAP

ARCH TAPING
ORTHOTICS
MOTION CONTROL SHOES

IF TREATMENT UNSUCCESSFUL SURGERY IS AN OPTION