Iliotibial band syndrome

Autor: James Pegrum, Nick Hall, Alex Self
Rok vydání: 2019
Předmět:
Zdroj: BMJ. :l980
ISSN: 1756-1833
0959-8138
DOI: 10.1136/bmj.l980
Popis: What you need to know A 25 year old woman has recently started training for her first marathon. When she increased her typical running distance from 10 to 18 km she started getting lateral knee pain and tightness. It occurs at the same distance each time she runs, and is worse when she runs downhill. Iliotibial band (ITB) syndrome (ITBS) affects 7-14% of runners,12 although it is associated with a variety of activities including cycling, field sports, hockey, rowing, swimming, hiking, and basketball.1 The pain or tightness typically affects the lateral knee but can radiate along the length of the ITB, presenting with hip or thigh pain (fig 1). ITBS is usually caused by biomechanical abnormalities, often combined with overtraining, although it can develop with quite modest levels of exercise. This article outlines how to diagnose ITBS in someone presenting with lateral knee pain, and offers a practical guide to initial management in primary care. Fig 1 Iliotibial band syndrome Understanding the location and pattern of the pain and biomechanics is important to evaluate and treat the condition. The assessment and differential diagnosis is summarised in the table . View this table: Common causes of lateral knee pain ### History
Databáze: OpenAIRE