One more challenge while on my Journey to become a
triathlete.
About a month ago I started experiencing pain in my right
knee while I was running, the pain was located just below the right side of my
knee cap on the outside of my leg. The pain started off very minimal but the
farther I ran the more the pain increased.
I have come to learn and understand my body pretty well, and this pain
was not due to being sore from a previous workout or run but from something
more serious.
Not wanting to make the problem worse I immediately stopped
running and searched all that I could find about the knee pain that I was experiencing. Since the pain was located in a very specific
area of my knee I was able to narrow down the problem the best that I could to
ITBS (Iliotibial band syndrome). However I am no Doctor and far from it, so
I wanted to make sure this was actually the case and not a tear in a ligament.
I saw my Doctor and my hunch was correct, it was in fact ITBS.
In order to lessen
ITBS it’s very important to understand exactly what ITBS is and what causes it.
The below
information was refrenced from Wikipedia and other sources.
Definition
ITBS is one of the leading causes of lateral knee pain in runners.
The iliotibial tract is a superficial thickening of tissue on the outside of the thigh, extending from
the outside of the pelvis,
over the hip and knee, and inserting just below the knee. The
band is crucial to stabilizing the knee during running, moving from behind the femur to the front
while walking. The continual rubbing of the band over the lateral femoral epicondyle,
combined with the repeated flexion and extension of the knee during running may cause
the area to become inflamed.
Symptoms
ITBS symptoms range from a stinging sensation just above the knee joint (on the outside
of the knee or along the entire length of the iliotibial band) to swelling or
thickening of the tissue at the point where the band moves over the femur. The
pain may not occur immediately during activity, but may intensify over time,
especially as the foot
strikes the ground. Pain might persist after activity. Pain may also be present
below the knee, where the ITB actually attaches to the tibia.
ITBS can also occur where the IT band connects to the hip, though this is
less likely as a sports injury. It commonly occurs during pregnancy, as
the connective tissues loosen and the woman gains weight -- each process adding
more pressure. ITBS at the hip also commonly affects the elderly. ITBS at the
hip is studied less; few treatments are generally known.
Causes
ITBS can result from one or more of
the following training habits, anatomical abnormalities, or muscular
imbalances:
Training habits:
- Running on a banked surface (such as the shoulder of a
road or an indoor track) bends the downhill leg slightly
inward and causes extreme stretching of the band against the femur
- Inadequate warm-up or cool-down
- Increasing distance too quickly or excessive downhill
running
- In cycling, having the feet "toed-in" to an
excessive angle
- Running up and down stairs
- Hiking long distances
Abnormalities in leg/feet anatomy:
- High or low arches
- Overpronation of the foot
- The force at the knee when the foot strikes
- Uneven leg length
- Bowlegs or tightness about the iliotibial band.
- Excessive wear on the outside heel edge of a
running shoe (compared to the inside) is one common indicator of
bowleggedness for runners.
Muscle imbalance:
- Weak hip abductor muscles
- Weak/non-firing multifidi muscles
After I learned the causes for ITBS I understood what caused
it to flare up with me.
Since day one I have had very weak hip flexors & hip
abductor muscles, If I would get a cramp while biking running or working out my
legs it would be in my hip area. I also know that I started running too far too
fast and did not take the proper steps to stretch before and after every run.
This is 100% my own fault and it is something that I could have avoided, I
guess I just learned it the hard way. I
got pretty bummed and depressed when I learned that it could take a very long
time before I was running again. Heck I have been training for a Triathlon for
months now and this could put a halt to any triathlon in the near future. After searching and searching the net for exercises
and stretches that could be done to help the ITBS I found a very helpful thread
in the Runners World forums, “ITBS Support Group” members have posted tons of information about
ITBS and more importantly they have posted what worked for them to conquer ITBS
and start running again. I read this entire thread and immediately started to
try the different stretches exercises and ideas that others have tried with success.
After trying many different stretches and running techniques
I have finally started to run again, and I am currently up to 5 miles without
any tweak or pain from my IT band. After the 5 mile mark I start to feel a
little tweak and pain so I stop and have not pushed myself any farther at this
moment.
Listed below are some of the stretches and exercises that
have worked for me.
·
Pigeon Stretch
·
Frog Stretch
·
Foam Roller 3-5 min each leg
·
ITBS Strap
·
Ice affected knee after each run for 30min
·
DO NOT Run on sidewalks run in the street
·
DO NOT Run down steep hills.
·
Run/walk pace for first mile
·
Try and run on very flat surface ie Road and not
sidewalk
·
DO NOT run on a oval track
I have also included several videos that
help explain ITBS and the different stretches that you can do to help release
the IT band to help reduce ITBS.