Understanding ITB Syndrome and Knee Pain: How Chiropractic Care at Neurohealth Wellness Can Help
Introduction
Iliotibial Band (ITB) Syndrome is a common cause of knee pain, especially among runners, cyclists, and athletes involved in repetitive leg movements. Despite its frequency, this condition can be debilitating if left untreated, impacting both sports performance and daily activities. At Neurohealth Wellness, our chiropractic care team understands the complexities of ITB syndrome and its relationship to knee pain. This article will explore the anatomy of the ITB, causes of ITB syndrome, symptoms, and how chiropractic interventions, combined with rehabilitation, can play a crucial role in treatment and recovery.
What Is ITB Syndrome?
The iliotibial band is a thick band of fibrous tissue that runs down the outside of the thigh, from the hip to the knee. It works alongside the muscles of the thigh to stabilise the knee during movement, particularly when running, walking, or cycling.
ITB Syndrome occurs when the iliotibial band becomes tight or inflamed, causing friction as it rubs against the lateral femoral condyle (the outer part of the knee). This irritation can lead to pain on the outside of the knee, often worsened by activity.
Common Causes of ITB Syndrome
ITB syndrome is generally classified as an overuse injury. However, several contributing factors can increase the risk:
1. Repetitive Movements: Activities that require repetitive bending and extending of the knee, like running and cycling, place stress on the ITB.
2. Muscle Imbalances: Weakness in the hip abductor muscles (gluteus medius) can lead to improper stabilisation of the pelvis, which puts more strain on the ITB.
3. Poor Biomechanics: Gait abnormalities, leg length discrepancies, or improper footwear can contribute to the development of ITB syndrome by altering movement patterns and increasing friction along the iliotibial band.
4. Inadequate Stretching or Warm-Up: Failing to warm up properly before physical activities can result in a tight ITB, increasing the risk of inflammation and pain.
5. Training Errors: Rapidly increasing training intensity or distance, running on uneven terrain, or neglecting rest days can exacerbate the issue.
Symptoms of ITB Syndrome
The hallmark symptom of ITB syndrome is pain on the outer part of the knee, which tends to worsen with activity. Common signs include:
- Sharp or burning pain on the outer knee, particularly when running downhill or on uneven surfaces.
- A clicking sensation on the outer knee.
- Stiffness in the knee after physical activity.
- Pain that persists despite rest.
If left untreated, ITB syndrome can lead to chronic knee pain and reduced function, making it important to seek timely care.
How Chiropractic Care at Neurohealth Wellness Can Help
Chiropractic care offers a holistic, non-invasive approach to treating ITB syndrome. At Neurohealth Wellness, we use evidence-based techniques to address both the symptoms and the underlying causes of ITB syndrome. Here’s how our team can help:
1. Comprehensive Assessment
Our chiropractors start by assessing your posture, gait, and biomechanics to identify contributing factors such as muscle imbalances or improper alignment of the hip, knee, or ankle. A detailed history is also taken to understand your activity level, any prior injuries, and specific pain triggers.
2. Manual Adjustments and Joint Mobilisation
Chiropractic adjustments can help improve joint alignment and reduce mechanical strain on the iliotibial band. These adjustments are particularly beneficial for addressing any pelvic misalignment or lower back issues, which often contribute to ITB syndrome. By realigning the spine, pelvis, and hips, we can reduce the tension on the ITB and enhance movement efficiency.
3. Soft Tissue Therapy
Soft tissue manipulation techniques, such as myofascial release, trigger point therapy and Graston technique can help alleviate tension and inflammation in the iliotibial band. These therapies break up scar tissue, reduce adhesions, and increase blood flow to the affected area, promoting faster healing.
4. Dry Needling
For more stubborn cases of ITB tightness, dry needling can be employed to release tight knots in the muscles surrounding the iliotibial band. Our experienced chiropractor, Lucinda, utilises this technique to target trigger points that are often responsible for chronic tightness and pain, offering long-term relief from discomfort.
5. Rehabilitation and Strengthening
An important aspect of treating ITB syndrome is correcting the underlying muscle imbalances. At Neurohealth Wellness, we incorporate personalised rehabilitation programs designed to strengthen the hip abductors, glutes, and core muscles. These exercises reduce stress on the iliotibial band, improve knee stability, and correct improper biomechanics. Our practitioners also teach you stretches that target the ITB to maintain flexibility and prevent recurrence.
6. Gait and Biomechanical Correction
For athletes and runners, assessing and correcting gait abnormalities is crucial. We can provide guidance on proper running mechanics, footwear recommendations, and training modifications to reduce stress on the ITB. In some cases, orthotics may be recommended to correct foot posture and relieve stress on the knees and hips.
Chiropractic Care: A Long-Term Solution
What sets chiropractic care apart is the focus on holistic, long-term recovery rather than just managing symptoms. By addressing root causes such as poor biomechanics, muscle imbalances, and improper alignment, we not only reduce pain but also prevent future flare-ups. Chiropractic care, combined with corrective exercises and patient education, empowers patients to maintain their physical health and performance over time.
References
- Fredericson, M., & Wolf, C. (2005). Iliotibial Band Syndrome in Runners. Sports Medicine, 35(5), 451–459.
- Journal of Chiropractic Medicine (2020). Chiropractic Management of Overuse Injuries in Athletes. Chiropractic & Manual Therapies, 28(1).
- Messier, S. P., & Davis, S. E. (2009). Etiology and prevention of overuse injuries in runners. Journal of Sport Rehabilitation, 18(4), 268-284.
Conclusion
ITB syndrome can be frustrating and painful, but it doesn’t have to be a chronic issue. At Neurohealth Wellness, our chiropractic care team provides a comprehensive approach to treating ITB syndrome, from addressing the root cause to supporting your recovery with personalised rehabilitation and soft tissue therapies. If you’re suffering from knee pain and suspect ITB syndrome, contact us today at Neurohealth Wellness to book your consultation and take the first step toward pain relief and long-term health.
Contact Us:
Neurohealth Wellness
33-35 Kentwell Rd, Allambie Heights
Phone: (02) 9905 9099
https://www.neurohealthwellness.com.au/booking
By empowering our patients with knowledge and hands-on care, we strive to make a positive impact on your health and well-being!
