What can I do for IT-band syndrome?

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  1. Dr. Mike Clark
     

    Research suggests that altered alignment of the lower extremity can increase stress to the IT-Band. Studies also show that individuals suffering from IT-Band Syndrome have weaker muscles on the upper and outer hip of the affected leg when compared to the non-affected leg. Therefore, to improve alignment of the lower extremity – taking stress off the IT-Band – and the strength of the muscles around the hip, the most effective strategy is to incorporate a combination of specific flexibility and strengthening exercises into your routine.

    For optimal benefit, perform the following exercises daily and/or before activity in the order below:

    Relax (find 1-3 tender spots per muscle and hold on each spot for at least 30 seconds):

    • Calves




    • Outer Thigh




    Stretch (perform each stretch 1-3 times – holding each stretch for at least 30 seconds):

    • Calves




    • Hamstrings




    • Hip Flexors (Front of Hip/Thigh)




    Wake-up weak muscles (perform 1-3 sets of 10-15 repetitions of each exercise):

    • Floor Bridge




    • Tube Walking Side to Side




    Total body movement (perform 1-3 sets of 10-15 repetitions of each exercise):

    • Front Lunge, Balance, to Overhead Press with 2-Arms




      

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  2. National Academy of Sports Medicine
     
    If you have IT-band syndrome, you should perform a combination of flexibility and strengthening techniques to help your body heal and prevent further injury. Begin by foam rolling your IT-band. Foam rolling is a form of self-massage that can help relax tight muscles before you stretch them. Hold the tender spots for 30 seconds to allow your muscle time to relax and release the knots that are causing tension in the muscle. After you have completed the foam rolling, statically stretch the hip flexor complex. Hold each stretch for 30 seconds to allow your muscles time to elongate.  Next, perform strengthening exercises for the hips and core. This can be done by performing stability ball bridges and planks to help strengthen the muscles that stabilize the core and hips. Lastly, perform a single-leg balance exercise to strengthen the muscles of the entire leg. When performing any single-leg exercise, ensure that you keep the arch of your foot lifted while performing the exercise. Perform 1-3 sets of 10-15 repetitions of each of these exercises.
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  3.  Terrance Evans
     

    It is caused by a chronic rubbing of the portion of the band that crosses the femoral condyle at 20-30 degrees of flexion. Given this mechanism, it is common in runners (especially running down hill) and cyclists. Clients with genu varum angulation (bull legs) may be predisposed. Here is what you can to do help it:
     
    Foam Roll: Tensor Fascia Latae

    Start
    1. Lie with foam roll on side, in front of hip.
    2. Cross top leg over lower, with foot touching floor and bottom leg raised off floor.

    Movement
    3. Slowly roll front of hip, slightly in front of hip joint; apply pressure on tender spots for 30 seconds.
     
    Foam Roll: Tensor Fascia Latae

    Start
    1. Lie with foam roll on side, in front of hip.
    2. Cross top leg over lower, with foot touching floor and bottom leg raised off floor.

    Movement
    3. Slowly roll front of hip, slightly in front of hip joint; apply pressure on tender spots for 30 seconds.
     
    Foam Roll: Hamstrings
     
    Start
    1. Place foam roll under Hamstring with hips lifted off floor.
    2. Cross opposite leg to increase pressure (optional).

    Movement
    3. Slowly roll Hamstring; apply pressure on tender spots for 30 seconds.

    Start doing Running Specific Strength Training after the pain goes away.

    1. Floor bridge
    2. Floor cobra
    3. Side-lying iso-ab
    4. Quadruped opposite arm/leg reach
    5. Multi-planar single leg balance exercises
    6. Squat to OH press
    7. Tube walking
    8. Sagittal lunges
    9. Ball Squats

     

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    It is caused by a chronic rubbing of the portion of the band that crosses the femoral condyle at 20-30 degrees of flexion. Given this mechanism, it is common in runners (especially running down hill) and cyclists. Clients with genu varum angulation... More