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Iliotibial Band Syndrome

The iliotibial band is a band of tissue that runs along the outside of the leg from the hip to just below the knee, providing functionality and stability to the knee joint and surrounding area. Iliotibial band syndrome occurs when this band becomes so tight and inflamed that it rubs against the outer portion of the femur, causing irritation and instability to the knee joint. Also known as IT band syndrome, this condition often occurs in people who are physically active, such as runners or cyclists.

Symptoms of Iliotibial Band Syndrome

Frequent bending of the knee during physical activity may result in the symptoms of IT band syndrome, which may include:

  • Pain on the outside of the knee
  • Hip pain that comes and goes
  • Swelling of the knee

Pain may worsen with movement and improve with rest.

Diagnosis of Iliotibial Band Syndrome

IT band syndrome is diagnosed after a physical examination and review of symptoms. An MRI scan may be performed to confirm a diagnosis of this condition, as MRI images may show a thickening of the band, which is often the cause of irritation.

Treatment of Iliotibial Band Syndrome

IT band syndrome is often treated with conservative methods to reduce pain and swelling and may include:

  • Applying ice to the affected area
  • Anti-inflammatory medications
  • Rest

Stretching exercises are also recommended and physical therapy can help individuals to strengthen muscles and develop methods for exercises to prevent further injury. Cortisone injections may be beneficial if pain does not subside, and in severe cases, surgery may be recommended.

More Information

My Shoulders Are Letting Me Down

We rely on our shoulders for countless tasks. It can be problematic when they don’t function at our best and can make ordinary tasks a challenge. Finding a cause behind unstable shoulders can help bring pain relief and peace of mind. Here are some reasons behind your shoulder pain and what you can do to treat it.

What Causes Shoulder Instability?

Your shoulders play a pivotal role in how you go about your daily life. Unstable shoulders can frequently come out of place, making everyday activities difficult. 

One cause of shoulder instability is severe trauma to the shoulder. An injury such as a dislocation causes the head of your shoulder to dislocate from the socket. The initial shoulder dislocation can result in repeated dislocations and further instability.

Genetics may be another cause of shoulder instability. Some people are born with naturally loose shoulder ligaments. Excessively loose shoulder ligaments called Hyperlaxity can cause shoulder instability. This can occur without prior dislocations or a history of strains. Hyperlaxity can increase the chances of dislocating your shoulder or weakening the joint.

Symptoms of Shoulder Instability

Several symptoms characterize shoulder instability. Shoulder instability symptoms include

  • A loose feeling in the shoulder
  • The shoulder giving out
  • Repeated shoulder dislocations
  • Pain

How is Shoulder Instability Diagnosed?

Professional examination is how shoulder instability is diagnosed. 

If you’re having shoulder trouble, your doctor can order imaging tests to find the cause. One tool to find the cause of your shoulder pain is an x-ray. The x-ray helps doctors to take a thorough look at the bones around your shoulder joint and examine them for signs of injury. Your doctor may also order an MRI for further examination. An MRI provides a detailed image of the tissues around your shoulder and helps find damage to the ligaments and tendons in the joint.

How Are Unstable Shoulders Treated?

Your treatment plan depends on the nature and severity of your symptoms. First, you may need to avoid activities that worsen your symptoms. If you can’t stay away from pain-inducing activities, modifying your movements may help give you some relief. Also, anti-inflammatory pain medications and physical therapy can help.

If your shoulder problems need more aggressive treatment, our office can help. Schedule a consultation by calling (508) 363-6363.