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Iliotibial Band Syndrome Follow-up

  • Author: Jerold M Stirling, MD; Chief Editor: Craig C Young, MD  more...
 
Updated: Oct 21, 2015
 

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An athlete can return to full activity when pain has resolved, and he/she has achieved normal flexibility of the ITB. To prevent recurrence of the injury, the athlete should have regained full muscle strength of the proximal hip and knee musculature.

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Complications

If the injury has not been fully rehabilitated before the athlete returns to play, ITBS can become a chronic condition.

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Prevention

The athlete should integrate active stretching of the ITB and maintenance of strength of the proximal hip musculature into his/her training program. Athletes should be aware of aspects of their training programs that may provoke ITBS (eg, overtraining, running on banked roads) and should make appropriate alterations.[20] By working with their physicians, trainers, physical therapists, or coaches, athletes should identify and correct problems with their equipment (eg, bicycle seats that are too high, worn-out athletic shoes).

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Prognosis

The prognosis for ITBS is excellent if the athlete maintains ITB flexibility and corrects the intrinsic factors that lead to this injury. The athlete must also avoid the extrinsic factors that provoke ITBS.

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Education

Provide the athlete with educational materials that describe ITBS and its management. An individualized, written training program must be developed for each athlete through collaboration with the athlete and a physician, physical therapist, or athletic trainer.

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Contributor Information and Disclosures
Author

Jerold M Stirling, MD Interim Chairman of Pediatrics, Associate Professor of Pediatrics and Orthopedics, Departments of Pediatrics and Orthopedic Surgery, Loyola University Medical Center

Jerold M Stirling, MD is a member of the following medical societies: American Academy of Pediatrics

Disclosure: Nothing to disclose.

Coauthor(s)

Pietro Tonino, MD Director of Sports Medicine, Associate Professor of Orthopaedic Surgery, Orthopaedic Surgery, Loyola University Medical Center

Pietro Tonino, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Sports Medicine, American Medical Association, American Orthopaedic Society for Sports Medicine, Chicago Medical Society, Illinois State Medical Society, Mid-America Orthopaedic Association, American College of Occupational and Environmental Medicine

Disclosure: Nothing to disclose.

Timothy D Marsho, DO Pediatrician

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Craig C Young, MD Professor, Departments of Orthopedic Surgery and Community and Family Medicine, Medical Director of Sports Medicine, Medical College of Wisconsin

Craig C Young, MD is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, American Medical Society for Sports Medicine, Phi Beta Kappa

Disclosure: Nothing to disclose.

Additional Contributors

Leslie Milne, MD Assistant Clinical Instructor, Department of Emergency Medicine, Harvard University School of Medicine

Leslie Milne, MD is a member of the following medical societies: American College of Sports Medicine

Disclosure: Nothing to disclose.

References
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The Ober test.
This illustration demonstrates active stretching of the iliotibial band (ITB). The athlete stands a comfortable distance from a wall and, with the contralateral knee extended, leans the proximal shoulder against the wall to stretch the ipsilateral ITB.
This illustration demonstrates iliotibial band syndrome stretching that is performed in a side-lying position.
 
 
 
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