One of the most common afflictions in runners is Iliotibial Band Syndrome (IT Band Syndrome) which is symptomatic of knee pain in the lateral (outside) knee.
What is the Iliotibial Band (IT Band)?
The Iliotibial Band (IT Band) is a thick layer of fascia on the lateral (outside) leg running from the hip to just below the knee. This thick fascia is vital in providing stability and support for the lower body.
What is IT Band Syndrome?
When the IT Band becomes excessively tight it can cause pulling on its insertion at the knee and cause mild to severe pain. The primary muscles involved in IT Band syndrome are the Gluteus Maximus and the Tensor Fasciae Latae (TFL). These muscles are important elements in running (Gluteus Maximus) and standing (TFL). When one or both of these muscles pulls the IT Band tight it causes the IT Band to exert greater pressure on its insertion at the knee, causing the bursa (fluid filled sac) under the IT Band to become inflamed and cause pain. IT Band Syndrome can be triggered by a number of things:
· Sudden increase in mileage
· Strenuous hill work
· Poor pelvic or foot mechanics
· Poor running shoes
· Uneven surface conditions
· Track running
The Benefits of Massage on preventing and treating IT Band Syndrome.
Massage is extremely beneficial in helping to prevent and or treat IT Band Syndrome. Deep tissue massage along the Gluteal muscles and the TFL can help keep these muscles loose and prevent them from pulling the IT Band tight; thereby, reducing the risk of IT Band Syndrome. Also, massage strokes that both lengthen and broaden the IT Band itself can help reduce tightness within the IT band. General massage of the muscles of the leg can bring balance to the lower body and help reduce general tightness and release restrictions in the muscle. These same techniques can be used to help treat IT Band Syndrome after its onset. After the onset of IT Band Syndrome, other treatment methods such as: icing, reducing or stopping running, correcting foot or gait mechanics, and specific stretches may also be necessary to assist in healing.
Preventative maintenance massage can be extremely beneficial to anyone who is newly training, increasing training intensity or mileage, or has poor stretching habits. Massage can bring awareness to the runner of what is going on in the body, and early awareness can bring focus to potential problem areas before they become injuries.