3 Exercises to Eliminate IT Band Syndrome

  Рет қаралды 31,185

Rehab Science

Rehab Science

3 жыл бұрын

IT band syndrome is the second most common pain problem among runners and the primary cause of lateral knee pain. The IT band (ITB) is a dense, fibrous band of connective tissue that runs along the lateral thigh from the hip to the knee.
Research suggests that affected individuals should incorporate exercises to strengthen the hip ABDuctors (gluteus medius and minimus) and motor control exercises designed to prevent the affected limb from collapsing medially toward the other leg as this may sensitize the region.
Give the following exercises a try and let me know if you have any questions. In general, each of these can be done for 3-4 sets of 8-12 repetitions and performed 2-3 times per week. On the standing exercises, focus on preventing the knee from moving medially/inward toward the other leg.
1. Sidelying Hip Abduction
2. Standing Fire Hydrant
3. Lateral Step Down
References:
Seeber GH, et al. THE TENSILE BEHAVIORS OF THE ILIOTIBIAL BAND - A CADAVERIC INVESTIGATION. Int J Sports Phys Ther. 2020.
Baker RL, et al. Differences in Knee and Hip Adduction and Hip Muscle Activation in Runners With and Without Iliotibial Band Syndrome. PM R. 2018.
Aderem J and Louw QA. Biomechanical risk factors associated with iliotibial band syndrome in runners: a systematic review. BMC Musculoskeletal Disorders. 2015.

Пікірлер: 70
@alankurdi1932
@alankurdi1932 2 жыл бұрын
Thanks doctor! Always appreciating your great work! Thanks again
@RehabScience
@RehabScience 2 жыл бұрын
You’re welcome! Glad my videos are helpful!
@svataprostoto
@svataprostoto 2 жыл бұрын
Hi Tom, just discovered your videos, great instructions and easy to follow, thank you! I love that explain the causes and principles as well.
@RehabScience
@RehabScience 2 жыл бұрын
Thank you for the feedback! I’m so glad you are finding my videos to be helpful!
@KimSunHo1997
@KimSunHo1997 10 ай бұрын
Thanks you very much. I will try it!!
@RehabScience
@RehabScience 10 ай бұрын
I hope the exercises help!
@sirmanni4534
@sirmanni4534 4 ай бұрын
Great demonstration sir. Any suggestions for a swimmer with IT-Band pain by the knee?
@DiegoAL97
@DiegoAL97 2 жыл бұрын
These videos are awesome! Thank a lot! 😁😁
@RehabScience
@RehabScience 2 жыл бұрын
Thank you! So glad you are enjoying them!
@phil00795
@phil00795 2 жыл бұрын
Did these fix you?
@mariacastrotri
@mariacastrotri 2 жыл бұрын
Love your content! I have it band syndrome for 6 months now 🥺
@RehabScience
@RehabScience 2 жыл бұрын
I hope these exercises are helpful to you!
@leonardodavinci7425
@leonardodavinci7425 Жыл бұрын
Did the exercises have any positive effect on reducing IT Band syndrome!
@brittanyjantzi7954
@brittanyjantzi7954 8 ай бұрын
Thanks so much for the video I've been trying strength training and a foam roller clearly not the greatest. ... I don't see a link to the book mentioned. I'd also love to know what period of resting should there be. What's prognosis for length of recovery. I run quote frequently and have been bothered by this for 2 weeks now. Keep trying to go back out every 4 or 5 days to find that it just flares it up after 3 or 4km of running. Is this doing damage and setting me back? Should I give it a month before trying again? Thanks!
@flipdawhip2573
@flipdawhip2573 8 ай бұрын
golf is killing me, cant stop playing though, outside of front leg from hip to ankle - HELP! thanks bro
@shekhar997
@shekhar997 8 ай бұрын
Nice
@dinoandric5071
@dinoandric5071 2 жыл бұрын
Hi Rehab Sience thanks for your content :) i have one question i think my it band poping over some bone in knee and i can accualy hear it loudly it it seems it is too tight. Is this workouts will help or do i need to streach it also? I will send you a video it is realy pooping too much i never seen that before.
@RehabScience
@RehabScience 2 жыл бұрын
It is quite common for the IT band to make a popping sounds on the outside of the knee. Yes, the exercises in this video should be helpful.
@pf8860
@pf8860 3 ай бұрын
How many times a week should we do this? 4 to 5?
@libertyfirst4083
@libertyfirst4083 4 ай бұрын
As I try to figure out how I developed this pain, the only different thing I started to do -- aside from 2x week yoga and a few days of walking -- was rebounding. That's the only overt thing that I can think of. Could that do it? (I've stopped rebounding! Now trying to repair/heal this pain.)
@kapilawannaku7357
@kapilawannaku7357 6 ай бұрын
Dear dir what about practicing bodyweight ass to the grass squat when we have this and the back bridge that puts strain in quadriceps
@AM-rw2xz
@AM-rw2xz Жыл бұрын
Thank you for posting these exercises, very useful video! I have a couple of questions. - Just confirming, when you say “in the corner” you mean diagonally to the opposite corner of an imaginary square, right? - Do you have any advice about what to do when the ITBS pain happens when there is no option to stop? Would a tightly wrapped knee sleeve, or a strap wrapped around the thigh above the knee help? Any massages I could do? This is what happened to me a few times - going uphill was fine and so I would go for several miles with no problems, but going downhill triggered severe knee pain, but there was no choice but continue walking. What helped was walking backwards, but that is hard to do for many miles, and can cause its own problems.
@RehabScience
@RehabScience Жыл бұрын
I'm glad the video was helpful! Yes, for the sidelying abduction exercise, imagine going to the back corner of an imaginary square. In terms of IT band pain and situations where you have to keep moving, walking backwards for a period of time is definitely one option. I would also try wrapping your knee tightly or using a knee sleeve. Sometimes, pressure at the attachment site can help unload that area and reduce pain. You could carry the knee sleeve or wrap with you and apply it once your pain becomes activated.
@AM-rw2xz
@AM-rw2xz Жыл бұрын
@@RehabScience Thanks. BTW, would you consider side step with band around thighs a good exercise for preventing ITBS?
@davidchisholm3189
@davidchisholm3189 9 ай бұрын
Hi Bailey. Love this video 👏. I recently increased running volume (quite significantly) the day after a 30km trail i have developed pain to the outside of the knee. This was 4 weeks ago. I have been doing similar strengh exercises to those in the video however i cannot get past the 1km mark without the dull pain coming back. How long typically does it take for the initial inflammation to go and am i doing more damage / delaying recovery by periodically "testing" the injury by running. I have little to no pain day to day or on the bike. Any tips or tricks would be fantastic Dave
@brittanyjantzi7954
@brittanyjantzi7954 8 ай бұрын
I'd like to know the same thing. What did you find out? I keep taking 5 to 7 days before going back out but after 3 or 4km pain comes back. I normally do 8 to 9km daily
@jovanjezdic7497
@jovanjezdic7497 7 ай бұрын
Wanted to share my experience, might help you guys. I did the same thing basically, developed pain at the side of the knee and the lateral hip after increasing mileage significantly. For the first month I did corrective strenghtening exercises and tested how my run felt every week but it was not getting much better. Only after pausing running for a bit less than a month have I been able to get the pain to be almost nonexistent when running. Now I run 3-4 times per week and have no pain while running. Also learned the hard way not to increase mileage significantly 😂.
@subatrachettri8536
@subatrachettri8536 2 жыл бұрын
I love ur content. I have this pain in my left knee only when I stand up or in certain positions. Is it IT band syndrome??
@RehabScience
@RehabScience 2 жыл бұрын
It could be, but it could also be other issues. Is the pain on the outside of your knee?
@damubadminton
@damubadminton Жыл бұрын
yes ,it can trian glutes but this iritates the itb band, and tighten the band more make it more uncomfortable when i doing the side raises
@RehabScience
@RehabScience Жыл бұрын
You have to be careful with the sidelying raise to make sure the pelvis is rolled forward, and the hip is moving into extension. If this one continues to irritate your IT band, then you can remove it from the program.
@kiesacro
@kiesacro 11 ай бұрын
I had an itb syndrome injury in 2014, now I can do everything, but I feel something on the outside as if it is skipping, do I have a reason to worry?
@zhinka1
@zhinka1 Жыл бұрын
is this what makes it feel like it is being burned so bad that I sometimes actually look and check for blistering on the side of my knee?
@RehabScience
@RehabScience Жыл бұрын
Potentially, but those symptoms may also be related to one of the peripheral nerves. Some people do experience a burning or stabbing pain with IT band syndrome, but you may also want to see a local orthopedic physical therapist to make sure there isn't something else going on. You could also try the exercises in my nerve pain video. Here is a link to that video. kzfaq.info/get/bejne/sLtxl6xevs-daWg.html
@zhinka1
@zhinka1 Жыл бұрын
@@RehabScience thank you so much!
@JuanCarlosLopez-tj4hh
@JuanCarlosLopez-tj4hh Жыл бұрын
My right knee next to the patella when I walk I feel the tendon rubbing. Can that be the it band? I’ve been doing your exercises for a few months but the friction won’t go away
@RehabScience
@RehabScience Жыл бұрын
Yes, it definitely could be the IT band. It could also be the kneecap or patellar tendon, if the rubbing is closer to the front of the knee.
@amalgamal2889
@amalgamal2889 Жыл бұрын
Thanks for the video . Please I have a question about side leg raise exercise why did you make your toes in subsequently it will make the hip in internal rotation and make TFl activation although the aim of exercise is activating glutes not TFL ?! I hop you answer me
@RehabScience
@RehabScience Жыл бұрын
According to this study, which I cited in my gluteus medius and minimus video, hip abduction + internal rotation was best in terms of activating GMed and GMin. Moore, D et al. A SYSTEMATIC REVIEW AND META-ANALYSIS OF COMMON THERAPEUTIC EXERCISES THAT GENERATE HIGHEST MUSCLE ACTIVITY IN THE GLUTEUS MEDIUS AND GLUTEUS MINIMUS SEGMENTS. Int J Sports Phys Ther. 2020.
@amalgamal2889
@amalgamal2889 Жыл бұрын
@@RehabScience I got it . Thanks
@blackdog1392
@blackdog1392 Жыл бұрын
Hi ...great video. I have pain just below the knee ( about 2 inches) on outside of leg. I can't move my knee to the outside without pain and knee giving way. Is this ITB please ?
@kiesacro
@kiesacro 11 ай бұрын
runner's knee
@kiesacro
@kiesacro 11 ай бұрын
you have to strengthen the quadriceps
@ruber751
@ruber751 11 ай бұрын
My leg hurts like crazy when I'm doing the last one, is it okey or should I do something different?
@RehabScience
@RehabScience 11 ай бұрын
If pain is more than moderate, I would modify that exercise or remove it from the program and retest again in a couple of weeks.
@SRIRAMGURUMURTHY
@SRIRAMGURUMURTHY Жыл бұрын
Hi Tom, Whether chondronmalacia Patella Grade IV patient can be allowed to do these exercises? Please provide your input.
@RehabScience
@RehabScience Жыл бұрын
Yes, these exercises are also often used for chondromalacia patella. Whether or not they are appropriate for a particular person, should be based on their symptoms and how they respond to the movements.
@SRIRAMGURUMURTHY
@SRIRAMGURUMURTHY Жыл бұрын
​@Rehab Science Thank you for your reply. I am facing chondronmalacia grade IV on my right knee. The doctor advised me to strengthen VMO and IT areas for 45 days. Afterward, I may have to go for PRP or Hydraulic Acid injection. It's painful. I am worrying that my quality of life will be reduced.
@RehabScience
@RehabScience Жыл бұрын
@@SRIRAMGURUMURTHY For chondromalacia, I would also recommend implementing the exercises in this video. kzfaq.info/get/bejne/mNB4d5CkvrqqoGg.html
@m.simonosengineeringltd6857
@m.simonosengineeringltd6857 6 ай бұрын
Hello im trainning for a marathon. Im in the beggining of second month now and i have the IT band on my left knee. I do my exersices but i didnt stop to run. I just run easy and not doing any intervals or tempos. Im using on my left leg while im runnng an it band brace and helps me a lot. My question is: can i continue running while i have the IT Band or should i stop ? Thanks :)
@RehabScience
@RehabScience 6 ай бұрын
Generally, we do try to keep people on a modified running program, so that they don’t experience too much deconditioning. In most cases, the key is to run on level surfaces to prevent the IT band from flaring up too much.
@m.simonosengineeringltd6857
@m.simonosengineeringltd6857 5 ай бұрын
@@RehabScience thank you for the reply, finally i had to stop running for a week. i feel better now after doing some sessions of physiotherapy. Hope to start running again this week
@darioxbrow9223
@darioxbrow9223 5 ай бұрын
​@@m.simonosengineeringltd6857hey do you still have that popping noise?
@darioxbrow9223
@darioxbrow9223 5 ай бұрын
hey man, is it normal for the area to be a bit swollen? like not swollen, the whole area where the IT band is is a bit bigger than that of my right leg. and even after the exercises I keep hearing the pop sound. It's making me nervous :(
@RehabScience
@RehabScience 5 ай бұрын
Yes, when the area is aggravated, it is possible for swelling to be present in the region. Popping is also common when the area is aggravated.
@darioxbrow9223
@darioxbrow9223 5 ай бұрын
@@RehabScience and what should I do? I'm not running, I'm not jumping rope. All I'm doing is walking, doing upper body exercises at the gym and doing your exercises. This problem is driving me crazy
@darioxbrow9223
@darioxbrow9223 5 ай бұрын
Hey man do you think that I should keep jumping rope even with IT syndrome or should I forget about it for now?
@RehabScience
@RehabScience 5 ай бұрын
It depends on whether or not jumping rope is aggravating your symptoms. It may be that you can perform the activity for a certain amount of time without causing your symptoms to increase, but it’s something you will have to experiment with.
@darioxbrow9223
@darioxbrow9223 5 ай бұрын
@@RehabScience I've jumped rope and it's not aggravated my symptoms. My doctor, however, told me not to jump rope until I am done with the exercises. Hopefully this problem goes away before I know it. Tysm doc
@RehabScience
@RehabScience 5 ай бұрын
Doctors often make these kind of recommendations. If jumping rope doesn't aggravate your symptoms, then I would continue on with it. The benefits of jumping rope are huge and it would be unfortunate if you were to completely stop that activity. @@darioxbrow9223
@user-xt5tx5yv9f
@user-xt5tx5yv9f 25 күн бұрын
Can i swin when i have it band pain?
@RehabScience
@RehabScience 25 күн бұрын
Yes, as long as the swimming doesn’t increase your pain, you can do it.
@darioxbrow9223
@darioxbrow9223 5 ай бұрын
Is it normal to have pain after the exercises?
@RehabScience
@RehabScience 5 ай бұрын
Pain may be temporarily stirred up after the exercises. The key is to track your pain on a 24 hour cycle. If your baseline pain is still worse the next morning after the exercise session, then you need to dial things back. This could mean doing less exercises or doing fewer sets of the exercises.
@darioxbrow9223
@darioxbrow9223 5 ай бұрын
@@RehabScience thank you so much for your answer. Before doing your exercises I did someone else's on KZfaq and had pain for 3 days straight. My doctor said I probably didn't do them well or they weren't needed (not the right exercises) Is it still normal to feel that popping noise at every step I take even after the exercises? How long will this problem last? One more question. Can I hit the gym? Only upper body. No legs Thanks so much
@RehabScience
@RehabScience 5 ай бұрын
The popping noise can take awhile to go away. You wouldn't expect the exercises to make that go away right away. Like I said, only do the exercises that don't flare your pain up when thinking about that 24-hour window. Yes, upper body exercises are great to do and encouraged!@@darioxbrow9223
@darioxbrow9223
@darioxbrow9223 5 ай бұрын
@@RehabScience tysm for everything. So far so good. Thanks
@darioxbrow9223
@darioxbrow9223 5 ай бұрын
This is also known as snapping hip syndrome, right?
@RehabScience
@RehabScience 5 ай бұрын
IT band syndrome technically relates to pain on the outside of the knee, but it can also be associated with snapping hip syndrome.
@baileybratach634
@baileybratach634 Жыл бұрын
😆 Am I the only active individual who's developed IT Band Syndrome straining to sleep around a bed-hogging hound? (As it turns out then, "triangle" is not a healthy human sleep posture.) So...the dog must be the re-TRAINED party, here. Good news for ME. 😉👍🏻 🚫🛌🐕🚫
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