Debilitating heel pain
Illotibial band friction syndrome is an overuse injury that produces pain on the lateral knee during running and, occasionally, cycling. Pain is generally caused by an unusually tight ITB, the undersurface of which frictions over the lateral femoral condyle. This occurs during knee flexion and extension at approximately 30 degrees knee flexion when running and cycling, when the ITB flicks over the lateral femoral condyle. This process leads to friction, micro trauma, inflammation – and hence pain develops. The two most common predisposing factors that lead to ITBFS in athletes are anterior hip inflexibility and poor rotational control of the lower limb. Lower-limb stability, strength and balance exercises are crucial in It syndrome treatment, rectifying ITBFS predisposing factors. Custom orthotics are an excellent way to aid the rotational control of the lower limb.