INJECTION THERAPY FOR ILIOTIBIAL BAND (ITB) PAIN SYNDROME

What is Iliotibial band (ITB) friction Syndrome (runner’s knee)?

When jogging or moving downstairs, iliotibial band friction syndrome (ITBFS), often known as runner’s knee, causes pain on the outside of the knee. ITBFS causes a dull ache, although it can also be extremely acute at times. The ache usually worsens over several miles before forcing you to quit jogging. The gold standard imaging test for determining whether your pain is caused by iliotibial band (ITB) friction syndrome is a diagnostic ultrasound scan. At Joint Injection’s, we accomplish this at no additional charge at your initial appointment.
 
In the vast majority of cases, reducing your running mileage, altering your running shoes and/or technique, and undergoing a planned course of physiotherapy can resolve this issue. A running examination and rehabilitation exercises to improve your core and muscles surrounding the hip and knee are likely to be part of your physiotherapy. If you have specific regions of muscular tightness and/or joint stiffness, you may benefit from hands-on (manual) therapy.
 
If physiotherapy fails to relieve your pain, an ultrasound-guided steroid injection can help reduce inflammation caused by the ITB rubbing on the lateral femoral condyle (the bony bit on the outside of the knee). The precise site of the discomfort can be targeted using ultrasound guidance.

What are the sign and symptoms of Iliotibial band (ITB) friction Syndrome?

The following are the signs and symptoms of iliotibial band (ITB) friction syndrome:
 
  • Running and going downstairs causes sharp discomfort on the outside of the knee.
  • The most typical source of pain is when the foot meets the ground, and it might last for a long time after that.
  • When you squeeze the bone on the outside of the knee, it becomes tender.
If this sounds like you, keep reading…
 

Is there anything else that can cause (ITB) friction Syndrome?

If this does not seem like your problem, there are a number of additional conditions that can cause pain similar to iliotibial band (ITB) friction syndrome, including:
 
  • Pain in the patellofemoral (knee cap) joint
  • Patella tendinopathy (jumper’s knee) Cartilage (meniscal) tear
  • Bursitis of the pes anserine
  • Knee osteoarthritis

 Iliotibial band (ITB) friction Syndrome vs pain in the patellofemoral (knee cap) joint (PFJ)
ITB friction syndrome is a type of iliotibial band (ITB) friction syndrome that causes intense discomfort on the outside of the knee.Patellofemoral joint discomfort, on the other hand, generates more diffuse pain on the anterior (front) of the knee and is commonly described as “achy.”Running, especially downhill running, and walking downstairs increase ITB friction syndrome and patellofemoral joint pain, which are rarely associated with considerable edoema. When compared to ITB friction syndrome, patellofemoral joint pain is more related with clicking (known as ‘crepitus’) at the front of the knee. Lunging and squatting do not aggravate ITB friction syndrome, however these actions can exacerbate pain associated with patellofemoral knee joint pain.
How do you develop (ITB) friction Syndrome and what causes it?
Ultrasound-guided steroid injections can be particularly effective in treating iliotibial band friction syndrome (ITB syndrome). ITB syndrome affects many marathon and long-distance runners at some point during their training. The condition is frequently associated with significant levels of training miles, and is thus frequently seen when training for long distance events such as marathons, half marathons, and Iron Man races is tapered upward. This is a problem that many cyclists face as well.

ITB syndrome is caused by irritation of the iliotibial tract as it passes across the distal femur’s lateral epicondyle (outside) (thigh bone). A complete diagnostic and biomechanical analysis of the pelvis, hips, knees, and ankle during their main aggravating activity – commonly running or cycling – should be the first line of treatment. Physiotherapy can help you identify specific muscle deficiencies or restrictions in joint or soft tissue mobility (therapeutic exercise, tissue manipulation and rehabilitation). Even when such exacerbating variables have been addressed, individuals may still experience pain. In addition, patients may not have enough time before their event to adequately address all of these mechanical issues, which might take weeks to resolve.

This is where an ultrasound-guided steroid injection can play a critical role in swiftly alleviating the patient’s discomfort and allowing them to resume their training and compete!
 
Steroid injections can take 3-5 days to take effect, so if you’re thinking about getting one to help you get through a specific event, we recommend getting it at least 5 days ahead of time to maximise the odds of it working.
Because the injection is superficial and does not enter the knee joint or go directly around any tendons, it is usually regarded safe to resume jogging after 24-48 hours.
 
To determine whether a steroid injection is appropriate, our skilled practitioners will often perform a comprehensive musculoskeletal and functional assessment, as well as an ultrasound scan of evaluation. Prior to the injection, patients will be assessed for potential contraindications and informed of potential hazards and precautions.

Joint Injection’s experts are dual-trained, highly specialised physiotherapists and musculoskeletal sonographers with extensive experience diagnosing all knee disorders. We provide a ‘one-stop’ clinic, which means you’ll get an examination, a diagnostic ultrasound, and, if necessary, an ultrasound-guided injection.