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A tight IT band is something I am very familiar with.

I am a very active 47 year old cyclist. I average 18 hours a week on my bike for

over 300 miles. If I don't stretch my IT band, I have problems: soreness and

swelling under band, hip tightness and tightness on the side of my calf.

I simply use a roller, 12 inch diameter Styrofoam, and roll back and forth as a

massage on my IT bands. Works wonders.

Rick

Palo Alto, California

IT - Band

Deat ST members,

Hello everyone. In January of 2004 I pulled, perhaps partially tore, my

IT Band. Now, during squats, but particularily noticable during close stance

squats, my band is rubbing at the knee and causing mild pain at the hip and

knee. Can anyone introduce me to a good IT Band stretch. I have tried a

couple,

with mediocre results. I'm wondering if anyone could tell me when I should

initiate the stretch program: ie when pain has completely subsided, or when

ROM

is pain free...

Could anyone also recommend an IT Band stretch and the hip.

Thanks

London, Ontario, Canada

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Hi !

For the IT band I like to lay supine on a table and flex and adduct

the hip of the affected leg across the mid line of the body so that

the IT band is stretched by the force of gravity. Ankle weights can

be added for additional stretch of both the IT band and the hip abductors.

Best wishes!

Dan Wathen,

Youngstown (OH) State University

In Supertraining , Sgsmt7@a... wrote:

> Deat ST members,

>

> Hello everyone. In January of 2004 I pulled, perhaps partially

tore, my

> IT Band. Now, during squats, but particularily noticable during

close stance

> squats, my band is rubbing at the knee and causing mild pain at the

hip and

> knee. Can anyone introduce me to a good IT Band stretch. I have

tried a couple,

> with mediocre results. I'm wondering if anyone could tell me when I

should

> initiate the stretch program: ie when pain has completely subsided,

or when ROM

> is pain free...

>

> Could anyone also recommend an IT Band stretch and the hip.

>

> Thanks

>

> London, Ontario, Canada

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Hi ,

Sorry to hear about your problem.

Before I start, I would say that it would be best to go to a physical

therapist like an osteopath or a physio for a full and proper

diagnosis and treatment. However it's always worth prepping yourself

with some information first.

Firstly it's worth noting that the IT band is made up of connective

tissue and does not have the ability to stretch like a muscle. That

said, the Tensor Fascia Latae (TFL) and the gluteus maximus that the

IT band runs into do have that ability. Try and think of the TFL as

a spring at the top of a wire, if the spring is tight then it pulls

on the wire. That's probably the best analogy I can come up with.

Stretching it can be a long and painful process often with less than

satisfactory results. The reason you may be experiencing more pain

during close stance squats is that in order to keep the knees over

the feet, the hip adductors must maintain an isometric contraction,

which (if the TFL is tight) will pull and actively stretch the hip

abductors (including the TFL) which as I've mentioned will pull on

the ITB, which will cause the band to rub on the greater trochanter

or over the lateral femoral condyle. This could well be your knee

pain.

One solution is to perform inhibition on the TFL, sometimes referred

to as deep or soft tissue release. This will inhibit the contraction

of the TFL (switch it off if you like) which if done properly will

release some of the tension in the IT band. If you do this and

perform glute and hip abductor stretches you should be well on the

way to recovery. As well as what I've already mentioned, perform a

range of quad stretches; you may find that the IT band will interact

with the vastus lateralis. Also if you follow the line of the IT

band from hip to knee, applying pressure with the thumb from the

posterior, this can ease it from the vastus lateralis.

This is a problem that as a strength and conditioning coach I have

experienced both personally and with clients. After consulting both

osteopaths and physiotherapists they have assured me that inhibition

is quite safe to perform on yourself using a tennis ball or golf ball

directly to the TFL and glute (by lying on them). Having said that,

it can be quite painful and you may get more joy using someone's

elbow while you're in the side lying position.

Hope all that made some sort of sense to you, good luck with it.

All the best

Al

Liverpool

UK

Deat ST members,

Hello everyone. In January of 2004 I pulled, perhaps partially tore,

my

IT Band. Now, during squats, but particularily noticable during close

stance

squats, my band is rubbing at the knee and causing mild pain at the

hip and

knee. Can anyone introduce me to a good IT Band stretch. I have tried

a

couple,

with mediocre results. I'm wondering if anyone could tell me when I

should

initiate the stretch program: ie when pain has completely subsided,

or when ROM

is pain free...

Could anyone also recommend an IT Band stretch and the hip.

Thanks

London, Ontario, Canada

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,

There is a really good chance that it is not your IT band that is

tight. Typically, fascial tissue doesn't " tighten " , even with thing

like adhesive capsulitis (frozen shoulder) it is only theoretical

that the joint capsule it " tight " .

Often, it is the muscles (in your case the Glute Max and TFL both

attach to the IT band) that are guarding. You're better off finding

out how to keep those guys from being tight.

Unfortunately I can't name them, but there have been studies that

claim that fascia is extremely difficult to " stretch " properly

(without tearing because extreme forces must be applied). If I find

the studies, I'll post them ASAP.

I don't know if this helps any, but maybe it'll lead you to a road

to find a different modality than stretching fascia. I have had

good success correcting IT band syndrome using MAT therapy. Maybe

you could find a therapist close to you, I know there are a few in

Toronto.

Joe DeAntonis

Pittsburgh, PA

> Deat ST members,

>

> Hello everyone. In January of 2004 I pulled, perhaps partially

tore, my

> IT Band. Now, during squats, but particularily noticable during

close stance

> squats, my band is rubbing at the knee and causing mild pain at

the hip and

> knee. Can anyone introduce me to a good IT Band stretch. I have

tried a couple,

> with mediocre results. I'm wondering if anyone could tell me when

I should

> initiate the stretch program: ie when pain has completely

subsided, or when ROM

> is pain free...

>

> Could anyone also recommend an IT Band stretch and the hip.

>

> Thanks

>

> London, Ontario, Canada

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I have also had good luck using a foam roller. BTW, I follow the ITBS

yahoo group and this article (which also addresses the foam roller)

is very highly regarded there:

http://www.physsportsmed.com/issues/2000/02_00/fredericson.htm

A very helpful guide on how to use a foam roller is at

http://www.smiweb.org/guides/pdf/roller_guide.pdf

I favor a 4 inch diameter roller (most rollers are 6 inches in

diamter) and I'd recommend it be at least 18 inches long so that you

can use it for your back as well as for your legs and glutes.

Jain

Irvine, CA

> A tight IT band is something I am very familiar with.

>

> I am a very active 47 year old cyclist. I average 18 hours a week

on my bike for over 300 miles. If I don't stretch my IT band, I have

problems: soreness and swelling under band, hip tightness and

tightness on the side of my calf.

>

> I simply use a roller, 12 inch diameter Styrofoam, and roll back

and forth as a massage on my IT bands. Works wonders.

>

> Rick

> Palo Alto, California

>

>

> IT - Band

>

>

> Deat ST members,

>

> Hello everyone. In January of 2004 I pulled, perhaps

partially tore, my

> IT Band. Now, during squats, but particularily noticable during

close stance

> squats, my band is rubbing at the knee and causing mild pain at

the hip and

> knee. Can anyone introduce me to a good IT Band stretch. I have

tried a couple,

> with mediocre results. I'm wondering if anyone could tell me

when I should

> initiate the stretch program: ie when pain has completely

subsided, or when ROM

> is pain free...

>

> Could anyone also recommend an IT Band stretch and the hip.

>

> Thanks

>

> London, Ontario, Canada

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