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Iliotibial Band Friction Syndrome Iliotibial band friction syndromeITBFS also known as runners knee is a very common athletic injury that effects the knee Runners knee is especially prone to long distance runners or athletes who participate in activities that require highly repetitive running In greater detail I will be discussing the causes of this injury specifically the biomechanics anatomy and symptoms involved also ways of preventing this injury by identifying common training errors and the appropriate training modifications needed and finally a variety of ways for treatment and rehabilitation to help improve the injury Causes AnatomyBiomechanics The iliotibial band is a thick band of tissue that extends from the thighfemur down over the knee and attaches to the tibia When the knee bends flexion and straightens extension the iliotibial band slides over the lateral femoral epicondyle the bony part of outer knee Iliotibial band friction syndrome refers specifically to the lateral knee pain related to irritation and inflammation to the point at which the band crosses the lateral femoral epicondyle This type of irritation occurs when the knee is flexed at approximately an angle greater than 30 degrees because the iliotibial band shifts posteriorly behind the lateral femoral epicondyle During extension the band shifts back anteriorly in front of the lateral femoral epicondyle and it is this motion that causes friction between the iliotibial band and the lateral femoral epicondyle which leads to irritation and inflammation within the iliotibial band Symptoms Iliotibial band friction syndrome is a condition not unique to runners it and its symptoms are now frequently seen in cyclists weight lifters skiers and soccer players The most obvious sign that you have ITBFS is the pain felt usually during exercise Runners will describe the pain on the outside part of the knee or lower thigh The degree of discomfort runs from dull aching sensation to a sharp stabbing pain The pain is not localized so
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