IT Band causing pain in knee

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I’ve had problems with my IT Band being very tight which causes my knee not to track right when it moves. This causes swelling and pain when I finally sit down to relax or sleep. I saw a physiotherapist who gave me some strengthening exercises to do but a year an a half later the pain is still the same. My knee is stronger and has the full range of motion but there has not been a change in the level of pain at all. Any one else have this experience and did you find something that worked for you? Please share!
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Replies

  • CharlieBeansmomTracey
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    I had issues in the past with my IT bands being tight. I never saw anyone for it and started using a foam roller per ashley borden(shes a famous trainer) and to roll my legs out. have to say it helped and I have no issue now, I rolled out before a workout and after for about 3 months or so. from time to time it it feels a little off I "roll out" again. I had knee pain but not sure if its from that or not as my knees arent the greatest as it is
  • competeagain
    competeagain Posts: 770 Member
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    Every time I hear about foam rollers I have to laugh
    My college strength n conditioning coach was one of the pioneers who first used foam rollers
    I thought he was crazy!!
    Sounds like sound advice to use the foam rollers on your IT band.
  • CharlieBeansmomTracey
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    Every time I hear about foam rollers I have to laugh
    My college strength n conditioning coach was one of the pioneers who first used foam rollers
    I thought he was crazy!!
    Sounds like sound advice to use the foam rollers on your IT band.

    hey it helped me so and its so much better than having to take meds for pain.
  • aokoye
    aokoye Posts: 3,495 Member
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    My suggestion would be a second opinion either in terms of a different orthopedic surgeon (surgery may or may not be necessary - typically orthos prefer not to perform surgery on someone who could be helped with more conservative approaches) and/or physical therapist.
  • competeagain
    competeagain Posts: 770 Member
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    Every time I hear about foam rollers I have to laugh
    My college strength n conditioning coach was one of the pioneers who first used foam rollers
    I thought he was crazy!!
    Sounds like sound advice to use the foam rollers on your IT band.

    hey it helped me so and its so much better than having to take meds for pain.

    Yea, they’re awesome!! But when he first introduced them I was like “huh?!”
  • Asher_Ethan
    Asher_Ethan Posts: 2,430 Member
    edited September 2018
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    Talk to your doctor first.
    Edit- ah i meant to post my experience but then I accidently hit, "post." Sorry!
    My experience.
    I had IT band pain for months and months. My doctor suggested a cortisone shot in my IT band. I got it in 2015 and I haven't had IT band pain since!
  • competeagain
    competeagain Posts: 770 Member
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    I would do least invasive first
  • cyndit1
    cyndit1 Posts: 170 Member
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    Big fan of foam rolling or dry needling which is like acupuncture. Helped me a ton.
  • aokoye
    aokoye Posts: 3,495 Member
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    I would do least invasive first

    Any reputable doctor, surgeon included, would say the same.
  • CharlieBeansmomTracey
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    Every time I hear about foam rollers I have to laugh
    My college strength n conditioning coach was one of the pioneers who first used foam rollers
    I thought he was crazy!!
    Sounds like sound advice to use the foam rollers on your IT band.

    hey it helped me so and its so much better than having to take meds for pain.

    Yea, they’re awesome!! But when he first introduced them I was like “huh?!”

    yeah I had NO idea what one was before I talked to ashley. she is the one who suggested it
  • CharlieBeansmomTracey
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    I dont see where trying a foam roller would hurt. if it doesnt improve after awhile then see a dr.it was a life save for me and helped me to where I didnt need meds for pain and I didnt have to see a dr luckily enough. trying to get something like that diagnosed here would take FOREVER and dr after dr. time and gas money I dont have to get to those appts
  • aokoye
    aokoye Posts: 3,495 Member
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    I don't think trying a foam roller would hurt. Well no I mean they are painful when you aren't used to it/haven't done it in a while, but I don't know that it would cause or worsen an injury.
  • noblsheep
    noblsheep Posts: 584 Member
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    Foam rollers and stretching all are great. KT taping has also worked wonders for me, doesn't hurt to try it out.

    There seem to be two schools of thought on this:
    https://www.youtube.com/watch?v=L3FSPx8TEtA
    and
    http://elitebot.club/wp-content/uploads/2018/05/kt-tape-back-of-knee-it-band-taping-instructions-kt-tape-lateral-knee-support.jpg
  • MeanderingMammal
    MeanderingMammal Posts: 7,866 Member
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    I dont see where trying a foam roller would hurt. if it doesnt improve after awhile then see a dr.it was a life save for me and helped me to where I didnt need meds for pain and I didnt have to see a dr luckily enough. trying to get something like that diagnosed here would take FOREVER and dr after dr. time and gas money I dont have to get to those appts

    It depends on the underlying problem. The IT Band shouldn't increase in length, it's not muscular.
  • MeanderingMammal
    MeanderingMammal Posts: 7,866 Member
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    sisu1975 wrote: »
    I’ve had problems with my IT Band being very tight which causes my knee not to track right when it moves. This causes swelling and pain when I finally sit down to relax or sleep. I saw a physiotherapist who gave me some strengthening exercises to do but a year an a half later the pain is still the same. My knee is stronger and has the full range of motion but there has not been a change in the level of pain at all. Any one else have this experience and did you find something that worked for you? Please share!

    Where were the strengthening exercises focused?

    I would generally suggest that ITB issues should be dealt with by a physiotherapist, rather than anyone unqualified. That said, from a running coaching perspective I would expect a physio to be prescribing core strength training rather than leg strength. The length of the ITB should remain fixed but addressing the core strength issue better enables the hands to move around as required by your needs.

    I would not recommend a foam roller on the IT Band as that breaks down the tissue, something that's not recoverable there. They're good for muscular issues as they've got a need to be flexible.
  • kiela64
    kiela64 Posts: 1,447 Member
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    Interesting because the same thing is true for me!!! And my knee dislocated from not tracking right.

    Except my physiotherapist had me foam roll the IT band and my calves which were both extremely tight. I was also referred to a chiropodist for orthotics to help how I walk that is part of the issue.

    I recommend foam rolling carefully (if you go too close to the knee joint it can actually make things worse, and I definitely did that because I didn’t know) & seeing the physiotherapist again - if you’re experiencing pain your doctor should give you a referral.
  • kiela64
    kiela64 Posts: 1,447 Member
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    sisu1975 wrote: »
    I’ve had problems with my IT Band being very tight which causes my knee not to track right when it moves. This causes swelling and pain when I finally sit down to relax or sleep. I saw a physiotherapist who gave me some strengthening exercises to do but a year an a half later the pain is still the same. My knee is stronger and has the full range of motion but there has not been a change in the level of pain at all. Any one else have this experience and did you find something that worked for you? Please share!

    Where were the strengthening exercises focused?

    I would generally suggest that ITB issues should be dealt with by a physiotherapist, rather than anyone unqualified. That said, from a running coaching perspective I would expect a physio to be prescribing core strength training rather than leg strength. The length of the ITB should remain fixed but addressing the core strength issue better enables the hands to move around as required by your needs.

    I would not recommend a foam roller on the IT Band as that breaks down the tissue, something that's not recoverable there. They're good for muscular issues as they've got a need to be flexible.

    That is very interesting because I haven’t heard these things (and I have the exact same issue as OP) and my physiotherapist- I actually asked her about if I needed to do any core exercises- and she said it wasn’t necessary and that foam rolling used my core enough to help. She has me foam roll my IT band and calves 2x/day for a minute each. Now I definitely need to look this up because tissue breaking down sounds very bad....
  • MeanderingMammal
    MeanderingMammal Posts: 7,866 Member
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    kiela64 wrote: »
    sisu1975 wrote: »
    I’ve had problems with my IT Band being very tight which causes my knee not to track right when it moves. This causes swelling and pain when I finally sit down to relax or sleep. I saw a physiotherapist who gave me some strengthening exercises to do but a year an a half later the pain is still the same. My knee is stronger and has the full range of motion but there has not been a change in the level of pain at all. Any one else have this experience and did you find something that worked for you? Please share!

    Where were the strengthening exercises focused?

    I would generally suggest that ITB issues should be dealt with by a physiotherapist, rather than anyone unqualified. That said, from a running coaching perspective I would expect a physio to be prescribing core strength training rather than leg strength. The length of the ITB should remain fixed but addressing the core strength issue better enables the hands to move around as required by your needs.

    I would not recommend a foam roller on the IT Band as that breaks down the tissue, something that's not recoverable there. They're good for muscular issues as they've got a need to be flexible.

    That is very interesting because I haven’t heard these things (and I have the exact same issue as OP) and my physiotherapist- I actually asked her about if I needed to do any core exercises- and she said it wasn’t necessary and that foam rolling used my core enough to help. She has me foam roll my IT band and calves 2x/day for a minute each. Now I definitely need to look this up because tissue breaking down sounds very bad....

    It may depend on when they trainer, and how up to date they keep themselves.
  • Charlene____
    Charlene____ Posts: 110 Member
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    I am in one hundred percent agreement with trying out a foam roller. I use one on my IT bands when I start to feel them tightening and I also use it on my groin area (I have my own). If you find it helps you, my suggestion would be to purchase your own instead of relying on a gym/condo building/ health club one. Too many chances of picking up crud in my opinion since they can't be sanitized. If it's very painful in the beginning, start slowly and add time. If that's what is causing you pain, it'll make a world of difference. Best of luck.
  • BrianSharpe
    BrianSharpe Posts: 9,248 Member
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    About 8 years ago I had a problem with my IT band (overuse.....my own fault for running a half-marathon the week after a 100km bike ride) and missed about 6 weeks of trying to self-treat with foam rolling, stretching etc.

    I ended up seeing a registered massage therapist and she had me running again after 2 beatings, I mean sessions. Hurt like crazy, but I've gotten regular massages since then and have, by and large, run injury free for the past 8 years (no recurrence of the IT band issue).