basghetti? wrote:
No no no wrote:Ok so unless you have pain in your hip then the 'TFL trigger point' is not to blame for your ITBS. ITBS is characterised by intense pain in the lateral part of the knee only.
Hip abductor strengthening and stretches consistently fix ITBS issues in my experience. Poking around at arbitrary trigger points does not.
Relax, bud. Everything will be ok. Keep doing what you like. C ya.
I'm completely relaxed. I know what I'm talking about. Your link describes a different issue involving pain at the hips radiating down the ITB. That is not the ITBS that many runners have suffered which is targeted, specific pain at the knee.
Weak hips is the most common cause. Other issues can be more complex such as a lack of ankle dorsiflexion. Sitting, running only in straight lines and on tracks (essentially straight) cause the hip adbuctors to weaken. Being unfit then jumping up your mileage can also expose this injury as you haven't given your muscles time to develop.
The TFL tightens up and pulls on the fascia when it is fatigued, hence the pain often only comes on after a mile or two. The TFL itself may also be weak which causes it to be tight anyway, as weak muscles tighten to prevent damage to them.
The ITB is designed to be tight, it is an extremely important support structure of the leg. The problem is just when it becomes too tight and that is down to the glut meds not doing enough work to stabilise you during running and walking and the TFL taking up the slack. Unfortunately they pull directly on the band which then causes you pain.
Trail running, sports that involve lots of lateral movement such as soccer and basketball and direct exercises targeting the hip abductors will fix the issue.
Rest will let the inflammation subside but will not fix the issue and it often returns even after long periods of rest.
Hopefully someone here can gain some insight from this and be on the road to recovery.