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Iliotibial band friction syndrome in runners

PainSci » bibliography » Noble 1980
Tags: IT band pain, running, knee, surgery, leg, limbs, pain problems, overuse injury, injury, exercise, self-treatment, treatment, tendinosis

Four articles on PainSci cite Noble 1980: 1. The Complete Guide to IT Band Syndrome2. Complete Guide to Low Back Pain3. The Complete Guide to Patellofemoral Pain Syndrome4. Shin Splints Treatment, The Complete Guide

PainSci notes on Noble 1980:

This study of 73 runners with iliotibial band syndrome showed that most of them experienced relief from one, two, or three steroid injections, most of the remainder recovered with four to six weeks rest, and five cases were finally resolved with surgery.

original abstract Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

The iliotibial band friction syndrome is an overuse injury found in long-distance runners. It is characterized by pain on the outer aspect of the knee in close relation to the lateral femoral epicondyle. It is usually poorly localized, is aggravated by running long distances or excessive striding, and is more severe running downhill. It may be prevented by walking with a stiff knee. In a series of 100 consecutive knees, including 6 patients with the syndrome in both knees (age range, 19 to 48 years; average, 31 years), of which 73 were available for follow-up evaluation, only 30 patients were resolved on the initial regimen of a single injection of local steroid and reduction in the training program. Twenty-one patients had two injections and 8 patients required the third injection. The remaining 14 patients were placed on a regimen of total rest from running for 4 to 6 weeks. Nine patients returned to training and had no recurrence of pain. Five patients consented to surgery and returned to long-distance running between 2 and 7 weeks later. The syndrome apparently has a higher incidence in areas where long-distance running is the vogue, such as, South Africa, or where the climate is cool and running surfaces are slippery.

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