Home Blog According To The Chiropractic Physician At Coast Chiropractic Centers, A Short Walk To Riverwalk In Fort Myers Is Enough To Cause Hip Pain When You Have Iliotibial Band Syndrome

According To The Chiropractic Physician At Coast Chiropractic Centers, A Short Walk To Riverwalk In Fort Myers Is Enough To Cause Hip Pain When You Have Iliotibial Band Syndrome

Jul 21, 2021 -- Posted by : Dr.Harcourt

WHAT IS IT? Iliotibial band syndrome (ITBS) is one of the most common causes of hip and/or knee pain among athletes. The pain is caused by swelling or inflammation of a muscle group (including the tensor fascia lata or TFL, gluteus medius, and minimus muscles), the tendons that attach muscles to the knee or hip, and/or the bursa that surrounds the attachments at the hip and/or knee.

How common is it? Experts estimate that the prevalence of ITBS may be as high as 12% among participants in sports that involve running. This is also common during basic training—with ITBS reported by between 5.3% to 22.2% of United States Marine Corps recruits.

What is the clinical presentation? Typically, ITBS presents with a history of pain with activity (walking, running, cycling, etc.), with soreness at the outside of the knee just above the joint. Pain can radiate up or down and include the hip and/or ankle. Climbing steps and running downhill are common irritating activities. Rest can help alleviate symptoms in the short term but isn’t a long-term remedy.

What are some physical exam findings? ITBS patients may exhibit an abnormal gait or walking pattern in which knee flexion (bending) is avoided. They may also have tenderness to touch above the knee joint on the outside and/or along the iliac crest (where the TFL inserts). Squatting can reproduce pain, and lying on the side with the leg extended backward and dropped toward the floor from a bench often reproduces pain (called “Ober’s Test”).

Treatment Options: Because these are “overuse” injuries, changing the frequency, intensity, and/or duration of the sport or injury-causing activity is often necessary. Consider changing up your routine by cross-training. If your athletic shoes are worn down, replace them and stay within the rated mileage of the shoe.

For those with ankle pronation (where the ankle shifts inwards), a foot orthotic with a measured rearfoot post can “make or break” a successful, long-term outcome. Similarly, if one leg is measurably shorter compared to the other, a heel or heel-sole combination lift is also very helpful.

If the muscles that move the hip are weak or if there is altered/abnormal muscle activity, then proper exercises to improve the neuro-motor pattern and/or strengthen the weak muscle group are a must! The inclusion of a gait/walking and running assessment can also reap great benefits for long-term success. Your doctor of chiropractic can help you with this assessment.

Chiropractors are trained to evaluate and treat ITBS and another hip/knee conditions, whether they are sports-related or not.

So, if you are experiencing hip pain and you type in a chiropractor near me, and you find that Coast Chiropractic Centers with Dr. Timothy Harcourt, me, comes up.  You may wonder, what is wrong with my hip?  Pain in the hip that starts to affect your activities of daily living is a problem that needs attention. Pickleball is a popular sport right now, but we find many who develop hip pain as a result of doing hip dips. Some patients wonder why walking on Fort Myers Beach or Barefoot Beach would stir their hip up.  I love, Dr. Tim Harcourt, to walk on a beach near me on a very regular basis.  Some who may be concerned about neuropathy may be concerned if this is neuropathic pain. Many who have been diagnosed with neuropathy have been on high-dosage chemicals and wonder why their hip pain remains persistent. Mini Golf, golf, tennis, and pickleball are common sports to cause hip pain. Some try Oxycodone or Hydrocodone to no avail.  Some have tried applying chemical gel to the affected area with temporary relief at best. As a last resort, some type in pain management near me to find relief.  Hopefully, you won’t have the dreaded “bone on bone” x-ray findings but if you do it doesn’t mean surgery is your only option. Obviously, most want to avoid a hip replacement.  Sometimes it can be resolved with conservative non-surgical treatment. Persistent or worsening pain intensity and/or frequency necessitate a visit to see a professional before it becomes a surgical case.  Call me, Dr. Tim Harcourt, at (239) 278-3344 and mention this article for an awesome discounted first visit to include history, exam, and hip adjustment or first Class IV high-intensity laser treatment.

https://coastchiropracticcentersonline.com/1733/hip-pain-and-total-hip-replacement/

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