{"id":4562,"date":"2017-07-20T16:36:31","date_gmt":"2017-07-20T06:36:31","guid":{"rendered":"http:\/\/intraining.com.au\/?p=4562"},"modified":"2017-07-28T18:17:19","modified_gmt":"2017-07-28T08:17:19","slug":"fromthesolejuly17_lateralkneepain","status":"publish","type":"post","link":"https:\/\/dev3.dxcoders.com\/index.php\/2017\/07\/20\/fromthesolejuly17_lateralkneepain\/","title":{"rendered":"Lateral knee pain"},"content":{"rendered":"<h2>Lateral Knee Pain<\/h2>\n<p>Lateral knee pain on the outside of the knee is most often ITB Friction Syndrome, however the rarer types of lateral knee pain should not be missed as the optimum treatment will differ between them.\u00a0 Lateral knee pain is one of the most common injuries for runners.<\/p>\n<h3>ANATOMY<\/h3>\n<p>The Illiotibial band (ITB) is a long tendon of a small muscle from the hip \u2013 the Tensor Fascia Latae.\u00a0 Gluteus Maximus also partially attaches to the ITB but at an oblique angle so that it has less mechanical advantage then the Tensor Fascia Latae.<\/p>\n<p>The purpose of the ITB is to add to the lateral stability of the knee.\u00a0 Through most of its length the ITB is a flat thickening of the deep fascia that holds the muscles in place.\u00a0 However it becomes more like a thick cord as it approaches and passes the knee joint to attach to the main lower leg bone, the Tibia.<\/p>\n<h3><a href=\"http:\/\/intraining.com.au\/wp-content\/uploads\/ITBFS.jpeg\"><img loading=\"lazy\" class=\"alignright size-medium wp-image-4563\" src=\"http:\/\/intraining.com.au\/wp-content\/uploads\/ITBFS-300x242.jpeg\" alt=\"ITBFS\" width=\"300\" height=\"242\" \/><\/a>ITB FRICTION SYNDROME (ITBFS)<\/h3>\n<p>The pain in ITB friction syndrome is rarely within the ITB itself.\u00a0 It is more commonly caused by inflammation or irritation of a bursa on a bump on the thigh Bone (femur). Bursa\u2019s are lubricating sacks that help to reduce the friction between a tendon and the bone.<\/p>\n<p>Excessive compression force from the ITB as it slides past the bursa during gait can cause trauma to the Bursa triggering the injury.\u00a0 This usually happens just after footstrike at about 20 degrees of flexion.\u00a0 The pain from ITBFS can be sharp and intense or aching.\u00a0 It will usually not warm up as you run but get worse the longer you go.\u00a0 Downhill running with its increased impact forces are more painful than running on the flat.<\/p>\n<p><em>Are you experiencing ITBFS? <a href=\"http:\/\/intraining.com.au\/appointment\/\">Click here<\/a> to see one of our podiatrists at intraining Running Injury Clinic<\/em><\/p>\n<h3>TREATMENT<\/h3>\n<p>One interesting factor in ITBFS is that it can be caused by two opposite motions.\u00a0 Excessive pronation or rolling in of the foot causes a stretching strain of the ITB as the pronation results in internal rotation of the knee.\u00a0 Lateral instability and rolling out of the foot also puts tension and strain on the ITB.\u00a0 It is critical that the biomechanics that is causing the tension be identified as any orthotic or footwear intervention can make the problem worse if misdiagnosed.<\/p>\n<h3><a href=\"http:\/\/intraining.com.au\/wp-content\/uploads\/Foam-rolling.jpg\"><img loading=\"lazy\" class=\"alignright size-medium wp-image-4490\" src=\"http:\/\/intraining.com.au\/wp-content\/uploads\/Foam-rolling-300x169.jpg\" alt=\"Foam rolling\" width=\"300\" height=\"169\" \/><\/a><\/h3>\n<p>Tightness of the ITB or adhesion&#8217;s to the deeper muscle are a factor in the risk of ITBFS.\u00a0 Stretching of the ITB has not been shown to be effective.\u00a0 Mechanically stretching the ITB with massage is much more effective at increasing flexibility and reducing adhesion&#8217;s.\u00a0 Regular use of ITB rollers will reduce recovery time and the risk of recurrence of the injury.\u00a0 Icing and anti-inflammatory gel will quickly reduce the severity of symptoms.<\/p>\n<h3>BICEPS FEMORIS TENDINOPATHY<\/h3>\n<p>One injury often misdiagnosed as ITBFS is tendinopathy of Biceps Femoris one of the hamstring muscles.\u00a0 It usually hurts just before its insertion on the head of the smaller leg bone the Fibula.\u00a0 The symptoms can be very similar to ITBFS however the location of pain is distinctly different being more posterior.\u00a0 Sometimes tension from Biceps Femoris affects the fibrous joint between the two lower leg bones requiring mobilisation.<\/p>\n<h3>KNEE JOINT LINE PAIN<\/h3>\n<p>Pain on the knee joint is often from trauma or degeneration to the lateral meniscus.\u00a0 The knee sometimes gives way when there is a tear in the meniscus.\u00a0 It is sore along the joint line crossing under the ITB and below where the ITB usually hurts.\u00a0 Clinical tests can often identify meniscal abnormality but an MRI may be needed.\u00a0 Osteoarthritis in the lateral knee compartment can also cause joint line pain.<\/p>\n<p>Lateral knee pain is one of the most common injuries for runners.\u00a0 It is important that you have an accurate diagnosis in order to recover from the injury and reduce risk of it recurring.<\/p>\n<figure id=\"attachment_3411\" aria-describedby=\"caption-attachment-3411\" style=\"width: 220px\" class=\"wp-caption alignright\"><img loading=\"lazy\" class=\"size-full wp-image-3411\" src=\"http:\/\/intraining.com.au\/wp-content\/uploads\/stevemanning_club.png\" alt=\"Article by: Steve Manning \u2013 Podiatrist and coach at intraining Running Injury Clinic\" width=\"220\" height=\"200\" \/><figcaption id=\"caption-attachment-3411\" class=\"wp-caption-text\">Article by: Steve Manning \u2013 Podiatrist and coach at intraining Running Injury Clinic<\/figcaption><\/figure>\n<p>The <a href=\"http:\/\/intraining.com.au\/podiatry\/ourpodiatrists\/\">podiatrists<\/a> at the intraining Running Injury Clinic are experienced at treating lateral knee pain. All of our clinicians are runners and share your passion. Our team of clinicians can help plan a safe return to running with a specifically designed rehabilitation training program to get you back running, sooner.<\/p>\n<p>If you have had lateral knee pain that lasts longer than two weeks or is severe enough to make you limp then you should <a href=\"http:\/\/intraining.com.au\/appointment\/\">make an appointment<\/a> to see one of the <a href=\"http:\/\/intraining.com.au\/podiatry\/ourpodiatrists\/\">podiatrists<\/a> at the intraining Running Injury Clinic \u2013 Milton and Indooroopilly.<\/p>\n<h2>For more From the Sole injury articles <a href=\"http:\/\/intraining.com.au\/podiatry\/injuryarticles\/\">click here<\/a>.<\/h2>\n","protected":false},"excerpt":{"rendered":"<p>Lateral Knee Pain Lateral knee pain on the outside of the knee is most often ITB Friction Syndrome, however the rarer types of lateral knee pain should not be missed as the optimum treatment will differ between them.\u00a0 Lateral knee pain is one of the most common injuries for runners. ANATOMY The Illiotibial band (ITB) [&#8230;]\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[],"tags":[],"_links":{"self":[{"href":"https:\/\/dev3.dxcoders.com\/index.php\/wp-json\/wp\/v2\/posts\/4562"}],"collection":[{"href":"https:\/\/dev3.dxcoders.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dev3.dxcoders.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dev3.dxcoders.com\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/dev3.dxcoders.com\/index.php\/wp-json\/wp\/v2\/comments?post=4562"}],"version-history":[{"count":0,"href":"https:\/\/dev3.dxcoders.com\/index.php\/wp-json\/wp\/v2\/posts\/4562\/revisions"}],"wp:attachment":[{"href":"https:\/\/dev3.dxcoders.com\/index.php\/wp-json\/wp\/v2\/media?parent=4562"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dev3.dxcoders.com\/index.php\/wp-json\/wp\/v2\/categories?post=4562"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dev3.dxcoders.com\/index.php\/wp-json\/wp\/v2\/tags?post=4562"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}