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Iliotibial band syndrome
(ITB).
Outer leg pain - snapping hip
Signs or Symptoms
Ache or pain running down the outside of the upper leg. Snapping sound as the leg is rotated
Description
Inflammation of the hard fibrous band running down the outside of the upper leg so that it does not glide as you walk and bend. The irritation usually occurs over the outside of the knee joint.
Causes
Sudden increase in the level of training in athletes, or those who suddenly start excessive walking routines. Most individuals have a mechanical problem with their gait. Excessive pronation is another cause as is having a difference in their leg length and people who are bow-legged.
Standard Treatment
Ice, stretching, anti-inflammatory medications and possibly cortisone injections and surgery.
AK Approach
The ITB is over contracting and the muscle imbalances and structural problems that are causing this must be normalized. The muscles that support the pelvis are evaluated to find the ones that are malfunctioning. These are corrected and then the alignment of the pelvic bones is corrected.
The attention is then shifted to the localized structures that are injured and failing to support the pelvic joints properly. These can include specialized treatments for ligaments, muscles, skin and joints. As factors as far away as the foot and ankle can cause torsion that adversely affects the ITB, the examination must include these areas and corrective procedures done to normalize any abnormal torsion in the lower extremity.
This is followed by an analysis of how the person walks, moves and their occupational positions. Nutritional therapies aimed at increasing factors that would speed healing and reduce any inflammation are considered.
Other lifestyle modifications are used to prevent or minimize exacerbating the condition. A specific program for your needs is created.