Uncategorized

PT-TV Broadcast

Hey guys,

  Tomorrow (11-8-12), I will be on PT-TV, alongside Dr. Erson Religioso and Dr. Chris Johnson .  You can watch the live broadcast at www.therapydia.com at 9pm Eastern.  The topic of discussion is Iliotibial band (friction) syndrome and PT interventions for assessment and treatment.  We all have unique expertise to add to the discussion and think it would be awesome if you guys tuned in.  Maybe even discuss our chat on twitter using hashtag #solvept .  

So before the chat tomorrow, what are your thoughts on IT band syndrome?  Is it a true frictional injury?  Is it a clinical illusion?  It is something else?  Let’s create some chatter in the comments…

Image by: Paul Ingraham, http://www.saveyourself.ca .  He has a great discussion on IT band syndrome as well.

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Categories: Uncategorized

3 replies »

  1. Joe,
    Wish I could be available for this but will be flying at that time. To jump start the comments, I feel ITB syndrome is just that, a syndrome. A cluster of symptoms. I think it’s an easy way out of being specific I. Your clinical diagnosis as is impingement syndrome…we all know ~90% of shoulder will be this. Don’t have to go. To s hook to figure that out.

    In terms of treatment, I do not stretch bottom line. I typically don’t stretch other areas (I.e. upper trap, lev scap) so not going to try on connective tissue that can hold up an elephant (not sure source but have heard this).

    I would like to hear how others treat it but figured I would share these comments.
    Harrison
    @intouchpt

  2. Should be interesting and hopefully I can find some time to tune in. I tend to agree with Harrison about the stretching.

    There is such a lack of evidence to guide our examination and treatment of this condition that we are left with simply chasing impairments in hopes that the patient improves. I often look at hip rotational and sagital control and sometimes do direct ST techniques (with/without a tool). I have also used tape, messed with the foot, used lumbar manipulation, hip mobs, patellar mobs, activity modification, pain education etc…. My treatment has really turned into going after impairments, starting with the one that seems most dramatic. I can’t say that I have stellar or consistent results with any one approach.

    If I had to pick, I think activity modification (especially fixing training errors) has been the most effective.

  3. . i will be attending tonight! can’t wait and looking forward to it. again, keep up the great work gus. after ruling out lumbar and SIJ pathology, if it is true IT band syndrome (whatever it truly is??) my treatment usually entails foam roll, IASTM, hip ER and ABD strengthening. i cannot perform this in FL, but i’m sure dry needling also is great. no stretching needed. no real special test is accurate to Dx (i dont use obers test ) but Dx is fairly easy with history, palpation, and symptom provocation. i think Dx, treatment and interventions are pretty much agreed by most PTs, and patients respond quick with great outcomes regardless of not knowing pathology. now, the mechansim, theory of pathology, etc this is going to be interesting. see everyone tonight

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