Blake Inverted Orthotic and Iliotibial Band Syndrome

dougpotter · Sep 28, 2010

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Will Blake type orthotics contribute to Iliotibial Band Syndrome if a patient is predisposed to lateral knee pain?

mike weber · Sep 28, 2010

Re: Blake and ITBS

Doug ITBFS is an intersting one - ie what we thought may not be what it is.

Here´s an abstract of an intersting paper. Which may then answer your question.

Volume 10, Issue 2, Pages 74-76 (April 2007)

Is iliotibial band syndrome really a friction syndrome?

John Fairclougha, Koji Hayashib, Hechmi Toumib, Kathleen Lyonsd, Graeme Byddere, Nicola Phillipsc, Thomas M. Bestf, Mike Benjaminb

Received 19 March 2006; received in revised form 18 May 2006; accepted 26 May 2006.

Summary
Iliotibial band (ITB) syndrome is regarded as an overuse injury, common in runners and cyclists. It is believed to be associated with excessive friction between the tract and the lateral femoral epicondyle-friction which ‘inflames’ the tract or a bursa. This article highlights evidence which challenges these views. Basic anatomical principles of the ITB have been overlooked: (a) it is not a discrete structure, but a thickened part of the fascia lata which envelops the thigh, (b) it is connected to the linea aspera by an intermuscular septum and to the supracondylar region of the femur (including the epicondyle) by coarse, fibrous bands (which are not pathological adhesions) that are clearly visible by dissection or MRI and (c) a bursa is rarely present—but may be mistaken for the lateral recess of the knee. We would thus suggest that the ITB cannot create frictional forces by moving forwards and backwards over the epicondyle during flexion and extension of the knee. The perception of movement of the ITB across the epicondyle is an illusion because of changing tension in its anterior and posterior fibres. Nevertheless, slight medial–lateral movement is possible and we propose that ITB syndrome is caused by increased compression of a highly vascularised and innervated layer of fat and loose connective tissue that separates the ITB from the epicondyle. Our view is that ITB syndrome is related to impaired function of the hip musculature and that its resolution can only be properly achieved when the biomechanics of hip muscle function are properly addressed.
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dougpotter · Sep 28, 2010

Re: Blake and ITBS

Whoah, great article sir. I knew p.t.'s were looking more at the hip and this article offers a good understanding. I know it's a like like plantar fasciitis-type injuries in-as-much as it can hang on, and on ... .

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