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Is there any relationship between Iliotibial Band syndrome and MTSS? Is previous history of MTSS a risk factor for ITB syndrome?

 

I have not heard of it.

Why are you asking?

 

In a word.....no.

 

I am a spors medicine student in Nottingham. We have a patient (29years old, male, Military person) with chronic ITBS for last 4 years. He had a history of MTSS and also stress fracture his Rt lower leg(during his army trainingin) . I think after that MTSS he may modified his gait as counteract, which is responsible for this chronic ITBS. !!

 

I have just encountered the same problem.

37 year old male in the police force. ( Does all his training in heavy military style boots)
Pain through ITB along with MTSS.

Previous Podiatrist administered orthotics that placed him in excessive supination -to the point where he would wear out his boots by pushing the lateral aspect of the boot out.

This has now caused multiple problems.

 

What have you done for this guy? Has it worked?

You need to think about what is happening here. What causes ITBS and MTSS?

As a general rule, excessive internal femmoral rotation puts extra tension force on the ITB. Think of the anatomy of the ITB and which joints it crosses.

With regards to MTSS- what would cause excessive medial tibial stress? I can think of a few things, but you're the student! Think it through.

You need to work on presenting cases better. You'll learn a lot more if you present more information, and you'll attract the attention of some very clever people who frequent this forum!

Phil

 

I think there might be a relation, especially if the problem(s) are not symmetrical. I.e. in case of a malignment syndrome, pelvic/SI, there is a left-right difference in stance and biomechanics of the lower extremity. In my experience this is often the cause of (several) overuse syndromes, which are not bilateral. Treatment with insoles will not solve the problem and, as mentioned before, may even make it worse or create new problems.
From my experience treatment of the mal-alignment is very effective. If the foot/biomechanics of the lower extremity is/were primair to the mal-alignement complementary treatment with insoles should be considered.

Best regards,
Ingrid Janssen, sportspodiatrist
Eindhoven, Netherlands