Iliotibial band syndrome

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Hi, has anyone had any experience with helping treat iliotibial band syndrome with orthoses? If so, what measures did you take & how long before the treatment was effective? Thanks for your help in advance. Lee

 

Why even use foot orthoses in iliotibial band syndrome? What is the mechanism?; what is the rationale?

Foot orthoses will only help if they alter something in the foot that is contributing to on increased load in the iliotibial band.

I hardly ever use them and only do use them when a treatment direction test tells me that they will probably be helpful.

 

Lee:

I use custom foot orthoses fairly commonly for iliotibial band syndrome, along with other treatments including shoe recommendations, running surface recommendations, gluteal strengthening, ITB stretching and local ice/topical NSAID therapy.

I don't have a lot of time now to go into the mechanism of action for ITBS but orthoses do work well for this particular problem in many patients. My time is short since I'm leaving for San Diego tomorrow to lecture at a surgical seminar hosted by Don Green, DPM, and I'm still working on my lectures.

 

I had some lateral hip pain when running which I know was not directly an ITB problem. Widening my gait when running did help (including I feel stretching/foam roller).

 

To distill the answers so far, a gait analysis is needed to determine why the tensor fascia femoris in the hip is maintaining excessive tension on the ITB. Then you come up with a treatment plan which may possibly include an orthoses if appropriate.