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Click to view jbrown731's profile Rookie 4 posts since
Jan 28, 2007

Mar 19, 2007 10:01 PM

ITBS or something more serious?

Hi:
I'm relatively new to distance running and planned to run a 10k mid April. I've been training since late January using Hal Higdon's 12 week Spring Training for Novice (builds to 6 mile run). I had no problems at all until a couple of weeks ago; I started getting pain on the outside of my left knee towards the end of my longer runs. It went away after running and sounded like a classic case of ITBS. My days off training happened to coincide with the first incidents of pain, so it went away and I was able to resume my training schedule. I did do two short runs while I was experiencing mild pain in the beginning, but I haven't done that in awhile. However, every time I've had a flare-up, it's gotten worse and longer lasting.
I was fitted for a new pair of running shoes, which seemed to help at first. I cut back to a 12 minute mile instead of a 10 minute mile. I'm not overweight, either, so it's not related to that. I've been really rigorous with stretching and have tried wrapping an Ace bandage above the knee for compression when running. I've done weight training to try to strengthen my legs. I've iced it, elevated it and taken time off. Still it hasn't gone away. In fact, the last week it's been bothering me pretty much every time I walk, sometimes to the point where I have to limp. I haven't run in nearly two weeks, so I don't see why it's getting worse. This is really bothering me; before I thought I'd just walk the 10k if I wasn't able to run, but now I couldn't even walk 10k without being in pain.
Is this still ITBS or something worse? I don't have a doctor and can only go to a walk-in clinic right now, so I don't know that they'd be able to help me any more than I can help myself.
Any advice would be greatly appreciated. I really want to get back into running and I'm getting extremely bored riding the stationary bike for cardio.
Thank you!
Click to view hawaiiantk's profile Pro 76 posts since
Jul 28, 2005
1. Dec 26, 2007 3:03 PM in response to: jbrown731
quote:<HR>Originally posted by jbrown731:
I've done weight training to try to strengthen my legs.<HR>


What are you trying to strengthen? What exercises are you doing? If you haven't bought one already, go get a foam roller and google ITBS stretches with it. Start doing those. It will hurt like a mofo at the beginning, but do it anyway. Have someone watch your form. You might be "off" a little and that can have major consequences. These things I mention as I have been dealing with ITBS for the last year. If you don't tackle it head on then you will deal with it a long time. That's my .02

eta: this site will show you a move to do for ITBS
http://www.power-systems.com/news/01_26_06b.aspx[/URL" target="_blank">

And this one is just awesome. Anyone who has ITBS should read this
http://www.anaerobic.net/runnersguide.html[/URL" target="_blank">

http://This message has been edited by hawaiiantk (edited Mar-20-2007).
Click to view polar 410's profile Rookie 5 posts since
May 20, 2004
2. Mar 20, 2007 4:08 AM in response to: jbrown731
I thought so also as to something more serious. Pain
galore. I am of the self diagnois school.
These work as my problem is gone, but will always be
lurking for a lifetime once you get it. Must be faithful
in the routine.
These muscles control walking/running. Must be strengthen
daily and stretched.
Medial Gluet and Tensor fascia lata
Here's some details on it. The step exercise is the best
for ITBS as it strengthens and stretches the muscles
as a group. In fact you will probably feel it all the way down
to the tibalias area outter shin.
Later use 5 lb ankle weights.
http://www.rad.washington.edu/atlas2/gluteusmedius.html[/URL" target="_blank">
http://www.rad.washington.edu/atlas2/tensorfascialata.html[/URL" target="_blank">
http://spineandsportstherapy.com/resources/IT+Band+Syndrome+Full+Article.pdf[/URL" target="_blank">
Scroll down figure 5 is the best exercise for ITBS it gets
all the muscles involved with walking/running.
http://www.aafp.org/afp/20050415/1545.html[/URL" target="_blank">
http://www.sportsinjurybulletin.com/archive/1026-knee-injuries.htm[/URL" target="_blank">
http://www.nismat.org/orthocor/programs/lowbody/lowbdex.html[/URL" target="_blank">
http://www.bodyresults.com/E2gluteusMedius.asp[/URL" target="_blank">
Click to view jellie's profile Pro 81 posts since
Aug 3, 2006
3. Mar 20, 2007 1:07 PM in response to: jbrown731
polar--you do the exercises daily?? How many reps?
Click to view flkjr52096's profile Legend 243 posts since
Nov 14, 2006
4. Mar 20, 2007 1:16 PM in response to: jbrown731
Exercises, stretches, and the foam roller got me through my bout of ITBS.

The plank continues to work for me and I have had no recurrance since I started doing the routines specific for ITBS.

I do rigorous stretching after a each run.

Good luck,

Fran
Click to view polar 410's profile Rookie 5 posts since
May 20, 2004
5. Mar 20, 2007 3:57 PM in response to: jbrown731
jellie, yes. Now for the kicker. I am 53. In the last three
yrs I have lost 87 lbs. I need to lose 25 more, that's the
though part, but still at it. Lived a totally sedentary life
from a child, by choice. Now know I missed a lot.
Started running on a treadmill slowly with the help of
a friend, who was a marathon runner and now a marathon
cyclist. Spent eight mos on the dreadmill due to its
softness and used coolrunnings newbie plan. Took me
six mos to get to three miles. That treadmill was in a gym
of which I still belong. In the first year as well as running
I did the following:
1. Treadmill running
2. Entire body stretching
3. machine and free weights
I still do all of the above, except dreadmill occasionally. Into the second year I decided
by encourgement of my wife and my trainer friend to attempt
a 5K. Finished it running at a whopping speed/pace of 12mm,
5.01mph. I broke the sound barrier. I continued running
jogging for those who think different, (I wasn't walking)
and at the end of the second year, near winter I was
running 15 miles/wk outside, with an average pace of 10.5mm.
I ran three 5K's the second year.
The third year I hit my first injury in Sept 2006. I was at
25 miles/wk at a pace of 9.80 mm. Then the unthinkable
happened. Too much to fast of speed work/hills/farkleks...
The sheath of the anterior tibilias tendon got trashed, bigtime.
I was down for the count for 1 month running.
At year one at the get go I had an IT band problem. Tried all
the typical stuff, to no real avail. I had it bad and was not
even running. When the running started and exercise it
got so bad and I was so discourged I almost quit. I kept going
searching the net and talking to people. Finially the big one
was when I realized that the muscles involved with the bio-
mechanicals of walking/running had to be dealt with and not
just message/rollers/sticks........When I did, that is stretch/
and most importantly strengthen them it went away. It was
a long haul. In the interim I got snapping hip syndrome. The
band got so inflamed and the bursa, and the muscle contracting, it would snap over the bursa and
bring me to my knees, literally. Not while running but when
I did the typical IT band stretches. Got through that and
here I am now starting over again at 12 mile/wk and working
back to 25. Gotta love this sport.
And yes every day I exercise at home/road/gym/work
everywhere doing something.
The IT band: find a good step that is six inches or better,
follow the pictures. Pivot your hip up and down. I use 5/10
lb weight now, on the leg hanging and locked. I now have
incoorperated tibalias strengthening exercises also-10 ankle
weights/walk on tip toes and heels-my wife thinks I look
funny when I do it. She wonders what she has unleashed.
So now I look around me and see so many 23 yr. olds
I can blow away running and cycling. Makes me feel like
23, but don't look it.......Hehe
I thank God I got a wake up call for health before something
really went wrong quicker than it should have.