{"id":1180,"date":"2011-01-22T11:59:03","date_gmt":"2011-01-22T16:59:03","guid":{"rendered":"http:\/\/eastpointe.wpengine.com\/physical-therapy-for-running-injuries-part-ii\/"},"modified":"2023-10-16T11:48:36","modified_gmt":"2023-10-16T15:48:36","slug":"physical-therapy-for-running-injuries-part-ii","status":"publish","type":"post","link":"https:\/\/eastpointehealthandfitness.com\/integrated-healthcare\/physical-therapy-for-running-injuries-part-ii\/","title":{"rendered":"Physical Therapy for Running Injuries &#8211; Part II"},"content":{"rendered":"<div class=\"hs-migrated-cms-post\">\n<p><em><strong>By Helene Mitchell, Physical Therapist Assistant<\/strong><\/em><\/p>\n<p><!--more--><\/p>\n<p>Iliotibial Band Friction Syndrome (ITBS) is the most common cause of lateral knee pain in runners and occurs in as many as 23% of the running population. It is more common in women than men.<\/p>\n<p><strong>Symptoms:<\/strong><br \/>\n\u2022\u00a0\u00a0 \u00a0Dull, achy, sharp, burning pain on the outside of the knee<br \/>\n\u2022\u00a0\u00a0 \u00a0\u201cSnapping\u201d is heard or felt on the outside of the knee cap (patella)<br \/>\n\u2022\u00a0\u00a0 \u00a0Does not always hurt at the start of a run but hurts after running a certain distance<br \/>\n\u2022\u00a0\u00a0 \u00a0Symptoms are often worse after a run and it is more painful to run slow than fast<br \/>\n\u2022\u00a0\u00a0 \u00a0Pain with squatting<br \/>\n\u2022\u00a0\u00a0 \u00a0Pain after sitting for long periods<\/p>\n<p><strong>Causes:<\/strong><br \/>\n\u2022\u00a0\u00a0 \u00a0Excessive increase in running mileage or intensity<br \/>\n\u2022\u00a0\u00a0 \u00a0Tight hip musculature<br \/>\n\u2022\u00a0\u00a0 \u00a0Weak gluteal muscles<br \/>\n\u2022\u00a0\u00a0 \u00a0Running on uneven surfaces or in same direction on a track<br \/>\n\u2022\u00a0\u00a0 \u00a0Excessive downhill running<br \/>\n\u2022\u00a0\u00a0 \u00a0Excessive foot supination<br \/>\n\u2022\u00a0\u00a0 \u00a0\u201cBow legged\u201d<\/p>\n<p><strong>Conservative Treatment:<\/strong><\/p>\n<p><em>Acute (less than 2 weeks):<\/em><br \/>\n\u2022\u00a0\u00a0 \u00a0Ice massage<br \/>\n\u2022\u00a0\u00a0 \u00a0Anti-inflammatory drugs<br \/>\n\u2022\u00a0\u00a0 \u00a0Myofascial release<br \/>\n\u2022\u00a0\u00a0 \u00a0Avoid downhill running or running in one direction on a track<br \/>\n\u2022\u00a0\u00a0 \u00a0Stop running completely if pain begins immediately<\/p>\n<p><em>Subacute (weeks 2 \u2013 6)<\/em><br \/>\n\u2022\u00a0\u00a0 \u00a0Gentle stretching<br \/>\n\u2022\u00a0\u00a0 \u00a0Massage<br \/>\n\u2022\u00a0\u00a0 \u00a0Foam roller exercises<br \/>\n\u2022\u00a0\u00a0 \u00a0Hip strengthening<br \/>\n\u2022\u00a0\u00a0 \u00a0Address footwear\/orthotics<\/p>\n<p>\u2022\u00a0\u00a0 \u00a0Active rest and mild running every other day (if without pain)<\/p>\n<p><em>Chronic:\u00a0 (6+ weeks)<\/em><br \/>\n\u2022\u00a0\u00a0 \u00a0Hip strengthening<br \/>\n\u2022\u00a0\u00a0 \u00a0Balance activities<br \/>\n\u2022\u00a0\u00a0 \u00a0Return to running every other day then every day as symptoms subside<\/p>\n<p>Complete cessation of symptoms takes 6 \u2013 8 weeks. Gradually increase distance and frequency over a 4-6 week period. Faster running will cause less pain so start with strides initially.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>By Helene Mitchell, Physical Therapist Assistant<\/p>\n","protected":false},"author":5,"featured_media":6127,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[100],"tags":[],"class_list":["post-1180","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-physical-therapy"],"acf":[],"aioseo_notices":[],"publishpress_future_action":{"enabled":false,"date":"2026-06-22 04:22:08","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"_links":{"self":[{"href":"https:\/\/eastpointehealthandfitness.com\/integrated-healthcare\/wp-json\/wp\/v2\/posts\/1180","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eastpointehealthandfitness.com\/integrated-healthcare\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eastpointehealthandfitness.com\/integrated-healthcare\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eastpointehealthandfitness.com\/integrated-healthcare\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/eastpointehealthandfitness.com\/integrated-healthcare\/wp-json\/wp\/v2\/comments?post=1180"}],"version-history":[{"count":0,"href":"https:\/\/eastpointehealthandfitness.com\/integrated-healthcare\/wp-json\/wp\/v2\/posts\/1180\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/eastpointehealthandfitness.com\/integrated-healthcare\/wp-json\/wp\/v2\/media\/6127"}],"wp:attachment":[{"href":"https:\/\/eastpointehealthandfitness.com\/integrated-healthcare\/wp-json\/wp\/v2\/media?parent=1180"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eastpointehealthandfitness.com\/integrated-healthcare\/wp-json\/wp\/v2\/categories?post=1180"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eastpointehealthandfitness.com\/integrated-healthcare\/wp-json\/wp\/v2\/tags?post=1180"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}