I want to first start off that my background is in Sports Medicine and usually practice eveidence based medicine and have reviewed probably 100+ articles related to the IT band. I am now seeking the athletes insight to help my case. I have a constant battle of my Sports Medicine Angel and Athlete Devil going on in my head for about the past 20 days.
Little background information. I am 28 y/o male 6ft 220lbs former collegiate football player making he transition to Triathalon with the challenge of doing my first Ironman August 2012. My Active and Passive Range of motion is horrible. Hip strength is also poor.
3 weeks ago I developed pain during running on lateral aspect of knee was able to finish that 5 mile tempo run. Next running session left me walking back to my car I was stopped with excruciating pain felt like someone was hammering a nail into Gerdy's Tubercle on my anterior Tibia. I automatically started reflecting and remember feeling the tight clicking feeling without pain on my lateral knee over the past few weeks. (shake it off and perform a quick quad stretch). The light bulb kind of went off that I the person that usually fixes this sorta thing was actually injured and suffering from ITB friction syndrome. I was able to continue biking and running without pain.
I jumped into panic mode and took the shotgun approach and through my best knowledge at it. Foamroller brought me to tears, my abductors are crying from fatigue, hit a chiro that does Graston and a massage therapist for some deep tissue MFR and hit my traditional modalities of Ultrasound, E-Stim etc. I started doing Hip PRE and following a traditional rehab protocol. Gave it some rest and fell into the classic case of it not getting any better. I took off my nametag and had one of the non-surgical sports med ortho's take a look (they are usually more creative). Well he didn't think it was too bad gave me a prescription compounded topical and diclofenac 75mg BID. I was skeptical gave it 10 days ( he really wanted me to give it 3 weeks) and I tried to run. It was getting worse couldn't even run two miles. I put my name on the end of the list as another non-surgical doc was seeing my athletes and he said lets stop messing around with this and do an ultrasound guided injection. This is what I wanted to hear. So that was about 3 days I got a pretty good cortisone flare the first 48hrs (which is usually a good sign) I am now ready to test it out and this is where the devil and angel are battling. I am still symptomatic Tender to palpation over the lateral condyle and get some "clicking" I was planning to ride and swim as it has never caused any pain biking or swimming but I do I know that these activities put me into the repetitive irritant of 10-30 degree flexion zone.
So all that to get to this question:
For those athletes that have suffered and recovered from this before: When did you know you could start running again? What did you feel? any other insight from the athletes perspective?
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Little background information. I am 28 y/o male 6ft 220lbs former collegiate football player making he transition to Triathalon with the challenge of doing my first Ironman August 2012. My Active and Passive Range of motion is horrible. Hip strength is also poor.
3 weeks ago I developed pain during running on lateral aspect of knee was able to finish that 5 mile tempo run. Next running session left me walking back to my car I was stopped with excruciating pain felt like someone was hammering a nail into Gerdy's Tubercle on my anterior Tibia. I automatically started reflecting and remember feeling the tight clicking feeling without pain on my lateral knee over the past few weeks. (shake it off and perform a quick quad stretch). The light bulb kind of went off that I the person that usually fixes this sorta thing was actually injured and suffering from ITB friction syndrome. I was able to continue biking and running without pain.
I jumped into panic mode and took the shotgun approach and through my best knowledge at it. Foamroller brought me to tears, my abductors are crying from fatigue, hit a chiro that does Graston and a massage therapist for some deep tissue MFR and hit my traditional modalities of Ultrasound, E-Stim etc. I started doing Hip PRE and following a traditional rehab protocol. Gave it some rest and fell into the classic case of it not getting any better. I took off my nametag and had one of the non-surgical sports med ortho's take a look (they are usually more creative). Well he didn't think it was too bad gave me a prescription compounded topical and diclofenac 75mg BID. I was skeptical gave it 10 days ( he really wanted me to give it 3 weeks) and I tried to run. It was getting worse couldn't even run two miles. I put my name on the end of the list as another non-surgical doc was seeing my athletes and he said lets stop messing around with this and do an ultrasound guided injection. This is what I wanted to hear. So that was about 3 days I got a pretty good cortisone flare the first 48hrs (which is usually a good sign) I am now ready to test it out and this is where the devil and angel are battling. I am still symptomatic Tender to palpation over the lateral condyle and get some "clicking" I was planning to ride and swim as it has never caused any pain biking or swimming but I do I know that these activities put me into the repetitive irritant of 10-30 degree flexion zone.
So all that to get to this question:
For those athletes that have suffered and recovered from this before: When did you know you could start running again? What did you feel? any other insight from the athletes perspective?
Dynamic Athlete ProgrammingVIP Endurance Racing | Like us on Facebook Get Your Training Plan Here