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ITB Friction - does it ever end?
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I hurt my IT Band 2 months ago as a result of stupidity. Seat was too low, did a long hard ride into a brutal headwind. I've seen a number of PT's and finally got referred to a specialist. The issue is simply inflammation, and thickening of itb strands. I've been doing an ice massage 3x daily. I've now taken 2 weeks off, and its made no difference. Dr says the problem in my case isn't muscle imbalance, but i was initially doing stretching, strengthening etc. I'm still doing that, but not too the same degree.

I've also been using a foam roller, but that doesn't even hurt any more so doesn't seem like its doing anything. Although my ITB is still 'short' apparently.

I seem to be doing everything right, but this seems like its the end of competing. I also suffer from pretty bad depression, and exercise is the only thing i've found which allows me to manage it, almost like an outlet so the thought of quitting is having a pretty big mental impact.

Is it possible that ITB Friction can just not heal?
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Re: ITB Friction - does it ever end? [djh] [ In reply to ]
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 My chiropractor fixes that stuff with ART and similar stuff. Find a sports chiropractor (not one of those lifestyle people, but a real sports therapist) and it'll get fixed.
I've had crazy inflammation to the extent that my whole leg got shut down, and I'm currently injury free.

NO
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Re: ITB Friction - does it ever end? [djh] [ In reply to ]
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Sorry to hear about your IT band troubles. I can appreciate how frustrating that must be.

Standard "I am not a doctor, but":

Is the pain localized at the attachment point at the knee?

Have you tried a topical anti-inflammatory like Voltaren? It seems to work well for me for some niggles that are very close to the surface like the IT band.

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Re: ITB Friction - does it ever end? [djh] [ In reply to ]
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Well...I'm 7 months without running due to ITBS...in the last few weeks I think I am turning the corner and the daily pain/uncomfortable feeling is pretty much gone, still sore some days. I have gone through multiple physio/chiro/sports med/MRI/massage and finally found someone who is trying something a little different.
Instead of doing the same physio exercise that everyone recommends. I have been adding some Olympic lifting and getting heavy with it. The idea is to build total body strength. I am still doing the physio exercises, but the main goal is the lifting.
I am not sure if it is the time off, the lifting or the physio, but I think it's starting to get better!

Having been in your shoes and trying to fight through it. Take the time and get it right! Or you might end up like me with no race season this year!

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Re: ITB Friction - does it ever end? [asellerg] [ In reply to ]
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asellerg wrote:
Sorry to hear about your IT band troubles. I can appreciate how frustrating that must be.

Standard "I am not a doctor, but":

Is the pain localized at the attachment point at the knee?

Have you tried a topical anti-inflammatory like Voltaren? It seems to work well for me for some niggles that are very close to the surface like the IT band.

Yeah basically around gerdy's tubercle. Or that general area. I've been using voltaren gel with my ice massage which is what the Dr said to do. Also did get a deep tissue massage from a sports therapist, but she wasn't able to cause much release.
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Re: ITB Friction - does it ever end? [djh] [ In reply to ]
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Ah, sorry to hear that. I hope you make some progress with it.

Coach at TriForce Triathlon Team: https://www.triforceteam.com
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Re: ITB Friction - does it ever end? [asellerg] [ In reply to ]
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asellerg wrote:
Ah, sorry to hear that. I hope you make some progress with it.

Me too. I'm about a month away from selling all my gear and accepting it wasn't meant to be.
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Re: ITB Friction - does it ever end? [djh] [ In reply to ]
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I have been struggling with it since the middle of last year. I finally figured out it was my left glute pulling everything and started rolling it with a 6" diameter piece of PVC. The foam roller was too soft. It hurt but I kept at it. Then one day, about 3 weeks ago, I was doing sprints, like uncontrolled maniac 30 second sprints and I realized a couple days later it didn't hurt anymore. Weird because it has bothered me for so long. The next week on a long run I had a hydration belt around my waist and realized it was tight on my ITB and felt some discomfort. I immediately took it off and I think that caused my initial issues training for my Ironman. Now if I could just fix my plantar fasciitis. Ice, rolling, Laser, and stretching have all failed too date.

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Re: ITB Friction - does it ever end? [djh] [ In reply to ]
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djh wrote:
asellerg wrote:
Ah, sorry to hear that. I hope you make some progress with it.


Me too. I'm about a month away from selling all my gear and accepting it wasn't meant to be.

What can you do right now that doesn't bother it, can you swim??? I see you did some deep-tissue massage, but you may find someone that specializes more in sport massage than can help identify what is going on. I know it may seem like the end of the world but the power of positivity cannot be understated.


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Re: ITB Friction - does it ever end? [timr] [ In reply to ]
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Re: plantar fasciitis...a few sessions of Astym therapy with my PT helped. Wearing a Strasburg sock or boot every night helped too. It's not gone but it's been manageable...also staying off the road and doing a lot of treadmill running.
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Re: ITB Friction - does it ever end? [djh] [ In reply to ]
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djh wrote:
asellerg wrote:
Ah, sorry to hear that. I hope you make some progress with it.

Me too. I'm about a month away from selling all my gear and accepting it wasn't meant to be.

Yeah injury sucks.

I’ve had IT band & glute medius issues over the past couple of years. They still flare up occasionally but I can keep them under control with a foam roller (black trigger point one) and a ball (for extra hip/glute work)

I’ll normally roll twice a day (after a run or bike) for 10 to 15 mins but any time it flares up I’ll increase the duration to focus on the area. If its really bad I’ll occasionally take a day or two off to help it heal (but still roll on those days)
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Re: ITB Friction - does it ever end? [djh] [ In reply to ]
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Might be too far gone for conventional therapies. That was my case for a lot of areas (head to toe!) including the IT.

IMS or needling will relax the tissues and allow things to restore. Might take multiple sessions. That area for me was very sensitive.

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Re: ITB Friction - does it ever end? [djh] [ In reply to ]
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Given where you’re at, I’d try stopping the foam rolling entirely. I’ve had 2 separate therapists tell me it can cause more damage when you roll directly on the IT band. Good luck to you.
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Re: ITB Friction - does it ever end? [djh] [ In reply to ]
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Seat was too low,

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The issue is simply inflammation, and thickening of itb strands.

No disrespect, but this rationale doesn't make sense to me. Yes, there can be some anatomical predisposition and some form factors (largely in running) that can exacerbate symptoms, but I would say that >90% of the time a strength issue (occasionally an exstensibility issue) is the primary cause ITBS. This is within the context of the individual biomechanics.

A low seat would place the knee in more flexion and place the ITB posterior to lateral epicondyle. My experience with chronic ITBS patients is that they tolerate biking or running on inclines or sprints as the loaded knee flexion angle is greater than the max compression point of the band on the boney prominence (~25-30 degrees of knee flexion).

I would suggest to find a practitioner that will evaluate you biomechanically and root cause it form this prospective. Clinic exams, imaging, and tests will not get you there; someone needs to watch you functionally as a one shot "seat too low" doesn't add up to a chronic problem...there is something more to it.

Good Luck!
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