Helping diagnosing ITBS and a little more

I’m running (or at least was going to) my first marathon next week. The build up was slow, and the milage wasn’t excessive.

I had run 20 miles once and had multiple 17/18 mile runs. Then, about three weeks ago, after another 17 mile run, I felt fine; No different than usual. That night, though, I woke up with incredible pain on the outside, lower part of my knee. This is the FIRST time I’ve ever felt this pain or anything like it. Very sharp; no burning. I can’t really state a basis for it, but it felt like what I thought was a ligament issue.

Walking was little painful for a couple of day after. I tried running 3 -4 days later and couldn’t go 150 ft. I didn’t run at all for the next 2 weeks.

This week I ran 4 miles twice. No problems during the runs, but it was a little stiff the next day.

Possible contributors to the pain: (1) shoes probably should have been replaced sooner; (2) the run was mostly on concrete/asphalt roads and sidewalks, whereas I normally run on grass and dirt.

Other note: I’m flat footed and then some, but I wear good stability shoes.

I never detected any swelling and this was the first knee pain I’ve felt. I don’t have any points that are painful to pressure.

Anyone care to venture a guess on whether this sounds like ITBS? I’ve looked around the net and it sounds similar.

I felt fine during my 4 mile runs this week. Should I layoff the marathon? I hate to put that work in and not run the race, but tri season starts up soon and I don’t want to throw that off by doing something stupid. I’m leaning towards laying off the race.

Lastly, I’ve seen the ITBS bands. Anyone else tried these with sucess?

Comments?

Sounds like it could be ITBS, but obviously impossible to diagnose for sure over the net. This might explain it a bit for you http://www.strengthcats.com/SHBknee-pain.htm

I had a similar experience with an IT band injury prior to a spring marathon a few years ago. It was an important race to me and I didn’t want to miss it. The strategy I took was to load up on Ibuprofen for the final week and not run a step (I discussed this with my doc). 2 days before the race I really wanted to check it out so I ran slowly for a couple miles in cool drizzly weather. When it started to stiffen up I stopped running. Obviously, this was not the reaction I had wanted. If I had not traveled to do this race, I probably would not have started. However, on race day it was warmer and I took the Advil prior to the race and had no problem until about 20 miles. At that point, I felt a little pull but was able to continue with only minor discomfort. I finished fine but did notice that the ITband was especially sore as I recovered.

I believe that if it had been cooler on race day I would have had more trouble. Also, I was 24yo and I don’t know if I would try the same thing now at 39. I do think that the Advil was a major help. Good luck to you with whatever decision you make.

Frank

This sounds a lot like ITBS. You are blessed if you have gone from having “trouble walking” to running four miles pain-free in such a short period of time.

I developed what I believe to be ITBS back in July. I had no problem walking, but was stuck at 20 minutes running, and the knee was burning pretty bad by then.

I tried to limp my way through a mountain bike tri a couple weeks after the onset of the injury, and then figured I could just rest a couple weeks. Well, I’m still fighting this thing, and it seems to be winning.

I would recommend bagging the marathon if it is not extremely important to you. This is an injury that can sideline you for a LONG time if you don’t get it under control early.

This advise is coming from someone who HATES to take time off from running and triathlon. I do incorporate rest and recovery times, but this has been the longest injury I have ever expereinced.

If your focus is the tri season, then focus on it and don’t risk sacrificing the whole deal for a mid-winter marathon.

This was a good site that was referred to me by a couple of ultramarathoners:

http://www.physsportsmed.com/issues/2000/02_00/fredericson.htm

God bless,
Ray

I have this and stopped it.

Stop running, or bring your runs down to 2 times a week. 2-3 miles.

Stretch the hell out of your ITBS, every day, 3 times a day. The floor exercises where you lay the knee on an angle and lean over it, work the best.

Stretch your hamstrings and piriformis.

Next use a Nautilus glute machine to strenghen your ass and hamstring muscles. Then try to run off your butt and hamstrings, rather than your hips.