Should I bike with ITB caused by running?

I have a mild case of ITB. When I hit around 4 miles on the run, my outer left knee starts to feel a bit iffy. My plan is to lay off running and in the meantime focus on biking and swimming.

My question is- is it fine that I continue cycling? I’ve heard of cycling as a cause for ITB so I’m concerned that if I continue it may affect my recovery. The thing is I get no ITB pain when I cycle. I did a decent volume of cycling last week and not once did I feel the ITB. Any comments? Ppl with similiar experience on ITB recovery?

thanks!

I tell patients with ITB syndrome that they can do anything they want that doesn’t hurt. If you don’t have pain when you ride, go ahead.

I would still foam roller and then ice afterwards.

good luck
Andy

I would continue to cycle and run. Laying off running isn’t going to cause the ITB to go away. You should continue running 2-3 miles and stretch/foam roll as much as possible.

I’m rehabbing a similar situation. I’ve found that biking on the road bike is issue-free, but riding on my tri-bike was irritating to the IT band. So, I worked with my LBS and we added some spacers to make the setup less aggressive and more comfortable; now I can ride the tri-bike issue free.

I have also found that running after a swim or a medium-to-light bike is helpful, as my IT seems to be warmed up and stretched out by the ride.

Good luck.

Laying off running isn’t going to make it go away, but just about everything I’ve read has indicated- rest, rest, rest!

Are you sure about that? So you’re saying that I can run to the point right before my ITB flares up and that won’t affect my overall recovery time?

I’ve posted this before, but what the heck:

  1. The first thing you have to do is not run for some of the inflammation to go down.
    IME if it’s really inflamed, there is nothing you can do to help it out until that goes
    away.
  2. You’re doing PT, so once the initial period is done, just don’t run when it hurts. Otherwise
    listen to what your PT tells you. You’re paying them for a reason.
  3. If biking doesn’t hurt, continue to bike.
  4. RIA: Rest. Ice. Alcohol. The third one doesn’t help with the physical aspects
    of ITBS, but sure helps with the mental. :wink:

IMO.

-Jot

When I was having ITB issues, I was able to bike without issue. Stretching and running on level surfaces made my problems go away.

Circulation is good, that is why you want to keep running, but not to the point where it inflames, leave some room for error and ice the bad spot after.