not to disrupt the flow of banter but… IT band syndrome. Lets talk about it.
I’ve had a persistent pain in my knee for the last 6 months that flares every time I try to run. I’ve tried stretching and exercises. Nothing works. Don’t have enough time for PT at the moment.
I enjoyed running so this has been killing me and I’ve been forced to convert to biking. Anyone have experience with this?
I have struggled with it in the past… it won’t get better until you massage it. Foam roller and even just pressing with your fist and following the pain down to your knee. The massage WILL HURT. Maybe see a sports massage therapist once or watch some youtube videos to see how its done.
Oh…and also… cycling will make a tight IT band worse even though it does not directly aggravate it. So, no wonder your struggle is non ending
This was my response based on personal experience to someone else that asked me about it on here. It’s sort of enigmatic and there’s no proven solution it can be a real pain but here was my my take:
Yeah, I went through that once. IT Band syndrome is super frustrating because the causes can be different for everyone and getting past it can be elusive. Essentially when you’re running you’re spending half of whatever amount of time you ran (so obviously like 1.5 hours in a 3 hour run) standing on one leg. Since half of your weight is positioned over the raised leg, gravity will make your body want to bend at your hip like a hinge and collapse / fall over towards the side with the raised leg since that half of your body is no longer supported. To prevent this from happening, when you’re balanced on one leg your hip abductor muscles (the same ones that raise your leg out to the side) will be tense to keep your posture upright and balanced (not sure if that makes sense to you). If you haven’t done a whole lot of running, all those small support muscles like your hip abductor will be weak so as you run longer and they tire, other surrounding muscles will begin to tighten and pitch in to help. One of these pieces is your IT band, which tends to become irritated as it tightens and chafes against parts of the knee.
Basically once the band has been irritated you need to stop and address it or it will continue to be an issue. If you have an important (to you) race coming up and it’s manageable you can choose to run through the pain without causing any long term structural damage, however recovery time may be lengthened as you’ve aggravated the band. The short version is eventually going to be to rest for like 6 weeks and then doing a bunch of hip abductor exercises. I had it pretty bad, so I even avoided walking when possible for the first few weeks. If you cheat and try to run again at like 4 weeks and irritate it, you go back to square one. You can’t rush the process. You can either do stuff with resistance bands or lay on your side and raise your top leg sideways and out (toward the ceiling with some sort of weight (like a heavy ankle weight) on it (see hip abductor pictures). Also consider IT band stretches (other picture).
Another thing that can help a lot is to train at a higher rate of speed when you return to running. IT band issues aren’t common for high speed running because people maintain a better form and you’re not spending as much time balanced on one foot. So maybe start with 1 mile run and work with that until you can get that time down below 8 minutes and then start to add a quarter mile at a time until you get up to 2 or 3 miles maintaining a sub 8 minute pace (while also working out your hip abductors several times a week in addition). Training at a higher rate of speed will build great muscle and poise and actually help you shed excess weight and build cardio more quickly, it’s also easier on your joints sometimes because you’re not plodding along as heavily. You can eventually stop working your hip abductors and focus on longer distances at slower paces once you feel you’ve built a good base, but it is always be a good thing to do. I got my IT band syndrome about 3-6 months into when I began running. I’d pushed myself to run too far (like 50 miles or something) too quickly and hadn’t properly built the right conditioning base.
Also, with all of this I’m assuming your diagnosis is correct and I’m not a doctor, so if you take a break and do your rehab and return and the pain comes back you may want to get it checked out. Let me know if you have more questions.