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2012-07-09 8:59 AM

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Master
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Subject: Feedback on plan of overcoming ITBS

Based on the symptons I am experiencing (pain knee after running a certain distance), espcially downhill.

I am assming that I have ITBS.

In "The Lure of running" is a healing method described that is used by the US Marines:

Immobilizing the knee for 3 days

Icing and stretching during these days

Return to running afterwards, but stop running at the point of discomfort.

 

Based on the above I plan on:

Keeping my leg streight as good as possible for 3 days (Mo, Tue, Wed.)

No running or cycing in these days

No Breaststroke while swiming in these days

Freestyle only swimming (possible with pull-buoy between ankles)

Streching 2 - 3 times a day

Side-leg-lifts 2 - 3 times a day

Icing after work and before bed

 

Now the question is on Sunday I have a 15k (9.3miles).

I am wondering:

- Should I cycle/run before hand?

- What walk/run intervall would be the least of evil (3walk/2run or 5walk/2run)?

- Any other ideas (other than not do to the 15k



2012-07-09 9:17 AM
in reply to: #4300938

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Subject: RE: Feedback on plan of overcoming ITBS
i just went through this late last year.  If you truly have ITBS, you can expect to fully recover- that's the good news. I would not envision very much  improvement in only 3 days. You're looking at no running for a 2-3 weeks at least, then, a program of stretching, foam rolling, and strengethening is in order. Weak/tight glutes, hips, quads and hammies are usually cause . I treated with PT for 6 weeks. Stretching and rolling exercises 7 days a week for weeks. Bought and wore a ITBS immobilizer strap (little neoprene band to immobilize just above knee- see amazon) and finally got better. But the main thing is rest. This will not get better in only 2-3 days. You can read about this issue being a recurring theme for some people for months and months.  New/proper shoes a must too- worn out shoes don't help this.  Many articles on here about protocol for this injury. Good luck!  Bottom line, the i know the foam rolling helped me the most. 
2012-07-09 9:27 AM
in reply to: #4300938

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Subject: RE: Feedback on plan of overcoming ITBS

Also, ICE, ICE, ICE.

I hope you have only a minor issue and are back 100% very soon!

The only concern would be running the 15K too soon and making matters worse if you start feeling it flare up again during run. Mine was so painful I could not run through it and limped home the final 4 miles of a 13.1.  My injury was in October of last year and  i was not running without support again for about 3 months.

2012-07-09 9:30 AM
in reply to: #4300938

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Subject: RE: Feedback on plan of overcoming ITBS
Runnersworld.com has some specific articles on this injury. As you can see, I'm fired up about ITBS stuff because having never heard of it a few months ago, I feel like an "expert" now having read everything I could about it recent months.  Now i have  strict strengethening/foam rolling/ stretching/"the stick" regimen to PREVENT this from ever happening again.
2012-07-09 9:30 AM
in reply to: #4300938

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Master
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Subject: RE: Feedback on plan of overcoming ITBS

I think my pain-threshold is pretty high, so I am not sure how to say something is very bad or not.

If you look at my logs you will see I still manage to get in 1 run a week with around 7 to 8 miles.

Yesterday's run was 6 miles of running the rest was walking.

 

2012-07-09 9:32 AM
in reply to: #4300995

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Subject: RE: Feedback on plan of overcoming ITBS
That is good if you're still able to do that mileage. That's a good sign. You may be able to battle through the race, but then perhaps you'd have time to rest it and let it heal properly.  I still could bike without pain and of course swim, but for some people they can run a short distance and then it  feels like an ice pick in SIDE (outside) part of knee area.  Although the pain manifests there, the PTs and Orthos will tell you the "problem" could be up the IT band, near hips, quads, hammies/ glutes etc. With time and rest at your level, you can beat it easy.


2012-07-09 9:39 AM
in reply to: #4300938

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Subject: RE: Feedback on plan of overcoming ITBS

Everything is individual - what treatment works for one person will not work for another.  My n=1 experience was that rolling, stretching, ART, etc. did not help resolve the problem or the pain.  Eventually I found a sports masseuse, and she fixed it in one session - yep, one. 

So while you get lots of good ideas as to a treatment plan, keep in mind that some may not work as well for you as others.  Personally, not running for a while did nothing for me, and immobilizing your leg for three days may very likely not do anything (again, it could work for you, but I wouldn't count on it).

My 2 cents, seek out a masseuse or ART guy/gal that can work you over and breakdown the tightness and scar tissue.  May take multiple sessions, or may take only one.  It sucks to say, but you may be walking some of that 15K this time round.

2012-07-09 10:28 AM
in reply to: #4301017

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Master
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Subject: RE: Feedback on plan of overcoming ITBS
GoFaster - 2012-07-09 9:39 AM

 It sucks to say, but you may be walking some of that 15K this time round.

 

Oh no worries, I have no problem walking.

It is just about finishing it.

2012-07-09 10:34 AM
in reply to: #4300938

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Master
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Subject: RE: Feedback on plan of overcoming ITBS

I went through this about two years ago.  I didn't have the option of not running at all - I was in training for work, but for about 4 weeks I cut out all unnecessary running and replaced it with aquajogging and swimming.  When I did run, I ran with a knee brace, or had my knee taped.

I popped tons of IBprofen and Iced the knee like crazy. I also used the foam roller daily.

After a few weeks I slowly started replacing aquajogging with running as comfort allowed. After about 6-8 weeks I was able to run again with minimal discomfort.

2012-07-09 10:38 AM
in reply to: #4301172

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Subject: RE: Feedback on plan of overcoming ITBS

My PT did the AR technique on my with the handheld device where they scrape-painfully scrape- the tendon, basically re-injuring it (with bruising) and then the plan was for it to heal properly. So, yes, I did the PT/ AR, but it was multiple PT sessions.  The advice on stretching/strengthening/ongoing rolling etc is not only to help current situation but to prevent future problems as well.  It is true, everyone is different.

2012-07-09 2:37 PM
in reply to: #4300938

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Master
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Subject: RE: Feedback on plan of overcoming ITBS

I have been keeping my leg mostly straight unde rmy desk (deskjob) and it seems to pull the tendent (?) on the underside of my upper leg...

Is that the IT-Band or something else?



2012-07-09 2:46 PM
in reply to: #4301948

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Subject: RE: Feedback on plan of overcoming ITBS
timf79 - 2012-07-09 2:37 PM

I have been keeping my leg mostly straight unde rmy desk (deskjob) and it seems to pull the tendent (?) on the underside of my upper leg...

Is that the IT-Band or something else?

So is it ITBS or a hamstring pain you are having?  ITBS will be a pain on the outer side of your knee.  



Edited by ecozenmama 2012-07-09 2:47 PM
2012-07-09 2:57 PM
in reply to: #4300938

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Master
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Subject: RE: Feedback on plan of overcoming ITBS

The pain when running is ITBS (I think).

Sharp pain in the knee after x miles.

When continou running it gets so abd that I can barely stand on it.

 

Now after keeping my leg straight all day (mostly) I fee a slight discomfotable stretching senstation in the hamstring area.

2012-07-09 3:15 PM
in reply to: #4301995

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Subject: RE: Feedback on plan of overcoming ITBS
Classic ITBS pain is on the OUTSIDE part of knee. Anything else and you may have another type injury- runners knee or something else. IT band connects on the outside/lower portion of knee area.  Pain on top of knee, under knee, behind knee, is not IT band usually.
2012-07-09 3:17 PM
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Subject: RE: Feedback on plan of overcoming ITBS
Tight hamstrings are related to this. It is shocking what all is linked together and affect each other. Lower back, glutes, hips, hammies, IT etc. 
2012-07-09 3:24 PM
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Subject: RE: Feedback on plan of overcoming ITBS
timf79 - 2012-07-09 2:57 PM

The pain when running is ITBS (I think).

Sharp pain in the knee after x miles.

When continou running it gets so abd that I can barely stand on it.

 

Now after keeping my leg straight all day (mostly) I fee a slight discomfotable stretching senstation in the hamstring area.

Ah ok, that makes more sense to me now!  My husband went through a bout of ITBS a few months ago, and unfortunately he had to stay off it and had crutches for a few weeks.  He did a lot of the foam roller, etc.  

Best of Luck to you!  



2012-07-09 11:37 PM
in reply to: #4300938

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Subject: RE: Feedback on plan of overcoming ITBS
New article just posted today on Runnersworld on this exact issue...
2012-07-09 11:54 PM
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Subject: RE: Feedback on plan of overcoming ITBS

I had 2 rounds of PT for ITBS because both legs flared up. I did the ASYTM treatments and it helped tremendously. Now as long as I stay on top of my stretching, foam rolling and hip/glute strengthening problems my issues are minimal.

2012-07-10 2:05 AM
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Master
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Subject: RE: Feedback on plan of overcoming ITBS
timf79 - 2012-07-09 12:57 PM

The pain when running is ITBS (I think).

Sharp pain in the knee after x miles.

When continou running it gets so abd that I can barely stand on it.

 

Now after keeping my leg straight all day (mostly) I fee a slight discomfotable stretching senstation in the hamstring area.

Doesn't sound like ITBS to me.  Get on that foam rolling and streching program 2x/day ASAP.  Let us know how it goes.  I think I'm recovered from my ITBS and just like another poster said, ITBS is linked to pain on the outside of the knee joint area.  I've been staying away from running, and doing intensive stretching and foam rolling every day.  I also took a week vacation and I'm heading home soon and plan on doing a short test run (1-2 miles) with the Pro-Tec Athletics IT Band Compression Wrap and start rebuilding for an Oly happening on the 29th.  

I advise against going all out on your upcoming race.  You may aggravate your injury.

2012-07-11 11:41 AM
in reply to: #4302853

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Subject: RE: Feedback on plan of overcoming ITBS
The IT neoprene mentioned by a poster works great for temporary relief (allows you to run by reducing the pain), but this is a bandaid approach. STretching/Strengthening/foam rolling is key FOR MOST PEOPLE.  Good luck
2012-07-11 11:48 AM
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Master
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Subject: RE: Feedback on plan of overcoming ITBS

taylorz13 - 2012-07-11 9:41 AM The IT neoprene mentioned by a poster works great for temporary relief (allows you to run by reducing the pain), but this is a bandaid approach. STretching/Strengthening/foam rolling is key FOR MOST PEOPLE.  Good luck

Yup!  I forgot to mention that I've been doing ST in key areas but yeah, getting the ITBS got me out of my stubborn self that I don't need foam rolling to massage my muscles.  Now it's a daily habit along with the stretching and ST (3x/week).  =)



2012-07-11 1:25 PM
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Master
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Subject: RE: Feedback on plan of overcoming ITBS

"The Lore of Running" advises on soft shoes and states that anti-pronation shoes can lead to ITBS.

Since I am running in  Brooks Adrenalin, it is a possibility.

Unfortunately my LRS (Local Running Store) had no shoes in my size (14/15) in stock, LOL.

So I will see how my new Zoot feel that shoudl come in today, but I rather would give the Brooks Trance a try as they are supposely more neutral but with tons of cushioning.

Due to the icing and streching my "but-cheeks" are sore, not sure which muscle or band...

Haven't done any foam-rolling, should do so tonight after or before my swim.

2012-07-11 2:24 PM
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Subject: RE: Feedback on plan of overcoming ITBS
Butt Cheeks are your glutes- these are very related and should be rolled/stretched and strengthened- Very common area. Do not be discouraged by rolling pain- when you start foam rolling and it hurts, that means you NEED it. Now, I'm addicted to it, and consider it massage that I can do myself etc.
2012-07-15 4:45 PM
in reply to: #4300938

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Master
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Subject: RE: Feedback on plan of overcoming ITBS

Finished my 15k this morning.

Started off with 3walk/2run until mile 7 and then walked the rest.

Felt OK, but I did not want to over doe it.

More details in my race-report.

2012-07-15 11:04 PM
in reply to: #4312479

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Subject: RE: Feedback on plan of overcoming ITBS
Congrats on finishing. Now take some time and get better. Good luck!
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