Iliotibial band is a layer of connective tissue which starts as a muscle on the out side of the thigh, travels along the outside of the lower thigh and becomes thiner and ultimately attaches to the outside portion of the upper leg (tibia). Inflamation of this tissue at the area where it crosses the outer aspect of the lower thigh (femur) is called IT Band Syndrome.
IT Band Syndrome is caused by friction of the IT Band against the outer and lower part of the thigh bone (femur) and can become a debilitating condition specially for athletes.
There are several conditions which may lead or contribute to development of the IT Band Syndrome:
Tight and inflexible IT Band and muscles in the hip, pelvis and legs.
Running with worn out shoes, especially on the out side of the heel.
Running on slopes.
Pain and or burning sensation on the outside of the knee anywhere from four inches above the joint line to the area on the upper and outer side of the leg bone (tibia).
Generally your physician after examining you and getting a history can make the diagnosis. In most situation this is a soft tissue problem and nothing will show on X-Ray.
One or combination of the followings will be utilized to treat this condition:
The best way will be adequate warm up and stretching before any sporting activity. This condition is common in runners and it is extremely important that they do the proper warm up and stretching before any running activity.
Baker’s Cyst is abnormal/excessive collection of the joint fluid in the space behind the knee (the popliteal space). This Cyst usually connects with a narrow passage to the membranes around the knee or within the joint. Most of the time this collection of joint fluid is secondary to a problem within the joint (such as meniscal tear), but sometimes occurs as a result of an independent disease such as Rheumatoid Arthritis. (Fig. )
Swelling, pain and sensation of fullness behind the knee. At times and with large cysts it would be difficult to bend the knee beyond certain degrees.
Examination by your doctor and sometime there will be a need for diagnostic studies such as Arthrogram and or MRI (Magnetic Resonance Imaging).
Small cysts may respond to non-operative management such as anti-inflammatory medication and compression sleeves. However large cysts may need to be aspirated (drained) and be injected with Corticosteroid (cortisone) and finally at times they may need to be removed surgically.
On rare occasions cyst will go away on its own and may not need any treatment.