Auteur: Podiatre Montreal
Maissiat’s Strip Syndrome (or Iliotibial Strip Syndrome)
We often treat Iliotibial Bandit Syndrome (IBTS) in our foot and ankle clinic because of the relationship between foot function and IBTS. Foot orthotics are a common treatment to treat it.
What is Iliotibial Strip Syndrome?
The ilio-tibial band is a thick and resistant strip of fabric on the outer side of the thigh. It starts at the hip and extends down to below the knee on the outside of the shin. It plays a role in stabilizing and bending the knee. It also helps with certain hip movements.
Iliotibial Tissue Syndrome is an irritation of the test strip. Irritation often occurs where the test strip attaches to the knee, but it can affect any part of the test strip. A common cause is when the test strip is too tight or too short.
The pain is often aggravated by activities such as hiking, running or using the stairs. The pain increases during these activities and then decreases when you stop.
What causes Iliotibial Strip Syndrome?
Several factors explain SBIT. It sometimes occurs because of the shape of the legs. For example, it is more common in people with bowed legs or in those whose legs pivot more inward than normal. Running on the side of the street can also contribute to it by forcing one foot to pivot outward, which increases the tension on the ilio-tibial band.
Biomechanical problems of the feet are also a very common factor in SBIT. Excessive pronation and flat feet frequently cause SBIT as they increase the tension on the outer side of the thigh. When the foot is flat, the leg pivots inward. This movement stretches and tightens the band. The stretched band rubs on the bones of the knee or hip. Sometimes only tension can cause pain.
How is Iliotibial Strip Syndrome treated?
Custom-made orthotics for ilio-tibial band syndrome
If your SBIT is caused by excessive rotation or a flat foot, custom-made orthotics are often used as your primary treatment. They are not as effective if the syndrome is caused by bowed legs. We can help you determine if orthotics are a good solution for you. Custom-made orthotics to treat Iliotibial Bandage Syndrome must be designed to prevent excessive rotation, so it is important that the orthosis follow the arch of the foot very closely. Prefabricated orthotics, although not as effective as custom-made orthotics, can help. Their lower cost often makes them worth trying.
Stretching of the ilio-tibial strip
Stretching is a very important factor in the treatment of SBIT. One of the most effective treatments is the use of a foam roller.
Other treatments for SBIT
- Anti-inflammatory medications
- Modifications to training
- New shoes
- Strap for test strip
- Foam roller
- Prefabricated orthotics
We will work with you to determine the best treatment for your SBIT. Call us today to book an appointment at our foot and ankle clinic. If you are not in the area, you can try these treatments at home.2021