Sports Medicine/IT Band Issues

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Question
Hello,

For years now, I've struggled with IT Band issues. It usually hits me around mile 5/6 of my runs. I can feel it creeping up, and then all of a sudden, I can't go on. I've tried tape, braces, strength exercises, stretches...nothing seems to provide any lasting help.

This all started at a school festival. I had forgotten my running shoes, and being a stupid determined runner, decided to run barefoot. I can't remember if I heard any popping or snapping sound, but all of a sudden, my knee blossomed with pain. That whole week it was stiff and sore, especially first thing in the morning. I could barely walk. I took time off and let it heal, and then the recurrent IT band problems started. I've gone to a doctor before and have been perscribed meloxicam for when it flares. I do not feel the pain on a daily basis; just during runs. It almost immediately subsides when I start to walk, but after longer runs, I can usually feel it for a few days afterwards. It is also aggrevated by wearing heels (something that I now avoid).

I am wondering now if I possibly tore my IT band or something. I tried researching this online, but all the information I'm finding is for IT band syndrome. Is it possible to suddenly injure your IT band in that way? Should I see a doctor? If it is torn, what would be the protocol for fixing it?

I am desperate for relief... I am training for a half marathon and I am so frustrated. I feel like I am holding my running buddy back, and I hate feeling that pain after just a few miles.

Thanks for any help,

Thanks,
Cate

Answer
Dear Cate,

This Orthopedic Chicago Podiatrist located in West Loop 60661,Roscoe Village 60618, Ukranian Village 60622, Elmhurst 60126 & Bartlett 60103 says...
For your IT band pain. You have aggravated the band to a point of chronic pain.It is unusual for the band to need to be fixed. Physical therapy may help. Sometimes orthotics & a gait analysis may help with any biomechanical issues. The vastus lateralus muscle from the upper leg & the peroneal longus from the lower leg also insert in that area & also may become irritated. These may also benefit from physical therapy. It really sounds like you never ler the initial injury heal. These kinds of injuries may require 3-6 weeks rest, depending on the severity of the irritation. The irritation consists of torn fibers in the IT band & or muscle. These require tincture of time to heal.
Hope this helps & Good Luck!

The Chicago Podiatrists of AnkleNFootCenters.com are specialists in orthopedics and sports medicine.
We are located in Chicago & Elmhurst

Dr George Tsatsos, Svetlana Zats, Dr Mariano Rivera, Dr Massard & Dr Kurtz
Podiatrist Chicago 60618 & 60622. Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661


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Dr George Tsatsos

Expertise

All questions & injuries relating to the lower extremities. Runner's injuries, skier's foot problems,skaters' foot problems, etc All questions related to surgery, orthopedics and medicine of the foot and ankle-Adults and Children. Second Opinion specialist in Foot and Ankle problems including fractures and revision surgery. All questions relating. to foot and ankle problems in children Sports medicine of the foot and ankle Runner's and walking problems

Experience

PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, 1980-201. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979-2010 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, 2008-2010

Organizations
Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

Publications
Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Education/Credentials
PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, 1980-201. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979-2010 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, 2008-2010

Awards and Honors
Very much into Sports Medicine Over 30 years experience with sports & martial arts Black Belt in Tae Kwon Do Red Belt in Shidokan Karate Expert Skier-37 years experience

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