Calling ITBS sufferers

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  • When I ran the marathon I had real problems with my left knee (it was my right ITB last time) and the pain was soooo bad that I had to walk/run the last few miles and literally force a run for the last 200 metres because I wasn't going to walk over the finishing line, but each time I landed the pain was excrutiating....on the outside and it felt like the knee cap was 'catching' too...no running at all last week (obviously) just three days of strengthening/stretching exercises (as usual) had a few niggles but thought I was feeling O.K. to start my training again with just a 1.5 mile run ...wrong!!...got down to the end of the road and the knee pain is back, so walked back...not happy.
    I had been out for 2 cycles during the last week too and didn't feel anything whilst I was cycling. The pain this time feels like it is inside the actual knee as well as on the outside.
    I think I am going to have to rest for a month and see what happens...people keep saying to me "you've done one marathon..when are you doing your next" and I keep replying "I've built my mileage up from 5K to Marathon and I have decided that the 10k is my favourite race so I'm sticking with that" anything more and I seem to get too many injuries even though I do all the exercises, strengthening, stretching, cycling etc...I'm babbling again...sorry - just frustrated.
  • GTG you did it you achieved that milestone you set yourself - focus on that and be proud. This knee pain is a testomy to your achievement - your battle scars.

    It could also be your patella malltracking so maybe do some straight legs raises to strengthen your quads as well but you do deserve a decent rest. Just carry on with the cyclng and return to running when your body is ready.
  • Cycling is fine with my knee, might try a run later but not convinced the pain will stay away. , ah well, stick to bike i think.
  • Thanks Edwina.. will increase the legs lifts:O)
  • MelbasMelbas ✭✭✭
    Well done KKD and GTG. That's a real achievement. It's difficult enough to run a marathon when you're fully fit, but with itbs!

    I'm still running. My physio says I'm okay if I'm running within the pain threshold. I'm doing the Silverstone 10k next week so that should be a good test.
  • Good luck Melba's...fingers crossed and let us know how you get on.
    My knee is as painful today as it was the Monday/Tuesday after the marathon so I think I have done more damage than originally thought - I will still have the months rest and see what's what then. Decided not to cycle today so as not to aggrevate it any more.
  • After ongoing physio, ultrasound, massage lots of rest, MRI Scan and XRay I had a steriod injection today in my ITB tendon at the knee. So now I have to rest for a week, but allowed a bit of stretching, and then start back with some swimming, cycling and after a month or so try and ease back into my running. I am hoping that this does work as I haven't been running since December when this first started. Also, after hearing stories that the injection will really hurt, it didn't. I've had worse injections at the dentist!
  • Deborah - looking good for the future then - thanks for the message on the cortisone - not had one - don't want one but will know not to worry if ever I do.
    What did they say after the mri?
  • Just curious for some thoughts on this, how far should you push with ITBS, today i managed a run and got further without knee pain, so i guess thats an improvement, but is this a good strategy? if i can push the milage up gradually will the knee just get used to me running, or just get worse?

    i am planning on cycling between runs, theory being cycling will strengthen up the knee better,
  • It all depends if you've identified the underlying cause flateric
  • Hi Grumblethegoat, My MRI scan showed that I also had a thinning of the lining under the patella, which I thinks is just general wear & tear and age as both my knees make a crunching sound when I straighten them and if I had the MRI scan on the left knee I reckon it would have been the same. Scan also showed inflammation around my problem area at right lateral knee. The Consultant asked if physio was helping and I said no as i've been having that since end December and after months of resting and trying a run the pain came back.

    I also believe that when I was badly anaemic (haemo level was 8 and ferritin stores were 0) prior to this injury that this didn't help and perhaps my injury recovery rate was just alot slower than it should have been plus I was still trying to run through it :-( Anyway, I will let you know if it has worked....
  • Deborah...Ouch poor you - are you taking iron now?
    I take the following every morning:
    High strength cod liver oil
    Glucosamine and chondroitin
    Multivitamins with iron and minerals
    Echinacea (take this for a month every other month).
    I had an MRI last month on the leg that was originally injured, but they said it was fine. It still clicks at the back of the hamstring but they said it is nothing to worry about.
    I have the same pain this time but in my left leg, but a bit more intense and more in the actual knee rather than on the outer side, so I'm taking another month off and see if it settles like the right leg did. fingers crossed.
    I have given up any though of running long distances again (over 10 miles ish) because I just end up with problems that put me out for too long.
    Good luck and hope you are up and running soon.
  • GTG maybe you could treat yourself to a sports massage?
  • GTG - I have been on Ferrous Sulphate tablets since November 2006 when I was diagnosed and continue to take one a day to maintain my levels; when I stop taking these I will take iron supplements. Had another blood test last month and I am now up to 13 on Haemo which is good, but Ferritin stores are still a little low. I had been vegetarian for 18 years and even though ate healthy wasn't really getting the iron intake. I know have started to eat fish again to help with this and take Glucoamine tablets and Cod Liver Oil daily. Hopefully we will both be back running soon - just going to take a bit more time.
  • Deborah - at least you can focus on the future and it looks positive with the worst behind you, but it mustbe frustraing:O( I don't really understand the Haemo side of things but I did used to be aneamic, I was always the one who fainted in assembly at school, they got so used to it, rather than having a panic to bring me 'round and look after me, it was a case of "It's only Michelle again - she'll be alright in a minute" usually happened once a month (say no more) I'm not vegatarian but eat very little meat just because I'm not a great fan, I do eat lots of veg with iron in though.
    Edwina - would be nice:O) whether it is beneficial or not:O)
  • I always find it helps - I have one every month. I'm having one a few days before the Plymouth Half and I might have one a few days after as well.
  • Another one for the itbs club! Mine started about a month ago after I did my first half marathon (been running about 18 mths). After foolishly trying to ignore it for a while, I went to a physio and had it diagnosed. He told me to stop running, take anti-inflammatories (which I did for a week) and to do stretches and side leg lifts with a resistance band. I have also have two lots of massage from him (which was surprisingly gentle - I thought an IT band massage was supposed to hurt?). I did a lot of reading up on ITBS too and bought a foam roller which I use every day. I also tried to learn how to do the Walt special stretch but I don't think I'm doing it right. I have been cycling and swimming to keep my fitness up and though that things were improving really well until I did a circuits class today which involved a bit of running and it started to ache again <sigh>.

    Anyway, sorry for rambling on but I am meant to be doing a 3.5 mile leg of a relay on monday and was just wondering if you guys had any advice? I've also been offered a sports massage by a different person (a massage therapist rather than a physio) so I think I'll give that a try.
  • Hi Ferdy - have you been working on strengthening your gluteus? A good exercise for this is the clam.
    When I first got my injury I kept running through it and having the odd week off but it just didn't have time to heal. I would advise one month off. That means no impact sport but plenty of strengthening exercises.(I'm no sports specialist - this is just from personal experiaece)
  • GTG - thanks for replying. I just downloaded some exercises for the gluteus and the clam was one of them so I'll give it a go. Were you able to cycle?
  • Ferdy - glad to help. yes I cycled and it didn't seem to aggrevate the itb. When you swin make sure you kick your legs - don't do the frog legs as that aggrevates the itb.
    If you cut and copy the link below you can click on the exercises and print them out - they seem to work for me:O)

    http://www.med.umich.edu/1libr/sma/sma_knee-ili_rex.htm
  • I mean click and paste - sorry - it's been one of those days:O)
  • Hi all - grrrrrr, it's back. I thought i was back on track for my marathon attempt in Sept but my 10 mile run last week ended in me walking the last mile. So frustrating!!! That said I did 10k speed work on the treadmill today and was ok. Now what?! I think I might try a sports massage Edwina.
    Ferdy - just a note, but my physio said not to cycle but just swim (not breaststroke) or pool run. We all seem to get different advice though, so might be ok for you.
    By the way, am also anaemic and have low blood pressure.. Maybe there's a link??!
  • Ferdy – Grumblegoat is right, you must strengthen your gluts but also stretch your ITB before and after running.

    I got ITBS in my final training run before my first marathon as I was new to running and had never heard of it. With the right treatment and advice from my physio completed a half and a full marathon with no recurrence 9 and 12 months later and a further year on still do not have any problems so it is an injury that can be cured with the right treatmen
  • Nevergiveup - that is soo true - I had it first in my right leg and it has cleared up great..but is now in my left leg:O(
  • Bella - it may just be the long distances too - I have now tried running at long distances and each time I end up with itbs.

    Edwina - I remember some time ago your physio told you you weren't 'made' to run long distances? Does she still say the same now you are doing thoses distances?
  • I don't know I haven't been back to see him - I still get knee niggles I just live with it its not as bad as it was last summer.

    I've no plans to train for a marathon and it certainly hurts a lot less as my body as adapted.
  • Thanks for the advice everyone.

    I printed off that website GTG. There are a couple of exercises on it that I haven't been doing.

    Bella - I think I'm going to give the cycling a miss for a while too - just in case! And I've been avoiding breaststroke since my last knee problem anyway - just do a very bad front crawl now.

    Nevergiveup - thanks. It's nice to hear a happy ending :-)
  • Just found this thread, I also think some of the exercises will be useful to try.
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