Pain management in Illiotibial band syndrome

Abstract

ITB syndrome is mostly caused by repetitive physical injury to the lateral knee and as much as 15-24% of severe injuries on cycling. The overall incidence of the syndrome is an iliotibial band of 5%-10%, and is often bilateral. Adolescents and young adults are commonly involved, especially those who perform extreme hip movements such as runners and soccer players.The ITB syndrome can be diagnosed by the appearance of a high-intensity signal on image-weighted T2 that appears over the deep lateral epicondyle for ITB, and thickening distal to ITB. On sonographic examination, the iliotibial pathway is relatively a hyperechoic linear structure that has a fibrillar pattern. Proximally, the iliotibial pathway can be easily visualized in the axial plane as a line above the greater trochanter. In this article, we report a case of ITB syndrome with conservative management that can reduce pain scale. Injections at Bursa ITB may be performed for patients who continue to experience pain that is unresponsive to rest, analgesics, and physical therapy. In our patient, after being given steroid injections under ultrasound guidance we recommended physiotherapy and limiting physical activity to exercise for 2 weeks, and there was improvement in pain scale.