ITBS

What is IT Band Syndrome?

IT Band Syndrome (ITBS) is a common injury that predominantly affects long-distance runners although it can also strike cyclists, hikers, and weightlifters. Most people first experience IT Band Syndrome during the early part of a run or jog, often described as an intense, shooting pain that starts on the outside of the leg near the […]

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February 11, 2016

ITBS Causes and Prevention

What is ITBS? In the running world, there is a common but painful condition known as Iliotibial Band Syndrome, aka I.T.B.S., which causes pain from the outside of the leg from the hip down to the knee. This condition is often paired with decreased mobility, redness and swelling of the affected leg. With I.T.B.S., suffers […]

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May 30, 2016

Iliotibial Band (ITB) Syndrome: What To Know and What To Do About It?

Iliotibial Band (ITB) Syndrome: What To Know and What To Do About It?

What Is Iliotibial Band Syndrome? Iliotibial band syndrome or ITB syndrome is a family of symptoms that arise when the iliotibial band in the body is irritated or inflamed. The inflammation often happens in the impingement zone, when the knee is bent between 20 and 30 degrees. Why Does ITB Syndrome Occur? ITB syndrome occurs […]

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May 11, 2016

Physical Mechanics Relative to Iliotibial Band Syndrome for Runners

Running is one of the most popular forms of fitness activity practiced by the global exercising population today. It is also a major part of athletic training for most professional, collegiate and amateur sports teams. Although running regularly is beneficial in many ways to the human musculoskeletal system, it also can result in bodily injuries […]

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November 2, 2015

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

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Separation of muscle ends due to tear elicited
on dynamic sonography examination

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