I went down the IT Band rabbit holeand about threw my computer out the window. If you're new here, I'm already NOT huge into foam rolling. (no, it's not "bad"...I have complicated relationship with it.) ...I think it can be overused and seen as a quick, cure-all touted by fitness gurus. ESPECIALLY when it comes to IT Band pain.Think about it: what is foam rolling supposed to do? Pretend this is a pop quiz and you have to answer the question "how does foam rolling help and/or cure IT Band syndrome?" ...if you've got a *dear in the headlights look* I don't blame you. Because I never see a "why" when the "wisdom of the internet" suggests foam rolling. And the theory of "it breaks up adhesions or scar tissues" is an absolute lie. Your IT Band is as strong as steel (no, really; there's a cadaver study on it). So after wanting to defenestrate my lap top...(look it up; it's my favorite word) I decided to go down this rabbit hole the smart way. I found a masterclass for PT continuing education credits by Dr. Rich Willy of the Montana Running Lab...and I've been fan-girling for almost a week now. IT Band syndrome is one of the most common sources of lateral or outside knee pain for runners but it's been severally misunderstood for ?YEARS. One of the biggest mistakes I see runners make is assuming that...because the IT Band runs the entire lateral aspect of your thigh, that therefore, you'll feel pain starting in your hip and running down all the way to your knee. Because that's partly what I was taught in PT school. I KNOW; completely exposing myself here. We were also taught that IT Band pain could potentially result from the distal insertion (or far end of it that plugs into knee) rubbing repeatedly on bony bump as the knee bends and straightens as you run. For some reason, that never made sense to me. I just didn't buy it. Because then wouldn't EVERY RUNNER ALWAYS having this problem?? The math was not mathing. And then Dr. Rich Willy came to the rescue. So in this week's blog post, we're getting very nerdy.We're talking about:
I know it's a different blog post than normal. But if you've ever struggled with IT Band issues or have had a runner-friend who has... This is going to be revolutionary.
See you over there and... Dare to Train Differently, Marie Whitt, PT, DPT //@dr.whitt.fit P.S. No really, everything the internet says about ITB is mostly wrong. And some of these include things I learned in PT school- YIKES! Looking for MORE ways to work together?
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Hey runner, I'm Marie, @drwhittfit. Never feel like all your hard work was all for nothing ever again. I coach strength training for runners, helping YOU identify your weaknesses and fix them with strength exercises designed for runners to help you build the exact strength you need to run your best, strongest, fastest, most injury-resilient race yet. Subscribe and come join the Running Fit Fam!
Contrary to popular belief... stretching, foam rolling, and resting your hamstring strain is NOT your savior. Going ham and jumping immediately into RDLs: *might* not feel good either. I recently had a runner reach out who I worked with before in the past (HI HEATHER!!)...and her dumb-dumb hamstring strain is still being a butt a year-ish later. This is no shame on her. This isn't because my exercises "didn't work". This is to show you how fickle hamstrings can be. And how nuanced and...
It used to be one of the banes of my PT-existence. Elbows take the cake. I don't like elbows. Good thing we don't use those to run. But IT Band syndrome and all it's ick were sort of....nebulous, even in PT school. It's not my professors fault; it's just where the research was at the time. And unfortunately, that left YOU, the runner, with some pretty cruddy advice: "Foam roll! Stretch! Do a billion lunges. Strengthen your glutes..." Not all of that is bad advice...but can you spot the single...
I actually just recently "missed" this about a month ago. I was doing an initial eval on a new patient (the first PT visit where we do all our testing)... And I had blinders on because the script from the physician said "low back pain..." and it was NOT low back pain. I kept scratching my head after that visit wondering "what did I miss?" So I went on a deep dive into continuing education... and found the answer. WHY YOU CARE AS A RUNNER: You've probably done the EXACT same thing. But instead...