Question - IT band

by Cynthia
(Quebec, Canada)

I have had problems with my hip and IT band, especially my right knee. I tend to have a throbbing pain at the side of the knee. Turning my hips will pull at the side of the knee and will shoot with pain. I am a cyclist and I train 3 times per week. I've seen a chiropractor, physiotherapist etc... I've had this problem over a year now.

Can you suggest anything?


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Mar 21, 2008
did they do any soft tissue or neural release?
by: Bart - SII

From what you describe two things come to mind that might be causing your problems.

The first one is neural tension. This basically means that there are restrictions around the nerves, causing them to stick to the surrounding tissue rather than slide. When this happens, they become irritated and they refer pain. There are several major nerves that run down the leg from the hip, and the pain that you describe when you turn your hips and the "pulling" at your knee are very common signs of this neural tension. This is a fairly advanced (complicated) problem and is often overlooked. It is however, somewhat easy to treat if your clinician is a skilled manual therapist. Try a google search for neural tension or neural flossing and you can probably find a lot more and better information on this.

The second thing that comes to mind is myofascial tightness or mobility restrictions in your lumbar spine, especially in the lower lumbar fascia. Limited lateral trunk flexion (bending sideways) can cause restrictions in the hips that then lead to tightness of the soft tissue extending down into the knee. Myofascial release techniques or positional release therapy might help with this.

I would talk to your clinicians about these things and see what they think.

Hope this helps

comment back with any other questions

Dec 16, 2008
IT Band Surgery
by: Kevin

I have been diagnosed with IT band syndrome. After several months of PT and 2 rounds of cortizone shots in my right knee the Doctor wants to do a release surgery. What is the recovery time and does he have to cut the side of my knee open?

Apr 19, 2009
Neural tension
by: Dr. H

They might need dry needling if it is an advanced
condition....sometimes its the only solution that
I have found.

Oct 22, 2015
So complicated NEW
by: A

Thank you so much for useful information provided in comments. It would be great for my assignment on nursing.

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