Historically, friction at the lateral femoral condyle has been thought to be the cause of iliotibial band syndrome (ITBS). This review presents the reader with evidence that, rather than friction, compression of the lateral femoral condyle caused by altered biomechanics (as well as excessive loading) is responsible for ITBS. This review also summarises the treatment modalities for ITBS, with a significant focus on gait retraining and biomechanics. A conservative treatment paradigm is also presented to guide clinical reasoning in relation to symptom severity and irritability. The article includes a certificated elearning assessment.
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Bradley S. Neal MSc (Adv Phys), MCSP is a physiotherapist and clinical academic who has worked in a combination of NHS, elite sport and private practice settings for the past 9 years. He completed his MSc in Advanced Musculoskeletal Physiotherapy at Hertfordshire University in 2011 before joining Pure Sports Medicine as a specialist musculoskeletal physiotherapist and research lead the same year.
Brad acts as a lower quadrant specialist at Pure Sports Medicine, taking a special interest in knee pathology, tendinopathy and overload conditions such as medial tibial stress syndrome (MTSS). Brad commenced his PhD studies at Queen Mary University London (QMUL) as part of #TEAM_PFP investigating the effects and mechanisms of running gait retraining in the management of patellofemoral pain in April 2014.
He combines his research and clinical roles with regular teaching on the BSc and MSc programmes at QMUL and tutors a number of independent post-graduate courses. Brad has published twice as a lead author thus far and has multiple lead and secondary author papers due within the next year.
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