The ITBand attaches at the hip-joint, one of the largest joints in the body. The ITBand is part of the Tensor Fascia Latae (TFL) which runs from the pelvis, to the knee, attached at the tibia and lateral part of the pelvis. This band stabilizes the hip and knee during walking, standing, and running. tendonitis to this bands means it is irritated with swelling and inflammation around the hip.
-Repetitive overuse injuries, such as running, bike riding or rowers. As these types of athletes train and increase their mileage overtime it can lead to irritation of the hip.
-The type of footwear you wear, causing bad alignment in the lower extremity
-Uneven leg length
-Excessive tightness to the lower extremity
Tenderness and pain to the outside of the hip in knee. In extreme cases the pain will radiate down to the calf.
Pain when running, bike riding, rowing or prolonged riding..
Pain with going up and down stairs
Treatment of Hip Tendonitis
Rest: avoid the activities that cause the pain, yes that means you runners!
Ice: This will help the pain and inflammation. Place ice directly over the pain (but not direct skin contact) For about 15-20 minutes at a time. This is the fastest way to reduce the inflammation.
Compression: Especially something to put over the ice while you’re icing. This will help reduce overall inflammation.
Elevation: Elevate when icing to above the level of the heart to help move out the swelling.
How Physical Therapy Can Help
Physical therapy for hip tendonitis MUST be conservative. Your physical therapist will heavily enforce rest and icing to help heal the tendon. If you decide to go against this advice this will be a recurring problem OR the pain will never reduce. Once the swelling and pain has reduced your physical therapist will prescribe a series of stretching and strengthening exercises for the hip-joint based on their evaluation with you. Your therapist may also tape the area to help keep the tendon lengthened and to reduce stress on the joint to reduce pain. You may also need to change the type of footwear you are wearing for your activities, which will again be advised by your therapist.
Particularly for the stubborn athletes, you MUST rest the area and avoid the repetitive activity that is causing the stress on the hip in order for the inflammation to decrease. If you follow the orders by your MD and physical therapist there is a very GOOD prognosis for this condition. Depending on if your care is mild or severe you can return to your full activities in 2-6 weeks. It is important to remember that your return is GRADUAL to prevent re-inflammation.