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More Tendon Facts:

Tenosynovitis is a condition affecting the sheath that surrounds a tendon. In many cases, the sheath encounters tearing due to inflammation of the underlying tendon. The majority of tenosynovitis sufferers are female.


A fully ruptured Tendon REQUIRES surgery. It will not heal on its own.


Except for a fully ruptured tendon, Tendonitis can almost always be cured without surgery.


Left untreated, tendonitis can be extremely debilitating and lead to life long complications.


Continually using your Tendon while it is injured will lead to a worse injury.


To Heal as fast as possible use conservative treatment options at home such as:

Rest
Use an Ice Pack to Get Swelling Down
Use a Deep Heat Therapy at Home Once Swelling is Down
Treat the Injury Well Beyond the Point When the Pain Disappears

 

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Iliotibial Band (IT BAND) Tendonitis / Syndrome



The iliotibial band (IT band) is a band of fibrous tissue (fascia latae) that runs down the outside of your thigh from your hip and all the way down to your knee. It provides stability to the hip and knee and its job is to prevent the dislocation of both knee and hip joints.

When the band becomes tight it compresses the tissue around the hip bone or the outside of the knee joint. This compression of the tissue affects the hip, leg muscles and the knee (reference: 1).

Iliotibial band syndrome (ITBS) is a common condition in athletes, especially runners and cyclists, and occurs when the IT band becomes irritated, inflamed and tight. The IT band (also called the iliotibial band or iliotibial tract) is a thick, fibrous tendon that runs along the outside of each leg. These bands run from the iliac (crest of the pelvis), over the greater trochanter at the side of the hip, down the leg, and inserts on the outside of the knee at the top of the tibia (tibial tubercle). Each IT band works with the thigh muscles during flexion and extension of the knee to slow you down when running and helps provide stability to the knee joints.

Iliotibial band syndrome causes pain near the knee and side of the hip.

Excessive rubbing of the IT band over the tibial tubercle (bony prominence at the outside of the knee) is a common cause of the irritation that leads to inflammation, tightness and pain. Although the pain from ITBS usually occurs at the outside of the knee, soreness in the hip may also occur. Pain in the hip is usually caused by the IT band tightening and rubbing over the greater trochanter, the outer hip bone.

The initial pain of ITBS is caused by the tightening, irritation, and inflammation in the IT band. As the IT band starts to heal, scar tissue begins to develop on the iliotibial tract. This scar tissue is tough and inflexible and it stops the muscles attached to the IT band from moving smoothly. This causes further pain at the knee and tightness is usually felt in the hip and down the leg to the knee.


Symptoms of Iliotibial Band Syndrome

If you have iliotibial band tendonitis or IT band syndrome you may experience pain that starts gradually at the hip or knee. This discomfort usually is more noticeable after running. You'll notice most pain will happen or even increase during activities like walking, running, climbing stairs, running/walking downhill and even between training sessions. If left untreated you many experience increased pain with any weight-bearing activities or pain while resting your leg.

Symptoms of ITBS in runners usually begin with pain developing during a run which subsides shortly after the run finishes. Pain continues to appear with every run eventually progressing to more constant pain while walking or going up or down stairs. Typical symptoms experienced are:

  • Pain at the lateral (outside) knee and hip
  • Swelling over the hip (greater trochanter) and outer knee
  • Knee Pain, possibly accompanied by Hip Pain
  • Stiffness running down the side of the thigh

Causes of Iliotibial Band Syndrome

ITB pain patterns in the hip

Iliotibial band (ITB) syndrome (ITBS) is common for people who participate in sports that require running or repetitive hip and knee movements (flexing and extending the hip/knee/leg). Sports such as long-distance running, cycling, tennis, soccer, skiing, weight lifting and aerobics can lead to IT band issues. Iliotibial Band tendonitis is also often referred to as an overuse injury.

If you look at the bottom of your shoes you'll soon notice the uneven or excessive wear in certain spots. These wear patterns on the soles of your shoes show how your foot is striking the ground (your gait). If you are noticing excessive wearing of your shoes in certain places your gait (the way you walk) may be off. Wear patterns also may show if your foot is rolling inward or outward (pronation or supination). Your hip alignment or leg-length may also tighten your Iliotibial Band.

Everything is connected in our bodies - the way you walk including the placement of your foot may depend on whether you have knee and/or hip issues and other injuries. Improper gait can cause IT band issues and an improper gait can happen due to a large number of factors including short leg syndrome (SLS), back problems, hip problems, knee and ankle problems and even improper footwear. If you are suffering from IT band pain you're probably also suffering from another injury in your hip, knee and/or foot or from a natural issue with your gait (flat-feet, fallen arches, over-pronation or short-leg syndrome).


Risks of Contracting Iliotibial Band Syndrome

The risk of a person contracting iliotibial band syndrome can increase with any condition or activity that may cause excessive rubbing of the IT band, such as:

With any hip injury, resting it to prevent further irritation and injury is recommended.
  • Increasing training distance or intensity to quickly
  • Performing squats while lifting weights
  • Poor form when biking (i.e. incorrect cleat position, saddle height or positioning from bars)
  • Improper shoe fit when running
  • Running on a slanted surface or downhill
  • Muscle imbalances (i.e. weak hip abductor, quads more developed than hamstrings)
  • Pregnancy
  • Poor foot structure (flat feet, pronation), an awkward gait (i.e. bow-legged, knock knees), or abnormal leg lengths
  • Playing court sports with frequent stopping movements (i.e. tennis, handball)


Iliotibial Band Syndrome Diagnosis

The best way to diagnose this condition is with a quick visit to the your doctor or physical therapist for a physical examination of your hip, leg and knee. Your Doctor might have you perform a Noble Compression Test (a flexibility test) where they see how flexible your IT Band and hip flexors are. During this test your doctor or physical therapist will have you lay on your back and perform a few movements of your leg and hip to discover if there is inflammation in either area.

Your doctor will do a physical examination which may include range of motion tests. He or she may arrange x-rays and/or an MRI. An x-ray will rule out calcification or bone spurs in the area. An MRI can identify the inflammation or damaged IT band. It can also determine if there is any other damage in the soft tissue neighbouring the iliotibial tract.


Treating IT Band Syndrome (ITBS)

Initial treatment of iliotibial band syndrome should focus on resting your leg and reducing the inflammation to help relieve pain. Do not train through the pain. It may be necessary to stop training for a week or two.

Treating your iliotibial tract with cold compression and Deep Tissue Regeneration Therapy will reduce the pain and inflammation so you can get back to training sooner. However, once the pain is gone it does not mean you are healed. Absence of pain generally means the swelling and inflammation is gone, but it takes quite a while for the underlying injury to heal. This is why you get flare ups after you start getting active again (once the pain is gone) - you are still injured and must heal the injury completely!


Cold Compress or Ice Pack Cold Therapy - Relief of Pain & Swelling

When your IT band becomes inflamed and sore during a run, doctors recommend immediate treatment with cold therapy. Cold therapy is the safe and natural way to control pain and swelling while minimizing tissue damage. Frequent, cold treatments within the first 72 hours of the iliotibial tendon becoming inflamed is an effective way to relieve pain and swelling while limiting the amount of damage done to your tissue. In addition, cold therapy can reduce, or even eliminate, the need for NSAIDs (non-steroidal anti-inflammatory drugs) that can be harmful to your body.

Cold compression therapy works by interrupting and slowing nerve and cell function in the injured area and reducing swelling that can block blood vessels. This is important because once blood vessels are blocked or damaged, they can no longer carry oxygen and nutrients to your iliotibial tract and tissue cells begin to break-down. Without cold therapy, cellular break-down and tissue damage continues because the cells do not get the oxygen they need to survive.

T•Shellz Wrap® Deep Tissue Regeneration Therapy

When you stop moving your hip because it hurts the amount of blood that flows naturally to your acetabular joint is reduced, limiting your body's natural ability to heal itself. This why massage, physical therapy and stretches are all considered important in rehab - they are all designed to (1) induce more blood flow to the injury area so you can heal faster, and (2) keep your soft tissue (muscles,ligaments,tendons) stretched and flexible to help prevent atrophy.

Once the inflammation in your IT band has been reduced with cold therapy it is time to take the next step in your IT band treatment. Use a Back/Hip T•Shellz Wrap® to improve blood flow while simultaneously helping surrounding soft tissue to become elongated and more elastic. What this means is that not only is increased blood flow helping the iliotibial tendon and surrounding soft tissue to heal, the tendons/muscles/ligaments are now longer and more elastic due to the heat effect of the treatment. It is the most natural way to speed healing of your damaged iliotibial tendon and surrounding tissue while reducing the risk of atrophy (weakening of the muscles) in your upper leg muscles and hips. The T•Shellz Wrap® is a perfect tool to use at home to help augment your massage and physical therapy sessions to help keep your blood moving.

T•Shellz Wraps are basically the perfect home treatment for IT Band Syndrome - helping improve elasticity and length of the tight tendon while healing at the same time!

Improved blood flow helps reduce the risk of atrophy in muscles. When you stop moving your leg and hip due to pain, your muscles and other tissue can become weaker and dead cells and toxins in the area can cause further tissue deterioration - this can lead to atrophy in your quadriceps, hamstrings, glutes and many other muscles in the thigh, groin, lower back, knee and hip. The Back/Hip T•Shellz Wrap® is an amazing tool that can be used to treat your entire core area. We have T•Shellz Wraps for every major joint of the body.

By clearing the area of toxins and increasing the amount of oxygen and nutrients to your hip, IT band, and leg muscles, the risk of atrophy (muscle weakness and/or deterioration) is greatly reduced. Keeping your hip and leg tissue as healthy as possible throughout the healing process will allow you to improve strength again once your pain has gone and your IT band has healed.


How Do You Use a T•Shellz Wrap® (Heat) to Heal a Soft Tissue Injury in Your Hip?


HEAT (warmth) is used after you've reduced your swelling / inflammation and the sharp pain is less intense (you have more of a dull / nagging ache and soft tissue tightness in your hip). Warming up deep tissue using Electromagnetic Energy is a natural way to encourage healing of bursitis and heal surrounding soft tissue. Increasing the temperature of deep tissue results in increased blood flow circulation as the body sends more blood to attempt to remove this same heat. It's the blood in your body that will bring oxygen, nutrients, antibodies and energy to your injured hip to help with healing.

T•Shellz heat blood circulation deep tissue

When heat is applied to deep tissue in the hip, veins will start to get bigger (expand) to allow more blood flow through to your damaged or torn soft tissue. This in turn relaxes your hip, making the tissue more flexible and elastic. This is why heat is used on older (chronic) injuries, to loosen tissue and bring in the blood flow needed for healing. Your body will begin to heal itself after it is injured - increasing your blood flow with heat will speed up this natural process - often surprisingly well.

Doctors usually call this process 'Vasodilation'.


Heat can Make Inflammation, Swelling and Newer Injuries Worse - How?

When we injure ourselves, we start healing right away. The body will naturally raise the temperature at the site of the injury resulting in the inflammatory response (redness, heat sensation, inflammation and swelling). This 'fake fever' leaks blood flow to the area to cool it down and start the healing process.

Adding 'heat' to your hip when it's already inflamed and tender may make your body think there's a new threat to your tissue and increase the pain in order to get you to stop. For some people applying heat on inflamed / swollen tissue will cause the injury to swell-up even more (as much as 3 times larger than normal). You'll feel even more pain as the pressure builds in your hip.

Heat is NOT a good treatment method for inflamed soft tissue, new injuries (within the first 24 to 72 hours), right after surgery or right after a re-injury (over-use and/or sharp, throbbing pain). In these cases, heat should be applied later on in the healing cycle. In the meantime, use a Cold Compress or Ice Pack to decrease any inflammation induced pain.

 

When To Use Heat to Treat Your Injured Hip

A T•Shellz Wrap® temperature treatment works best to increase blood flow circulation and stimulate healing for older (chronic) injuries, re-injury (after swelling has been reduced) and during long-term post surgery recovery. Warmer temperatures should be used approximately 3 to 5 days after you first have the injury. Heat should not be started for a least 2 weeks after surgery because inflammation levels will be very high as the healing process starts over again. Any use of heat should also be combined with gradual movement to stretch out your hip and increase range of motion.

right hip treatment TShellz Hip Wrap

If you have a chronic hip injury that keeps getting re-injured you should use heat before activity to loosen up your tissue (making it more flexible). When used at this time the warm temperatures naturally extend the elasticity (elastic-nature) of the joint, making it more movable / pliable for activity.

Sometimes we feel pain while doing a certain activity - should you still use heat? Using heat in the morning before you start your day or before activity can help to boost the healing process and reduce your risk of re-injury. Too much heat (especially when you suffer a set-back with swelling / inflammation) can make your inflammation worse. Cold treatments with a Cold Compress or Ice Pack should be used part-way through your day when you suffer from on-going pain and inflammation as a natural pain-reliever.


Keep using Deep Tissue Regeneration Therapy before activity and when you notice any stiffness in your hip to 'warm up' your muscles, tendons & ligaments - and stimulate healing.

 

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Anti-Inflammatory Medications for IT Band

NSAIDs, non-steroidal anti-inflammatory drugs, can be used if required to help manage your pain. However, these aren't recommended for long term use, as they can cause gastrointestinal difficulties and increase the risk of cardiovascular disease. The T•Shellz Wrap®, when used in conjunction with NSAIDs can greatly improve the effect of the medication; this can not only help you heal quickly but also reduce the amount of NSAIDs that you ultimately may require.


Rehabilitation Exercise

Physical therapy is a beneficial way to restore atrophied muscles and improve strength and mobility when suffering through a long term debilitating hip injury. The type of physical therapy and the duration will be dependent on the tissue damage and your symptoms. When you are treating or recovering from IT Band syndrome, it is important to ensure you do not perform any exercises that will further irritate the condition.

T•Shellz in conjunction with physical therapy speeds recovery and can help prevent re-injury

Once your pain starts to diminish, a physiotherapist will set up an individualized strengthening and stretching exercise program for you to perform at home or in the gym. This will be based on your needs and abilities, and will help you return to performing your normal routines.

Individuals will often lift weights on their own, to try and build up their strength. However, in doing so, they can do more damage to their joint. It is extremely important to strengthen your muscles properly, as they may have weakened during the period of non-use. A trained therapist will help to ensure your rehabilitation process is appropriate and effective. For best, long term results use T•Shellz Wraps at home, in conjunction with physical therapy and an exercise program.

We've helped thousands of people treat their painful injuries and conditions to get them back on the road to a pain-free life!

Click HERE to Go To Our Online Store We take all major credit cards and Paypal.
If you have questions, call our office at 1-866-237-9608 (toll free continental US).
We are currently offering FREE SHIPPING and a 60 day trial period on all our Wraps.


Our customer service lines are open 5 days a week helping people understand their injuries and how to treat them. Simply call toll free 1-866-237-9608 to talk or place an order with one of our knowledgeable Product Advisers. They have the ability to answer questions and even put together a treatment plan for you.


Product Advisors are available 9:00 am to 10:00 pm Eastern Standard Time Monday, Tuesday and between 9:00 am and 5:00pm on Wednesday to Friday.


Learn More About Tendon Injuries & Treatments

I want to learn more about Post-Surgery Recovery

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I want to learn more about Ice & Heat: Which Is Better For Treatment?

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I want to learn more about Tendonitis Surgery


During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. Always consult your doctor and/or Physical Therapist before using any of our outstanding products, to make sure they are right for you and your condition. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!

 
 
 

Tendon Injury Facts:

When the tendon gets inflamed it is known as tendonitis, and when the tendons are chronically overused, it may lead to microscopic tears in the collagen matrix and causes a gradual weakening of the tissues.


Achilles tendonitis is a common injury among runners, as the Achilles tendon is responsible for helping you lift off the ground with each stride.


As computers become ever more important elements of the work place and everyday life, incidents of wrist tendonitis are on the rise.


Oral Medications can mask the pain but do not aid in the healing of tendonitis. Anti-inflammatories and pain killers can mask the pain and indirectly cause tendonitis to worsen.


Ice and Compression treatments are the easiest and most effective treatments for tendonitis.

 

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