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Hi, I’m Dr. Jason Berry a chiropractor at Pure Healthcare, with a special interest in working with athletes to not only treat sports injuries but to improve sports performance. In my years of working with athletes at various levels one of the most common injuries seen would have to be Ilio-tibial band (ITB) syndrome, which is generally characterised by pain down the outside of one or both legs, between the hip and the knee.
Firstly at bit anatomy, the ITB is essentially an extension of the Tensor Fasciae Lata muscle, which attaches from the crest of the ilium to the outside of the knee, and functions to control hip movement and stabilise the outside of the knee.
Sprain type injuries is a peculiar facet in the world of sports. It affects just about every physically demanding sport from water sports such as water polo to a field sport such as hockey (maybe not chess, even though its considered a sport. But who knows!).
In the grand scheme of the sports world, a sprain becomes an everyday part of the package. Either you yourself or a teammate is complaining of knee issues or a rolled ankle, or whatever it may be.
In the last issue, I looked at the basic anatomical and biomechanical dysfunctions that often lead to overuse injuries in the joints and specifically at the role of faulty foot mechanics (PP 205, November 2004). The current article goes on to consider a range of treatment regimes for chronic sports injuries, including orthotic therapy and prevention.
The focus here is on chronic, recurrent injuries that are a result of repetitive micro-traumatic overuse syndromes, including shin splints, foot arch pain, runner’s knee, jumpers knee, ilio-tibial band syndrome, sacro-iliac joint dysfunctions, and chronic low back pain. Such overuse injuries are commonly caused by underlying biomechanical weaknesses in the involved joints. These weaknesses, in turn, can be caused by such previous severe macro-trauma as fractures or severe ligament sprains. However, the emphasis here is on the biomechanical role of the foot in absorbing shock at impact, and facilitating propulsion at push-off during the gait cycle.