ITB release surgery

What is the ITB?

The iliotibial band (ITB) is a strong, thick band of connective tissue that runs from the outside of the pelvis to just beyond the outside of the knee. One of its main roles is to stabilise the hip and knee joints, which is why overuse injuries can cause the ITB to become inflamed, tight, and painful, potentially contributing to hip and knee disorders.

Associated hip disorders

A tight and inflamed ITB is often related to;

  • Overuse from running or cycling
  • Muscle imbalances around the hip and thigh
  • Poor biomechanics or gait abnormalities
  • Sudden increase in training intensity or volume
  • Tightness in surrounding muscles such as glutes or quadriceps
  • Inadequate stretching or warm-up routines

What are the indications for ITB release surgery?

ITB release surgery is considered when conservative management, such as physiotherapy, has not successfully improved symptoms.

Physiotherapy should always be attempted first, as it often provides favourable outcomes without the need for invasive procedures like surgery.

ITB Release procedure

The procedure usually takes 30 to 45 minutes and is performed in an outpatient setting under general or regional anaesthetic. It is a minimally invasive arthroscopic procedure, meaning small incisions are made and a camera guides the surgeon. A small portion of the ITB is released through one of the incisions. The incisions are then sutured, leaving minimal scarring.

The Benefits Post-Surgery

There are many benefits of ITB release surgery, including the following:

  • Reduction of pain in the hip or knee caused by a tight or inflamed ITB
  • Improved range of motion in the hip and knee
  • Restoration of normal function during daily activities and sports
  • Minimally invasive procedure with small incisions and minimal scarring
  • Faster recovery time compared to open surgery
  • Decreased risk of recurrence when combined with post-operative physiotherapy

ITB release is often considered a last resort to restore previous functional ability, and it can significantly improve quality of life and mental well-being.

Physiotherapy Rehabilitation Post-Surgery

Following surgery, it is recommended that physiotherapy begins immediately. A structured post-surgical rehabilitation protocol is usually followed, which may include the following treatments:

  • Gentle range of motion exercises to maintain joint mobility
  • Stretching exercises to reduce tension in the ITB and surrounding muscles
  • Strengthening exercises for hip, glute, and thigh muscles
  • Balance and proprioception training to improve stability and coordination
  • Gait re-education to restore normal walking patterns
  • Education on posture and movement techniques to prevent recurrence
  • Gradual return to functional and sporting activities under supervision

Summary

For more information, call acephysiosports.com now on +65 8153 5374, or to book an appointment, please contact us.

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