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I have knee problems from horseback riding, and they affect my running. I don't think they're serious, though, it just takes me much longer to warm up, and I have "bad days."
I've found that hot baths and stretching for longer than average after any exercise helps me. I know you will probably have a much harder time, I found this article if you haven't seen it yet:
I dealt with IT Band issues a few years ago....I found that I had to take time off from running (like you did) and while i wasn't running I was doing excercises to stretch and strengthen my IT Band.
If you feel like you are ready to try to run again, it can't hurt after 3 months off. I would make sure after each run, even if you don't experience any IT issues, you stretch and continue the strengthening moves you did in PT. Have you purchased a foam roller yet? Those can be a life saver for IT issues.
After I had IT issues, I became more aware of the fact that I needed to partner stretching and strengthening with my running. I actually found a Yoga for Athletes class in my area that REALLY helped me learn some key stretching and strengthening moves for runners....
GOOD LUCK!
Ice your knee down after you run!!! This is key in keeping the inflammation to a minimum...Grab a bunch of ice cube in a bag, wrap 'em in a dish cloth and hold it to your knee for at 15 mins...
Also, strengthening the muscles around your knee can really help as well, so lots of quad, hamstring and lunges can help IT band syndrome as well.
Keep doing your training exercises and make sure you stretch out and warm up before every run!
Good luck!
I've never been diagnosed with IT band issues, but had some knee pain last year training for my first half marathon. I agree with a lot of the previous advice.
I've started incorporating more weight training this time around, that seems to be helping prevent the pain in the first place. Warming up before you run is good, but don't over stretch, I've read the best time to stretch is really about a mile into a longer run. I've also invested in two flexible ice packs to ice my knees for about 20 min after long runs. Hot balths with epsom salts are good a few times a week too, for muscles and joints.
I tried some my mom's tiger balm arthritis lotion on my knees after an 8 miler yesterday (didn't have ice), and was on my feet working for 6-7 afterward yesterday, and knees were just fine! So I think I'll start incoporating that too :)
So, I totally know what you mean about being scared. I hurt my foot really badly a few years ago and it took some mental effort to get back. It's just a matter of slowly increasing your mileage and not doing too much too fast.
Also, I agree with warm up slowly, stretch, and don't go too fast with increasing your mileage. Also, try a walk-run program - it helped my FI.
I wear a knee band for my IT problems, but they aren't very severe.
IT band problems are sometimes caused by a too big stride. A gait analysis might be in order. You might consider going to a performance sports dr.
Another thing you can do to "loosen" the IT, is to use a foam roller. I think Trigger Point Technology has one that comes with a dvd. Or go to a physical therapist or sports massage therapist.
I've been to PT for IT band issues too, but mine affect my hip more than my knee. It's so hard to stretch/massage the IT band! I have found that going in the hot tub often helps loosen it up a bit. The stretches I learned at PT help too, it's just so important to do them often, it doesn't help just once a day and I've had trouble taking more time out to stretch...
I had IT band issues back when I did crew...it was horrible (probably worse than patellar tendonitis in my other knee)....I had access to trainers at the time and ended up doing different exercising and stretching. The foam roller was really helpful (though I remember it being quite painful the first few times I used it)
I would say icing after each run should help (even if you don't feel pain) inflammation can really sneak up on you. I think though after 3 months away from running you should be ok as long as you ease back into it.
Yep! I was on the varsity track and field team and cross country team at my NCAA division 1 college.
There are a few things you should try:
1). Strengthan your quads and hamstrings. Most knee injuries are the result of your quads and hamstrings not being strong enough. Weight lifting is a great way to do this.
2). Mix in cross training. Don't run 5 days a week. Every other day cross train instead of run. This could be swimming, biking, or going on the elliptical, but do something that gives your knees a chance to rest since most cross training like I mentioned above is low impact.
3). Get a foam roller. Go to a chiropractor or sports massuse and get a foam roller to help you massage your IT band before and after you run.
4). Ice your knees after you run.
5). Have you ever thought of orthotics? You don't even need custom ones, but if you have flat feet or underpronate, this is another huge reason for knee problems. When your foot isn't hitting the ground right, your whole legs will become much more sore and the impact will be much worse. Here is an example of a great one (I actually use this and moved to this from custom orthotics) - you put them in a low setting in the oven to heat them up and then they mold to your feet.
http://www.yoursole.com/products/footbeds/signature/dk-plus/
6). When in doubt, take time off from running and solely workout with cross training because if you have injured yourself, continuing to run on it will just make it worse.
7). Don't do your runs on concrete or cement, these are the hardest surfaces on your joints and muscles! Try to mix in runs on dirt or even grass, which will still let you get in your workout, but will be easier on your knees.
I'm training for the LA Marathon now, am also in the middle of filming an episode of Wipeout where I am the top girl in the semi-finals, still hold records from my high school years over a decade ago, and was ranked in the top 3 in my events in the Big East Conference for my NCAA Division I college, so I know what I am talking about.
Me!! I had really bad IT band issues (and shin splints) after my first half marathon too! I went to an orthopedic surgeon that recommended (actually "prescribed") custom-made orthotics for my running shoes. He was convinced that these inserts in my shoes would solve both my IT band problems and my shin splints. I was skeptical, but since they were "prescribed" by a doctor, my insurance covered the entire cost of them. I got custom-made graphite inserts that slip into my running shoes. It took me a couple weeks to really get used to them, but I haven't had one single problem with IT band or shin splints since! I feel like I found a miracle product! I've run 5-6 half marathons and 1 full marathon (plus all the training) on them over the last few years and have never had another problem. I'd definitely recommend this!
oh my gosh, I forgot I started this thread and I am so excited to read so much advice. thank you all :)
I'm still just focusing on my pt exercises, but now that my pain is going I'm trying to work on strengthening my leg muscles cause I think that was contributing to the problem.
A lot of what I'm dealing with is mental -- I'm afraid to run again because I don't want the pain to come back! But I've also moved recently, don't have access to the gym, and live in an area with lots of ice and snow and COLD. So I'm going to wait for better conditions, then ease back in. But I'm going to look into the other stuff you've all suggested too -- thanks much!
IT band issues almost kept me from running my first half marathon (and FI is currently dealing with it in preparation for his first half ironman!) It is definitely very common for runners.
Everyone has given really good advice, but I'll just echo @mizrundou's comment about the foam roller - they are super helpful and FI swears by his. Also, take your stretching/exercises really seriously, and continue doing them after you start running again, even if you aren't experiencing any pain. I kept it up for the first month after I was running again, and after that, I didn't have any more problems with it.
Good luck!
I am by no means a runner. My husband, howeveris an avid runner. I read your post to him and he said that there is tons of information on the Runner's World website. Good luck!!!
This was not an IT issue, but when I was returning to running after an injury, my PT had me on a program where I started out running a mile three days a week. Each week I added a quarter mile until I was back up to my pre-injury norm (5 miles). If I felt any pain, I took several days off and dropped back a quarter mile. It was annoying the first month or so when I wasn't able to run more than a mile or two, but it did work for me.
I totally empathize with the mental fear of getting back into running. I broke my femur in two places in February 2008 and started running, for the first time ever in October 2008....yes, I am an adult onset runner hehe. I did a half-marathon in December and am doing another one in 2 weeks. Because of my leg break and having to relearn how to walk after not walking for 10 weeks I am very conservative and listen to my body really well. If I sense even a hint of something not right I address it right away because I don't want to be sidelined from running for an extended period of time.
I've never had big issues with my IT band, but I have had some. As soon I started to notice discomfort in my knee I started being extra diligent about doing stretches for the IT band. Strength training for your quadriceps and hamstrings are definitely good, but if you know for sure it is your IT band (which is sounds like you do since you've been to PT, etc. for it) don't forget about your hip and gluteal muscles! The top of the IT band attaches at the hip so having tight hip and gluteal muscles, in addition to tight quadriceps can make you more prone to it. It sounds like you are smart about listening to your body...when you start running again just take it slow and gradually work back up to where you were.
I also echo the recommendation for the foam roller! I bought mine at Target and started using it a couple of times a day and it made a huge difference.
Happy running! :)
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so I am hoping there are some runners on here who might have some tips for me...
I was a pretty regular runner up until last November -- I was training for a half marathon and doing 9 miles as my long run -- until I started having pretty serious pains in my knee. I tried to push through (adjust and continue) but it got too bad to continue.
So after talking to a dr, I learned that my problem was IT band syndrome. I've been resting and doing some PT exercises to help, and the pain seems gone, but I haven't run since November. I bought new sneakers (had a gift card) from a running store and asked the staff to suggest shoes that might help.
So my question for you all -- has anyone dealt with IT band problems before? I'd love to get back into running, but am scared. Any tips for keeping the pain away? What works for you? Any other resources that I should check out?