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Best Treatment for ITBS Ever wondered why your ITB pain keeps returning? Most ITBS treatment focuses on strengthening the gluteal and posterior hip muscles to reduce excessive stress on the ITB. What is commonly overlooked is actually poor foot posture that also contributes to the stress. Foot overpronation is a common cause for running injuries, including iliotibial band syndrome. When we observe under diagnostic imaging, an excessive whipping action at the femoral condyle of the knee often leads to insertional iliotibial band tendinopathy or enthesopathy. If calcifications forms within the tendon or at the insertion points, patients will require more advanced treatments rather than just strengthening exercises to reduce pain. Professional gait re-training is also necessary, such as widening the gait in the case of a cross-over pattern or reducing internal loading of the knee in the case of a low arched foot. However, re-training a gait without a supported base at the foot reduces the rate of success. Incorporating orthotic support with muscle training offers better outcomes. Reducing overpronation has been proven to reduce the peak points of where the hip and knee internally rotate, thus easing strain on the iliotibial band. Your podiatrist should be able to show you on diagnostic imaging and discuss with you about incorporating advanced treatment techniques coupled with specific offloading devices and rehabilitation to work towards recovery. The goal of recovery is reduced pain and to prevent the recurrence of ITB. See a Podiatrist today! EAST COAST PODIATRY ( ECPC ) / eastcoastpodiatrycentre www.EastCoastPodiatry.sg | email: [email protected] Clinic Locations: Orchard Clinic 302 Orchard Road . Tong Building #09-02 . Singapore 238862 Tel: (+65) 6884 4123 Kembangan Clinic 18 Jalan Masjid . Kembangan Plaza # B1-02/04/05 . Singapore 418944 Tel: (+65) 6848 5156 Novena Clinic 10 Sinaran Drive . Novena Medical Center #08-12/13 . Singapore 307506 Tel: (+65) 6235 2132