Iliotibial Band Syndrome
Iliotibial Band Syndrome or 'Ilitibial Band Friction Syndrome' is a common sports injury generally associated with running. This syndrome is bound to cause lateral knee pain in runners. This injury can also be caused by biking, hiking and weight lifting. This Iliotibial band is a thick fibrous tissue that runs from the outside of the pelvis, over the hip, knee and below the knee joint. The band stabilizes the knee during movements like running. The band coordinates with several other thigh muscles and moves from behind the femur in the thigh to the front during the gait cycle. The Iliotibial Band Syndrome refers to the superficial thickening of the tissue that is on the outside of the thigh. Continuous rubbing and flexing of the band causes irritation usually over the outside of the knee joint.
Common causes of the Iliotibial Band Syndrome among runners
- Iliotibial Band Syndrome occurs when the level of activity increases especially among runners who tend to increase their mileage. Increasing distance too quickly or excessive downhill running is a common cause among runners.
- Poor training habits in runners can cause this syndrome. While running on an indoor track, the leg bends slightly inwards and this causes extreme stretching of the Iliotibial band and the resultant injury.
- Inadequate warm up and cool down sessions among sports persons can cause this syndrome.
- While cycling, having the feet 'toed in' at an extreme and excessive angle can cause the Iliotibial band injury.
Individuals with anatomical abnormalities of the leg such as bow -legs, high or low arches, overpronation of the foot and uneven leg length are prone to this condition. Muscle imbalance such as weak hip abductor muscles can lead to iliotibial band syndrome.
Symptoms of this syndrome include pain in the knee joint that worsens with continued movement and resolves on rest. There is persistent pain below the knees or stinging sensation just above the knee joint. Often swelling or thickening is noticed at the point of knee joint where the band moves over the femur. Persons suffering these symptoms must avoid running downhill or squatting, playing tennis or basketball and indulging in martial arts.
Treatment for Iliotibial Band Syndrome normally begins with applying ice the area of injury, selection of proper footwear and stretching routine. While icing, the injured part has to be kept elevated as this helps to reduce swelling. Anti-inflammatory medications and cortisone injections may be prescribed to reduce the inflammation. Surgery is rarely resorted to.
Canker sore
A canker sore or aphthous ulcer is a painful mouth sore. It can appear on the inner surface of the cheeks or palate. Typically it starts off as one painful bump that goes on to becoming an open ulcer. It can be accompanied by fever or uneasiness. Appearance of canker sores can be attributed to stress, hormonal fluctuations, food allergies, deficiency of certain vitamins and minerals such as vitamin B12, iron, and folic acid, lack of sleep and immune reactions. Dental braces can often lead to aphthous ulcers. Canker sores take about a week to heal. Maintaining good oral hygiene and getting routine dental checkups can prevent such a condition. Zinc supplements, anti-inflammatory medications and analgesics are most often prescribed. A person suffering canker sores must avoid hot and spicy food. Applying Milk of Magnesia or diluted hydrogen peroxide can aid the healing. In very severe cases, corticosteroids are prescribed.
Primary Dysmenorrhea
Dysmenorrhea or painful menstrual periods is a common complaint with many women and adolescent girls. It is characterized by cramps and pain in the lower abdomen. Dysmenorrhea can be broadly classified as Primary and Secondary. While primary dysmenorrhea is identified with menstrual cylcles, secondary dysmenorrhea can be traced to pelvic diseases such as endometriosis, pelvic inflammatory disease, lesions and other causes such as IUD or uterine fibroids. Primary Dysmenorrhea usually surfaces with early ovulatory cycles and can start in the teens or 20s. Primary dysmenorrhea is not indicative of any abnormal condition. Accompanying symptoms are vomiting, diarrhea, nausea and abdominal bloating. It is noticed that symptoms of primary dysmenorrhea reduce after pregnancy and in latter years. Pain can be a dull ache or spasmodic and cramping. Since the uterus goes into spasms to expel the endometrial tissue during menstruation, it leads to pain and cramps when the cervical passage is narrow. Pain radiates to the lower back and thighs.
A physician will conduct a pelvic examination to check for any possible growth, lesions or abnormalities.
Those with a history of dysmenorrhea are usually advised to take medications a couple of days prior to menstruation. Adequate rest, good diet and exercise play a role in relieving the symptoms of dysmenorrhea. Mild analgesics and non-steroidal anti-inflammatory medications can relieve the pain and discomfort. Often oral contraceptives are prescribed to regulate the hormones and alleviate the symptoms of dysmenorrhea.
Bibliography / Reference
| 