Therapeutic goals
Reduction of pain and inflammatory phenomena.
Restoring iliotibial band flexibility.
Correction of muscle imbalances in the lower limb.
Improving neuromuscular control and pelvic stability.
Prevention of recurrence and a gradual return to sport.
Techniques used
Pain-relieving physiotherapy modalities as indicated. Massage therapy and myofascial release of the iliotibial band, tensor fasciae latae, quadriceps and gluteus maximus.
Progressive stretching of the iliotibial band. Stretching of the periarticular muscles: tensor fasciae latae, gluteus maximus, quadriceps, hamstrings, iliopsoas.
Progressive strengthening, first isolated then functional: gluteus medius, gluteus maximus, hip external rotators, quadriceps (particularly vastus medialis), hamstrings, lumbopelvic core work.
Single-leg balance exercises. Work on unstable platforms. Control of hip-knee-ankle alignment during functional movements.
Gradual reintroduction of running or sport-specific movements. Work on running pattern and correction of contributing factors if needed.
Exercise programme
- Side-lying hip abduction
- Clamshell with a resistance band
- Glute bridge
- Lateral band walk (monster walk)
- Controlled squat
- Step-down with valgus control
- Eccentric lower limb work
Protocol details
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