Working the ITB and adductors

[Mary Jane]

Hi folks,

I have a client who scheduled a couple times, and each time on of the major problem areas was the adductors on one side, especially the proximal attachments.

After not seeing him for several months, he scheduled an appointment and I saw him yesterday. He had a car accident a month and a half ago. Now the knee on that side has been clicking, and his chiropractor said the reason was a tight IT band.

His ITB on that side was very tender in spots. I did my best, but not sure how much progress was made.

The adductors on that site are palpably more tonic than the ones on the other side, and he reviews more pain as I work them.

Again, not sure how much real progress we made, especially given that our past sessions didn't seem to help much.

So. I'm looking for ideas. Next time I'm planning to do some Connective Tissue work with him if he can stand it. But I'm interested to hear how others would address this.

 

[GoodASH]

Don't forget to work the TFL as well as the ITB and Quads/adductors. You will most likely find congestion in the TFL.

There is also a good drop leg stretch for the ITB and TFL. Doing the stretch with some tense/release exercise can help a lot.

You will also want to check out the hamstring group and glutes and hip rotators.

 

[Pocket Protecktor]

I didn't mention the surrounding work... we did work TFL, glutes, lat rots, etc. And there was plenty goin' on with them.

Working with the hamstrings and quads couldn't hurt.

I guess I'll put it to him this way: do your stretches, or don't complain

 

[Mejo]

Working the ITB and adductors

Now the knee on that side has been clicking, and his chiropractor said the reason was a tight IT band.

The knee is definitely clicking on the side, rather than kneecap area? If it's the kneecap area, consider Chondromalacia.

 

[NellyE]

It was not possible for me to tell, and I could feel myself in "out of my scope" area. Thankfully he's having an MRI on Thursday.

 

[Livestrong2009]

P.S. We were taught regarding the Pes Anserine, although I can't find any info in my school books. Here's some info from a website:

Pathophysiology: Pes anserinus is the anatomic term used to identify the insertion of the conjoined tendons into the anteromedial proximal tibia. From anterior to posterior, pes anserinus is made up of the tendons of the sartorius, gracilis, and semitendinosus muscles. The term literally means "goose's foot," describing the webbed footlike structure. The conjoined tendon lies superficial to the tibial insertion of the medial collateral ligament (MCL) of the knee.

I was thinking that if the adductors were typically tight (as you mentioned noticing in previous sessions), then there might be a pathology with this area that needs addressing as well (?).

 

[Johnson]

Do they have low or dropped arches?

 

[i gotta question]

IT Band and adductors

Now that you have worked everything possible think, what is causing these muscles to tighten. The psoas. Also the knee clicking is a result of a tight psoas,so, work the peroneals and rotate the fibula back to normal. Also, do myofascial work on the quads.

 

[Mister C.]

Question

What are the relative positions of the asis, psis and illiac crest...
and what activites agravate the disccomfort...


ohh yes and i agree with the previous posts...
a tight IT band is caused by tightness in the tfl and gl max becaus the it band is a tendon and cannot contract the tension it holds is caused by the muscles it attaches to...