Runner’s Knee
What is runner’s knee?
Iliotibial band (ITB) syndrome, or runner’s knee, got its nickname for an obvious and very unfortunate reason—it’s common among runners. The resulting pain on the outside of the knee, comes on when running, stops when you rest and then starts again when you resume running. Some runners feel something catching on the outside of their knee or a “twang” over the bone on the outside of their knee.
What causes runner’s knee?
- Long distance running
- Excessive eversion of the feet
- Running on uneven terrain or on cambered roads
- Lack of core strength
- Mobility issues in your lower back or hips
How can I prevent runner’s knee?
- Listen to your body – stop running if you feel and sharp or shooting pains and review your running style.
- Strengthen your core including your glutes as this will help you run longer and longer distances and will ensure you have adequate strength when running up and down hills.
- Ensure your Iliotibial band and thigh muscles are flexible.
- Avoid running down hill or on a cambered road
- If your feet naturally evert then book an appointment to see a podiatrist to see if you need shoe orthotics.
Is there anything else that can help?
Either deep tissue or a sports massage can loosen a tight Iliotibial band and release any tension in the hips, quadriceps and lower back muscles.
Related Posts

The Impact of Sitting All Day – Part 3
In part 1, I looked at the impact of sitting on your muscles, and in part 2 I started to explore the impact on the rest of your body. In this post I continue to explore the impact of sitting on your circulatory system including your heart. Heart Disease When sitting for prolonged periods of time, muscles burn less fat and blood flows more sluggishly, allowing fatty acids to more easily clog the heart. In 2012 Ford & Caspersen in their research paper, Sedentary behaviour and cardiovascular disease: a review of prospective studies (International Journal of Epidemiology, Vol 41, No 5 pages 1338 - 1353) showed that the people with the most sedentary time are more than twice as likely to have cardiovascular disease than those with the least. In 2012 Zedric and Hamilton found that just a few hours sitting suppresses a gene that helps keep your cardiovascular system healthy by controlling inflammation and blood clotting. T W Zedric & M T Hamilton, 2012 Identification of hemostatic genes expressed in human and rat leg muscles and a novel gene (LPP1/PAP2a) suppressed during prolonged physical inactivity (sitting), Lipids in Health and Disease, Vol 11 see http://www.biomedcentral.com/content/pdf/1476-511X-11-137.pdf Cholesterol Sitting also means that your large postural support muscles are inactive. When active these muscles produce a quite of beneficial molecules. One molecule skeletal muscles produce is an enzyme called lipoprotein lipase - which you can think of as a vacuum cleaner for fats in the blood stream. A study in rats showed that after 24 hours forced inactivity, their lipoprotein lipase acitivity was reduced by 90 - 95%, which led to a 75% drip in the ability of their muscles to remove fats from their bloodstream as will as a significant decrease in "good" (HDL) cholesterol. L Bay & Mark Hamilton, 2003, Suppression of skeletal muscle lipoprotein lipase activity during physical inactivity: a molecular reason to maintain daily low-intensity activity, Journal of Physiology, Vol 551, No 2 pages 673 - 682.See http://onlinelibrary.wiley.com/doi/10.1113/jphysiol.2003.045591/full

Trigger Points
Often clients sit down to have a massage and are unaware how tight one area of there shoulder or neck is. This is very common and here is why:
- We only notice the worse area of pain - so if our right shoulder is more painful, we have a tendency to assume our left shoulder is OK.
- Trigger Points
- Poor Posture
- Muscle Damage
- Nervous Tension
- Physical Stress
- Psyschological Stress
- Environmental Factors - cold, damp
- Illness
- Lack of rest or sleep
- Poor Diet
- Restricted movement
- Tension headaches
- Referred pain
- Painful movement of a joint or limb
- Maintain good posture
- Manage your stress
- Follow a daily stretching routine
- Acupuncture
- Massage

So how does massage help “tired” muscles?
Many clients come to our clinics a few days after vigorous work outs or competing in sporting competition because their legs feel tried or heavy. These clients often book a sports massage, but is their any scientific evidence to explain what is happening in the body during the treatment? Massage dilates superficial blood vessels and increases the rate of blood flow. In addition if a deeper pressure is used like in sports or deep tissue massage on a healthy adult it improves the venous return. Both of these changes to the blood flow represent a potent means to accelerate healing. For example, it suggests that massage should improve the performance of fatigued muscles. In addition, Goats asserts that massaged muscle fibres display less spasm, an increased force of contraction and enhanced endurance compared with muscles simply rested. Which suggests that massage will assist in the improvement of sporting performance where it has been compromised. References Scull CD (1945) Massage - Physiologic Basis. Archive of Physical Medicine 26: 159-67 Wilkins RW, Halperin MH, Litter J. (1950) The effects of various physical procedures on circulation in human limbs. Ann Intern Med 33: 1232-45 Goats GC (1994) Massage - the scientific basis of an ancient art: part 2. Physiological and therapeutic effects Br J Sp Med 28(3)

