Knee Pain

Knee Pain Relief in Burke, VA

Knee Pain Symptoms & Causes:

Knee Pain Relief in Burke, VAIliotibial band (ITB) syndrome is an overuse problem that is often seen in bicyclists, runners, and long-distance walkers. It causes pain on the outside of the knee just above the joint. It rarely gets so bad that it requires surgery, but it can be very bothersome. The discomfort may keep athletes and other active people from participating in the activities they enjoy.

The ITB is actually a long tendon. (Tendons connect muscles to bone.) It attaches to a short muscle at the top of the pelvis called the tensor fascia lata. The ITB runs down the side of the thigh and connects to the outside edge of the tibia (shinbone) just below the middle of the knee joint. You can feel the tendon on the outside of your thigh when you tighten your leg muscles. The ITB crosses over the side of the knee joint, giving added stability to the knee.

People often end up with ITB syndrome from overdoing their activity. They try to push themselves too far, too fast, and they end up running, walking, or biking more than their body can handle. The repeated strain causes the bursa on the side of the knee to become inflamed.

Some experts believe that the problem happens when the knee bows outward. This can happen in runners if their shoes are worn on the outside edge, or if they run on slanted terrain. Others feel that certain foot abnormalities, such as foot pronation, cause ITB syndrome. (Pronation of the foot occurs when the arch flattens.)  In cases where over-pronation occurs custom orthotics help to restore the arch support and allow the knee to function properly.

Recently, health experts have found that runners with a weakened or fatigued gluteus medius muscle in the hip are more likely to end up with ITB syndrome. This muscle controls outward movements of the hip. If the gluteus medius isn’t doing its job, the thigh tends to turn inward. This makes the knee angle into a knock-kneed position. The ITB becomes tightened against the bursa on the side of the knee. This is also called a valgus deformity of the knee.


The diagnosis of ITB syndrome can usually be made without any complicated tests. When you visit NOVA Chiropractic & Wellness Center, Dr. Sullivan will take a history of the problem and ask about any other injuries that may have occurred in the past. Generally, no swelling is visible. The snapping sensation usually cannot be heard.

Pain on the outside of the knee can be caused from conditions other than ITB syndrome. Our therapist will perform an examination of the knee and will look at your entire leg. You may want to bring the shoes that you use to run or walk with you to your appointment.

Treatment of Knee Pain:

At NOVA Chiropractic & Wellness Center we use a multi-disciplinary approach to treating knee pain.  We combine Active Release Techniques and Graston Technique to loosen up the knee muscles and tendons.  We combine those technqiues with Kinesio-taping and custom orthotics if needed to provide the correct support for the knee allowing it to heal properly.  Dr. Sullivan will also provide you with specific rehabilitation exercises and stretches to prevent further knee injury.

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