title: Changes in low back pain in a long distance runner after stretching the iliotibial band.
abstract: OBJECTIVE
  This case report describes a long distance runner with low-back pain and sacroiliac pain and proposes iliotibial band tightness as a possible causative factor.
  
  
  METHODS
  A 38-year-old female amateur runner experienced an exacerbation of right-sided lower back and sacroiliac pain, which she had experienced for several months. The problem became worse as she increased the miles she ran. She had a positive Noble compression test and tightness of the iliotibial band on the right. Gaenslen's, Kemp's, and Patrick's tests were negative on the right, but created her pain of chief complaint. Trigger points were found in the gluteus maximus, gluteus medius, and tensor fascia lata muscles.
  
  
  RESULTS
  The patient was treated using chiropractic manipulative therapy, trigger point therapy and stretching of the iliotibial band. Her running schedule was also changed; at the beginning of treatment, she stopped running. As she progressed, she ran on flat surfaces, and with further rehabilitation, she resumed her pre-injury schedule and route. She did not demonstrate much improvement until extensive stretching was included in the treatment plan.
  
  
  CONCLUSIONS
  A patient had low back and sacroiliac pain that seemed to originate from a dysfunctional iliotibial band. This case illustrates that it is important to consider iliotibial band tightness as a possible cause of low back and sacroiliac pain and that proper management may need to include stretching of the iliotibial band along with trigger point therapy and chiropractic manipulation.
authors.affiliation: Private Practice of Chiropractic, Pittsburgh, PA.
authors.forename: Norman J
authors.initials: NJ
authors.lastname: Kasunich
references.citation: Man Ther. 1998 Feb;3(1):12-20
references.pmid: 11487296
references.citation: Br J Sports Med. 1979 Jun;13(2):51-4
references.pmid: 465909
references.citation: Med Sci Sports Exerc. 1988 Oct;20(5):501-5
references.pmid: 3193867
references.citation: J Bone Joint Surg Am. 1975 Dec;57(8):1110-1
references.pmid: 1201997
references.citation: Am J Sports Med. 1996 May-Jun;24(3):375-9
references.pmid: 8734891
references.citation: Sports Med. 1992 Aug;14(2):144-8
references.pmid: 1509227
references.citation: Am J Sports Med. 1993 May-Jun;21(3):419-24
references.pmid: 8166785