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Aug 28, 2014

ITB Friction Syndrome

Iliotibial band (ITB) Friction syndrome if one of the most common causes of lateral (outside) knee pain that we see, especially in runners.

The ITB is a band of connective tissue that spans the length of the outer thigh. It originates up at the hip from another structure called the TFL (tensor fascia lata) and inserts onto the tibia just below the knee.

ITB friction occurs when the ITB gets tight & inflamed and begins to rub over the lateral femoral condyle on the outside of the knee joint producing acute pain in this area.


ITB friction syndrome.pdf)


Categories Injury Information Tags ITB friction knee pain runners knee ITB running pain knee exercise run fitness physiotherapy massage strengthening

Jul 30, 2014

Stress Fracture

Stress fractures are an overuse injury that we see most commonly in the leg. 50% of all stress fractures are found in the weight bearing bones whether it be of the femur (thigh bone), tibia (shin bone) or in the foot itself.

A stress fracture is the result of excessive stress through a particular region. Soft tissues in the area get overloaded and transfer their stress to the bone resulting intially in a stress reaction in the bone. With continued load a stress farcture will appear.

Generally stress fractures occur when an athlete has a sudden increase in training loads. Other facors such as a change in footwear, training on unfamiliar surfaces or increase in intensity of training can also result in this injury.

Easily the most common sport we tend to see stress fractures in is running due to repetitive impact of the foot striking the ground. Other common sports include tennis, basketball & gymnastics.

Click the link below to access the FULL FACT SHEET

stress fractures.pdf

Categories Injury Information Tags stress fracture pain overuse running rest physiotherapy fracture

Dec 2, 2013

Anterior Compartment Sydrome

The muscles in the lower leg are divided into a number of compartments encased by thick connective tissue. Within these ‘compartments’ sits muscles, nerves and blood vessels. The anterior compartment is located at the front of the outside of the shin bone (tibia)

Typically when we exercise, blood flow to our muscles increases to meet the energy requirements of the working muscles. This increased flow causes the muscles to ‘swell’. In the situation where there is not enough room in the compartment to accommodate the increase in muscle volume, inter-compartmental pressure rises which can produce pain. 


  • Pain (aching, cramping) at the front of the shin felt to the outside of the shin bone
  • Generally pain is only felt during exercise and ceases when exercise stops (as the pressure within the compartment returns to normal)
  • In some cases sensations of numbness, weakness or pins and needles can be experienced in the lower leg and foot.

Click the link below to access the FULL FACT SHEET

anterior compartment syndrome.pdf

Categories Shin pain Tags anterior compartment syndrome shin pain leg pain exercise running dry needling physiotherapy acupuncture

Nov 5, 2013

Patellofemoral Pain

Patellofemoral pain (PFP) often referred to as ‘runners knee’ is the most common cause of anterior (front) knee pain. As the knee moves from a straght to a bent position the patella should track in the intercondylar groove of the femur. In order for ths to happen the patella is held in place by a balance of muscles and tendons around the knee.

PFP is the result of maltracking of the patella and this is most commonly the result of an imbalance of the quadriceps muscles with the lateral (outer) structures incuding the ITB and vastus alteralis becoming excessively tight while the medial (inside) quadricep is weak. These tight muscles exert a powerful lateral pull on the patella causing it to track slighty off centre resulting in pain and inflammation at the front of the knee.



Tags knee pain patellofemoral pain running exercise PFP Runners knee

Mar 26, 2013

Shin Splints

Medial tibial stress syndrome or ‘shin splints’ as most people know it as is one of the most common cause of shin pain, particularly found in runners or athletes who play sports requiring high amounts of running.

Click on the link below to read the FULL FACT SHEET


Tags Shin splints running exercise