Table 2.
Treatment Number | Day | Interventions | Exercises Added | Response on that day or presentation on the next visit |
---|---|---|---|---|
1 | 1 | Muscle energy to positional faults Grade III joint mobilization superior tibiofibular joint Myofascial release of the ITB Detonification of the piriformis and lateral gastrocnemius muscle Counterstrain to the psoas |
Side lying: Upper trunk rotation and lower trunk rotation Isometric hip abduction and adduction exercises Prone opposite arm and leg raises Standing postural re‐education of knee position Dynamic stretching Running gait verbal retraining |
L Hip abduction strength 5‐/5 L Dorsiflexion 15 ° degrees Straight leg raise 95 ° degrees 100% Lumbar spine active range of motion No ITB tenderness Subjective pain level (SPL) on a (VAS) 0/10 Ran 3 miles without pain the next day |
2 | 3 | Counterstrain psoas | Side lying: hip abduction and external rotation exercises Lateral step downs without contacting floor Run 3x/week, increase by ½ mile increments |
No positional faults Normal muscle tone Worked up to running 5 miles painfree LEFS 100% |
3 | 13 | Add a long run that would not exceed 25% of the total weekly mileage | ||
6 months | Completed a ½ marathon |