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. 2020 Jun 10;2(4):e399–e415. doi: 10.1016/j.asmr.2020.04.001

Table 3.

Activity Modification and Rehabilitation Guidelines Reported Following Operative Therapy for Iliotibial Band Syndrome

Study Postoperative Guidelines
Walbron et al.,13 Immediate full weight-bearing with forearm crutches
Inoue et al.16 Knee range of motion + muscle strengthening exercises initiated “soon” after surgery
Full weight bearing → start 1 week after surgery
Walking → start 2 weeks after surgery
Jogging → start 3 weeks after surgery
Michels et al.14 Surgical drain removed 24 hours’ postoperatively
Early range of motion exercises + full weight bearing promoted
Slow running starts at 2 months postoperatively
Hariri et al.17 Weight bearing as tolerated, bilateral axillary crutches
Postoperative week 1-2: ice, compression, high-voltage electrical stimulation weeks, gentle massage of iliotibial band with progression to stretching
Passive knee and hip range of motion → start postoperative day 1
Full knee extension → postoperative day 3
Full knee and hip flexion → end of postoperative week 2
Patellofemoral joint mobilization, emphasis on medial glide of patella
Progressive resistance exercises (quadriceps, hamstrings, hip abductors) start: week 1 to week 4
Week 8: reevaluation by surgeon to clear for running, cycling other sports as tolerated
Full return to sport: postoperative week 12-14
Barber et al.19 Weight bearing as tolerated with a gradual increase in motion
Physical therapy → start week 2
Return to sport milestones: incision healed and no tenderness to palpation
Running → start 6 weeks postoperative
Pivoting → start 8 weeks postoperative
Drogset et al.18 Weight bearing gradually allowed at postoperative week 2
Holmes et al.27 Indoor riding without resistance for 15 minutes → try postoperative day 3
Able to ride indoors for 30 minutes without discomfort → start outdoor riding
Gradual resumption of mileage and resistance, based on preoperative levels
Hill work → start 4-6 weeks postoperatively
Martens et al.15 Regain sports activity postoperative week 3-4