Trigger Point Therapy with Dry Needling Is Effective for IT Band syndrome
TriggerPoint Therapy with Dry Needling is very effective in relieving the combined muscular and fascial pain of IT Band syndrome, also sometimes called TFL syndrome.
Muscular and Fascial Pain are both relieved by dry needling.
What is fascia and what is its role in IT band syndrome and other sports injuries?
The fascia is a web of connective tissue that passes thru and across muscles.
As the name implies, Fascia “organizes” muscle so that they can work together to move bones.
Fascia overlaps muscles doing the same tasks.
The Releationship between the Fascia of the IT Band and the TFL
An dramatic example of fascia is the IT band, the largest band of fascia in the body. The IT band originates with the fibers of the Tensor Fascia Latae muscle, or TFL, in the top front of the hip, and extends down and attaches to the tibia, below the knee on the outside.
IlioTibial Band Syndrome, or ITBS is very common among cyclists and runners, and expresses itself with pain along the knee, into the calf, or all the way up to the hip.
There are often very active Trigger Points in the TFL.
In part this is because of its connection to the TFL. The IT band, as it is commonly called, is the area that runs along the outside our thigh – from above the hip to just below our knee.
Treat the Trigger Points in the Muscles And the Fascia
When I treat IT Band syndrome I always begin by checking for trigger points in the muscles the IT band overlaps into, like the TFL and the Peroneus longus. After deactiving those TrPs with Dry Needling, I then get to work on the IT band itself.
Something many Physical Therapists who are new to dry needling is that dry needling can release fascial contractions as well as muscular ones. Its not just for Trigger Points…
Dry Needling with Electrical Stimulation for Trigger Points and Locked Short Muscles and Fascia
I locate exquisitely tender points on the IT Band, insert dry needles into those points, and then use electrical stimulation. Electrical stimulation creates rhythmic contractions of muscles and fascia. This helps the muscle to recover from overexertion and releases muscles and fascia that have developed into a “locked tight” condition.
The rhythmic contractions actually effect changes at the cellular level by creating oscillations in the intramuscular pressure.