OVERUSE SYNDROMES - IT BAND SYNDROME, ADDUCTOR STRAIN
Iliotibial band syndrome is an overuse injury of the connective issues that are located on the outer thigh and knee.
The iliotibial band runs along the lateral or outside aspect of the thigh, from the pelvis to the tibia, crossing both the hip and knee joints. The iliotibial band is an important stabilizer structure of the lateral part of the knee as the joint flexes and extends.
Inflammation and irritation of the iliotibial band can occur as it travels back and forth, crossing the bony prominence of the femoral epicondyle as the knee flexes and extends.
Rest, ice, compression, and elevation (RICE) and anti-inflammatory medications are first-line treatments.
Physical therapy may be helpful. Surgery is rarely an option and is sometimes suggested for patients who develop chronic inflammation and who fail to respond to other treatment options.
BULGING DISC - ARM OR LEG PAIN AND/OR NUMBNESS
Many patients will present with pain and/or numbness in the arm or leg. In many cases, the discomfort will be associated with neck or back pain. However, individuals may have pain isolated to the leg or arm only. In the majority of cases, the symptoms are secondary to an irritated or pinched nerve traveling from the spine into the arm or leg. Frequently, the individual has a disc bulge/protrusion or narrowing in the spinal canal, resulting in irritation or inflammation of the nerves. It should be noted that all the nerves in the arms come from the neck. The nerves in the legs originate from the low back.
An MRI, CT, and/or EMG may be necessary to determine the exact source and level of the pain. Non-surgical treatment options include, but are not limited to, trigger point injections, bracing, epidural steroid injections, selective nerve root blocks, PRP injections, stem cell/growth factor injections, neuromodulation such as biowave, vitamin/supplementation therapy.