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Runner's knee β what is it and how to deal with it?

Runner's knee is one of the most common sports injuries that can affect not only running enthusiasts, but also skiers or hikers. The accompanying pain effectively hinders functioning, so early symptom recognition is key. Find out what causes runner's knee, how to treat the condition and, most importantly, how to prevent it.
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Runner's knee treatment methods β how long should your break in workouts last?
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Runner's knee β exercises. An essential part of therapeutic efforts
In this article:
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Runner's knee is one of the more common sports injuries, characterised by pain in the lateral part of the knee joint.
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This injury is caused by iliotibial band overload.
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The pain is located around the knee joint, increasing during exertion and such activity as taking the stairs.
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The right choice of sports footwear, proper training technique and a regular warm-up are key to preventing runner's knee.
Short summary:
Runner's knee β what is it, and where does it hurt?
Whether you do long-distance running, ski or regularly hike in the mountains, you're bound to have encountered this name at least once in your life. Runner's knee is a common sports injury that most often affect runners, but also amateur skiers, hikers, and footballers. So, what is all the fuss about?
Runner's knee, also known as iliotibial band syndrome, is an injury resulting from overload or excessive tension exerted upon the tendon on the lateral side of the thigh that connects the knee to the hip. It manifests as pain and severe discomfort in the anterolateral part of the knee. Although it is relatively common, it is worth remembering that not every pain in this area will be runner's knee, so it is essential to diagnose it properly and then implement properly adjusted treatment.
What are the symptoms of runner's knee?
How to make sure you are dealing with runner's knee? Where does it hurt when it's an injury that has become a common condition affecting active lifestyle enthusiasts? The pain is located in the lateral part of the knee joint and may radiate to the thigh or calf. It is most often a burning or searing sensation that escalates during sport, as well as when taking the stairs or changing body position, such as kneeling or squatting. The following issues are also substantial symptoms of runner's knee:
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knee joint locking,
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knee clicking,
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knee joint popping, which can occur even while walking.
If you observe these symptoms, make sure to contact your physician. The diagnosis is often confirmed by the presence of fluid in the joint capsule, which is clearly visible in medical imaging.

Runner's knee β causes. How to prevent injury?
The causes of runner's knee can vary. Most often, the injury occurs as a result of knee joint overload during physical activity and micro-traumas that occur within it. This results in overloading of the iliotibial band, which prevents tissue regeneration and leads to inflammation. So can we prevent injury? Yes. Factors that increase the risk of runner's knee include:
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inadequate choice of running shoes,
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incorrect running technique or movement pattern when performing other exercises,
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skipping the warm-up before a workout,
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weakened gluteal muscles,
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poorly selected exercise loads,
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joint overload and overtraining.
Although the causes of runner's knee are often due to our anatomy, in many cases the injury can be avoided. It's worth choosing decent running shoes with shock absorption and discuss your workout plan with a professional trainer. Proper post-training recovery is also essential, allowing damaged tissues to recover and reducing the risk of injury. It will also be a good idea to take up strength training to make stronger the adjacent muscles, including the gluteal muscles, whose weakness can contribute to injury.
Runner's knee treatment methods β how long should your break in workouts last?
Treating runner's knee involves a combination of exercise, manual therapy and pharmacology. A break from strenuous exercise is also necessary to speed up the recovery of damaged structures and to avoid the pain that occurs during activity. How long should it last? This is a very individual issue, and it is worth consulting an orthopaedic surgeon or physiotherapist. When it comes to runner's knee, the recommended break lasts between 2 and 4 weeks, provided you receive treatment rather than wait for the pain to resolve spontaneously. Resuming activity after the injury should be a slow and gradual process, preferably supervised by a specialist. Less challenging workouts, such as swimming, are recommended.
How to treat runner's knee?
The first step to fix runner's knee is to see a specialist. It is best to visit an orthopaedist, who will not only take a detailed history of your complaints, but will also refer you to have imaging tests done, such as X-ray, CT scan or MRI. In many cases, these tests ultimately confirm the diagnosis and indicate proper treatment. Multidirectional treatment of runner's knee yields the best results. And what do we mean by that?
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pharmacology β mainly analgesics and anti-inflammatory drugs and ointments to reduce pain in the knee,
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compresses applied to the most sensitive area to relieve pain,
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rehabilitation β based on manual therapy, which restores the functioning of the iliotibial band,
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treatments that promote tissue regeneration, such as laser or ultrasound therapy,
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kinesiology taping β i.e. applying kinesio tape on strained areas to stabilise the knee joint and prevent reinjury.
Runner's knee treatment methods are selected by a physician, but there's also plenty that you can do at home. It's not only about taking a break from workouts to speed up the recovery of given anatomical structures, but also about exercises that aid your recovery back to full health and resume workouts as quickly as possible.

Runner's knee β exercises. An essential part of therapeutic efforts
Kinesiotherapy, or more precisely therapy based around movement, is a great aid that promotes the healing of runnerβs knee. These are exercises that strengthen the muscles and help develop the right movement pattern to protect us from reinjury. Which exercises will help you recover back to full health after an injury?
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lunges with knee joint bent at 90 degrees,
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half squats β bending and straightening the knees while standing with feet slightly apart,
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wall sit β lean your back against a wall, bend your legs at the knees and hold a seated position for about 15 seconds,
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rolling out the lateral part of the thigh and buttock.
Exercises targeted at strengthening the gluteal muscles and core stability, i.e., functional exercises for the whole body, can also be helpful. Exercise type, repetition number and exercise frequency should be consulted with a physiotherapist.
Runner's knee is an injury that often occurs in athletes who are at risk of knee joint overload. If left untreated, it can lead to massive inflammation and severe health complications, so instead of waiting for the pain to resolve on its own, consult your physician. Appropriately selected therapeutic efforts allow not only a rapid regeneration of damaged tissues, but also something you dream of: the ability to resume your favourite physical activity.
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