Patient discussions

Patients should expect the disease to follow a chronic relapsing course. A balance of disease suppression and treatment side effects should be weighed on a case-by-case basis.

Patients can return to running once they can perform open-chain and closed-chain strengthening exercises with proper form and without pain.[7] A return to running programme could involve:

  • First week: running on alternate days; easy sprints on level ground, and avoiding downhill running

  • Following few weeks: faster-paced running daily; biomechanical studies have shown that faster-paced running is less likely to aggravate ITBS because at foot strike, the knee is flexed beyond 30° and the zone of impingement[5]

  • Following 3 to 4 weeks: further gradual increases in distance and frequency.

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