If the TFL is tight unilaterally it may cause an apparent short leg. If the TFLs are tight bilaterally it may cause an increased lumbar lordosis, and be a cause of low back pain.
Indentation down outside of thigh (tight fascia lata).
Pain around lateral condyle of femur.
Some clients will feel a stitching pain in the area of the inguinal ligament when stretched this way (an indica- tion they need their psoas stretched - technique 3 & technique 39). If this is the case you may do this technique with their foot placed medial to the opposite knee instead of lateral.
Go slowly and stay within your client’s comfort range with this technique as many clients have a tender fascia lata.
Have your client supine and place their foot lateral to the opposite knee.
Work with the heel of your palm first, going along the fascia lata from the knee to the hip.
If the client tolerates this well use the flat part of your ulna going very slowly!
I do not use this technique any more, as I have found more effective ways of working with the IT Band.
The IT band is like a long tendon. It is non-contractile tissue, and does not stretch. A much more effective way to work on it is to work into the muscles that attach into the band, Tensor Fascia Lata and Gluteus Maximus. Please check out these related videos to see more effective ways of working.
Iliotibial Band Treatment
Iliotibial Band Tightness
Iliotibial Band Tightness 2
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