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 the lateral condyle of the femur.
Be absolutely sure your client’s knee is supported by having your hand hold the leg just above the knee. Undue stress will be placed on the knee if it isn’t supported.
Go slowly and stay within your client’s comfort range with this technique as many clients have a tender fascia lata.
Use the previous technique but stretch the client from the opposite side of the table.
Extend your client’s knee so that their leg is straight. Stand behind your client’s leg so that you can walk forward stretching their leg. Support your clients leg above their knee. Slowly stretch their leg toward the floor while also moving forward slowly, staying within clients comfort range (ask for feedback!).
Work tensor fascia lata with heel of hand or proximal forearm. Also work up side of spine closest to you.
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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