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IT Band Pain?! Don’t Ignore THIS Muscle

IT Band Pain?! Don’t Ignore THIS Muscle

by | Sep 27, 2021 | Blog, Exercises, Foam Rolling, injury-featured, Pain Relief, Stretches

IT Band issues that just won’t fully seem to go away?

Frustrated that every time you seem to build up the mileage or start lifting heavy that old pain comes back and even starts to aggravate your hips and knees….maybe even your ANKLES?!

If you’ve been struggling with annoying IT Band issues, it’s time you paid attention to this hip flexor muscle…

The TFL or tensor fasciae latae.

Before I go over 3 moves you can include in your prehab routine to prevent the pain and overload, I want to discuss how the TFL can lead to IT Band problems.

So let’s break down what the TFL does…

The TFL contributes to hip abduction (lifting your leg out to the side), hip flexion (bringing your knee up toward your chest) and hip internal rotation (rotating your hip to turn your leg in toward your other leg).

At your pelvis it assists in anteriorly tilting you pelvis, which, if the muscle is tight, can lead to excessive arching of your lower back.

And at the knee it also contributes to tibial external rotation, which is what causes your foot to turn out.

This hip flexor muscle has the power to impact your lower leg because of the tension it creates through your IT Band.

And this is why it’s key we look beyond just the exact point of pain.

When our TFL becomes tight and overactive it can have a far reaching impact.

But most notably it often starts to compensate for an underactive and weak glute medius.

The glute medius is supposed to be our primary hip abductor.

HOWEVER, if the TFL becomes shortened and overactive, it may restrict our glute medius from firing effectively and efficiently and even try to carry more of the load than it should.

This is then what can create tension through the IT Band and accumulate leading to overload and injury.

So how can you tell if your TFL is taking over for your glute medius?

Have you ever done Mini Band Monster Walks or Lateral Raises and really felt your hips burning?

Like you end up rubbing the front outside of your upper thighs instead of the sides of your butt?

That may be because the TFL is trying to take over for your glute medius instead of allowing it to work as it should!

That’s why I wanted to share 3 mobility and stability exercises, and some key form cues to help you relax your TFL if it has become overactive and tight while better activating your glute medius so you can avoid IT Band aches and pains.

 

3 Moves To Help Prevent IT Band Issues:

Exercise #1: TFL Foam Rolling

It is key we first start with relaxing the overactive and tight muscle. Often otherwise we tend to keep performing improper recruitment patterns during the moves meant to make us better.

For instance during any glute medius abduction activation move, we still tend to let our TFL take over when it is overactive as that muscle does assist in abduction.

So doing all of the “right moves” ultimately doesn’t pay off the way we had hoped.

That’s why before you do activation, you want to foam and relax the TFL.

To roll out your TFL, a ball works best but you can use a roller if a ball applies too much pressure.

To find your TFL, lie on your back with your legs out straight and hands just in front of your hip bones under your pelvis, internally rotate your hip and feel that muscle contract.

You will want to lie on your side with the ball positioned there. Hold and breathe, lifting and lowering your leg as you hold to help the muscle relax and release itself.

Exercise #2: Wall Side Bend

This is a great way to stretch your TFL without even going down on the ground.

It is key when you do this move you engage your glute max to drive your hips into extension, even using a slight posterior pelvic tilt as you do.

Because the TFL can contribute to anterior pelvic tilt, by performing posterior pelvic tilt you are actually stretching the short and tight muscle.

To do the Wall Side Bend, stand with your side to the wall and place your forearm and elbow on the wall at about shoulder height or just below. You will then want to step your leg closet to the wall a foot or two from the wall.

Cross your outside foot in front of you toward the wall to help you balance as you then drop your hip toward the wall.

Do not rotate as you drop your inside hip toward the wall. Squeeze your glute and maintain that posterior pelvic tilt even to make sure you don’t lean forward or flex your hips.

Feel a stretch through your TFL and even IT band. Then relax out of the bend before driving your hip again toward the wall.

Exercise #3: Extended ROM Side Lateral Raise

The Clam is such a common move to use for glute medius activation but one that is so often done incorrectly ultimately perpetuating the issue instead of correcting it.

It is also not the move I like to start with because it is so easy for people to allow the TFL to take over, partly because of the hip flexion.

That’s why I love to use the Extended Side Lying Lateral Raise.

Not only does this move put your TFL under a slight stretch while working the glute medius through an extended range of motion, but it also allows you to work from a hip extended posture.

This can help you make sure you engage your glutes.

To do the Extended ROM Side Lateral Raise, lie on your side on a bench so that your bottom knee is bent and your bottom leg is close to the end.

Prop yourself up on your elbow and position yourself so that your top leg can hang down over the edge and your foot is just a few inches off the ground.

Keep that foot parallel to the ground or even turn your toe to slightly face the ground. This internal rotation of your lower leg can help if you tend to feel your TFL engage with lateral raises. Do not rotate open as you lift.

Then lift that top leg up and kick slightly back, feeling your glute medius, or the side of your butt, working to lift your leg.

By kicking slightly back and extending your hip, you’ll engage that glute max to further inhibit your TFL.

Lower that leg back down and repeat the move. You want to fully lower the leg to work through that extended range of motion

To advance the move when you’re ready, you can hold a plate weight on the outside of your top thigh, or wear ankle weights. But don’t make the move harder or progress if you feel your TFL taking over!

If you don’t have a bench, you can try a variation of this from a modified side plank position. Make sure if you do the side plank position to give you that extended range of motion, that you engage your glutes to keep your hips fully extended.

SUMMARY:

We have to remember that it’s all connected. And tension in one muscle can alter the way we engage and use other muscles resulting in overload and injury.

If you’ve been suffering with IT Band issues, try including these 3 moves as part of your warm up before your runs, rides or lower body lifting sessions.

Complete even just one round through, working for 45 seconds per move per side. Follow the order of foam rolling, stretching then activating for the best results!

If you need even more quick mobility routines?

Improve your mobility and stability with my Injury Prevention Pack!

 

How To Fix Knee Pain – Do These 4 Moves

How To Fix Knee Pain – Do These 4 Moves

by | Feb 25, 2021 | Blog, Butt, Exercises, Foam Rolling, injury-featured, Pain Relief, Stretches

Achy and sore knees are an all too common complaint.

And nagging knee pain can become a daily annoyance.

Knee pain can make walking up stairs or getting down on the ground uncomfortable and difficult.

It can make us fear moves like squats and lunges so much that we simply stop doing them all together.

It can hold us back from training intensely.

Knee pain can cause us to simply no longer enjoy the activities we used to love like running or jumping.

And the worst part is often we’ve done a ton of things to TRY to address the problem.

We’ve focused on all of the muscles right around our knee trying to strengthen everything to improve our knee stability.

But all too often this not only doesn’t provide lasting relief, but it actually BACKFIRES.

So if trying to strengthen the muscles right around your knees isn’t necessarily the answer, what is? How can you get rid of nagging knee pain for good?

First, there are two joints you need to be paying attention to instead of just focusing only on your knees…

Your ankles and your hips!

If there is immobility or instability at either one of these two joints, your knees are going to suffer the consequences.

All too often when we lack mobility in one area, we seek out mobility from another.

So if your ankles aren’t mobile? You’re going to search for mobility from your knees! Mobility your knees really aren’t meant to provide!

And instability at your ankles or hips is what can lead to improper alignment up and down your legs, causing muscles around your knees to even become tight and overworked, further perpetuating your aches and pains!

That’s why I want to share 4 essential exercises with you to address both ankle and hip mobility and stability issues.

 4 Must-Do Moves To Prevent Knee Pain:

Improving your range of motion and stability at both joints can help you avoid perpetuating your knee issues and even alleviate the overload.

#1: Knee-Friendly Ankle Mobility Stretch

Improving your ankle mobility, specifically your ability to dorsiflex or draw your toes up toward your shin can go a long way in preventing knee pain during squats and lunges, not to mention when you run or ride!

Especially if you are suffering from knee pain currently, many ankle mobility drills can be uncomfortable as your knee will travel even past your toes.

That’s when this Knee-Friendly Ankle Mobility Stretch comes in handy.

Because the ball of your foot is up on a block or weight, you’ve put your ankle into dorsiflexion before you even shift your weight forward.

Most ankle mobility moves require your knee to move past your toe for the full range of motion.

But because of this starting position, your knee doesn’t have to travel forward that much for a full range of motion.

This can help alleviate some pressure on your knees as you work to improve that ankle mobility.

Keeping your heel on the ground with the ball of your foot up, shift your weight forward as much as you can. If your heel starts to lift, you’ve gone too far.

Then shift back and repeat.

#2: Single Leg Toe-Raised Calf Raises

It’s key you activate any weak or underactive muscles if you want to maintain the range of motion you are working hard to build.

If you don’t establish the mind-body connection to those muscles?

You are just going to keep perpetuating the same patterns of overuse, leading to your knee pain.

Having mobile, but also STABLE ankles is key if you want to avoid injury.

That’s why it’s key after you do any mobility work that you do activation moves to strengthen weak muscles and work to maintain that range of motion.

And especially if you’ve ever had issues on just one side, you want to address the imbalance with imbalanced prehab. Which may even mean doing this move on only one side or more reps on one side at least.

I recommend having your hands on a wall or something to help you balance so you can focus not only on driving off the entire ball of your foot for the calf raise, but also so you can focus on dorsiflexing your foot as much as possible as you move to your heel.

Make sure to move slowly lifting your toes toward your shins to sit back on your heel before lowering your foot to the ground to press up onto the ball of your foot. Do not just rock and use momentum.

You can also do this as a bilateral move instead if both sides need equal attention.

#3: TFL Foam Rolling

The TFL or tensor fasciae latae is a hip flexor muscle that is a common culprit of not only hip pain, but also knee and even ankle pain.

This muscle can have a far reaching impact because of it’s connection to the knee through the IT Band.

So if you’re a runner who’s had IT Band or knee issues, you need to include this move as part of your warm up!

When the TFL becomes overactive and tight, it can also try to compensate and work when your glute medius should actually be the prime mover. This perpetuates what has been called gluteal amnesia.

It can inhibit your glute medius from working correctly to support and stabilize your hip, which can also lead to further knee issues.

This simple foam rolling move is key to use even before a glute medius activation exercise as it will help you relax the TFL so it isn’t as likely to try to engage and take over.

Place a ball in the lateral side of your hip and lie slightly propped up on your side with the ball pushing in toward your hip socket.

Relax as you hold. To help the muscle relax and release itself, lift and lower your leg to tense and relax the muscle.

You can prop yourself up more or fully lie over the ball depending on how much pressure you want to create. Make sure you can actually relax as you hold. You don’t want to tense against the pressure.

You may even find standing to hold against the wall is better pressure to start.

#4: Extended ROM Side Lying Leg Raises

Improving your hip stability will help protect your knees. That’s why it is key you include moves to activate your glute medius.

The glute medius is a key hip stabilize, not to mention strengthening it will help prevent your TFL from becoming overworked!

Because a tight and overworked TFL can cause hip internal rotation and external tibial rotation, it can lead to our knees caving in during things like squats.

It can cause tracking issues so that your hips, knees and ankles aren’t all in proper alignment during even exercises like lunges.

Basically, it can lead to movement patterns that end in knee pain.

By strengthening your glute medius, you can prevent this improper movement pattern.

And that’s why moves like side lying raises or abduction exercises are so key.

By lifting this basic move off the ground to perform it on a bench instead, you can allow yourself to work through a bigger range of motion to strengthen the glute medius. This is even a great way to progress that basic move from the floor without adding loads.

Just be conscious you do actually feel your glute medius working and not your TFL taking over.

A great way to help avoid your TFL compensating is to turn your toe down toward the ground as you lift or even kick slightly back.

The internal tibial rotation can help inhibit the TFL while the kick back can slightly engage the glute maximus.

SUMMARY:

Using these four moves you can improve your ankle and hip mobility and stability to help prevent your knee from suffering the consequences of issues at these other two joints!

You can choose to include one or two of these in your warm up routine or combine all four for a quick mobility series. Even just 1-2 rounds through working for 30-45 seconds per move or side can go a long way!

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Do the prehab work DAILY to keep those aches and pains away!

 

The Surprising Cause Of IT Band Issues, Back, Hip And Knee Pain!

The Surprising Cause Of IT Band Issues, Back, Hip And Knee Pain!

by | Mar 24, 2020 | Blog, Butt, Exercises, Foam Rolling, Pain Relief

The psoas has become the sexy hip flexor muscle to talk about and work on.

But what if I told you that all too often the TRUE culprit of our back, hip, IT BAND, knee pain and even ANKLE pain had to do with ANOTHER hip flexor muscle?!

What if I told you that you should actually be paying attention to your TFL or your Tensor Fasciae Latae.

TFL muscle

The TFL can be a nasty little sucker, compensating for a week glute medius, perpetuating IT Band tightness and impacting everything down to our feet and ankles.

It contributes to internal hip rotation AND external tibial rotation.

Because of its far reaching impact it is a muscle we can’t ignore.

However, the hard part about addressing TFL tightness and overactivity is that many of the moves we need to do to CORRECT the issue, can often PERPETUATE IT!

For instance, to help prevent the TFL from continuing to compensate, we need to include glute medius strengthening.

But ever notice how you’ll do Monster Walks and feel the front side of your hip working?

Ever push through thinking “Oh yea! Feel that burn!?”

Or maybe you don’t even think about what is working. You’re doing the “right moves” so you just believe you SHOULD get results, right?

WRONG!

If you’re doing the right moves but still allowing muscles to compensate, not only are you NOT correcting the problem, but you may be making it worse.

So when you feel that front outside of your hip working during those mini band walks? Guess what is not working as it should and what is also COMPENSATING for that underactive muscle!?

Well your glute medius is not getting the benefit of the exercise it should be getting and instead you’re perpetuating the overuse of your TFL!

So all of that rehab? It isn’t going to pay off.

While you need to strengthen your glute medius, you need to realize that all too often our TFL can compensate for a weak glute medius.

Because this muscle then becomes even further overworked and even shortened, it can lead to lower back hip and knee pain, not to mention even IT Band issues and foot and ankle problems!

Yup! Through our IT Band the TFL can create movement compensations down our entire leg!

And when we then see changes to our ANKLE mobility guess what happens? Those changes only further perpetuate those compensations back UP our kinetic chain.

It’s why you can’t just IGNORE aches and pains. The longer you ignore them and keep pushing through, the more you then just allow compensations and imbalances to build up so there is more to have to sort through later.

If you don’t address TFL issues, you’ll end up having to address issues from your feet up!

So how can we prevent our TFL from leading to all of these aches and pains when it wants to work during the exercises we NEED to be doing to correct it?

Here are three tips to help you quiet down that TFL and get your glutes activated! And to then implement these tips, check out the quick series I’ve included at the end of this post!

As you go through implementing these tips, be CONSCIOUS of what you feel working. Don’t just rush through the moves! Be intentional with your prehab moves!

3 Tips To Strengthen Your Glutes And Prevent Your TFL From Compensating!

#1: Treat the TFL like a toddler. Keep it distracted so you can get work done!

Basically, you want to adjust movements to help make it EASIER to establish that mind-body connection.

One way to do that is to “keep the TFL busy” by internally rotate your foot during lateral raise, or abduction, movements.

Because the TFL performs hip internal rotation, you can almost “distract” it with that movement AS you use the glute medius to perform the lateral raise.

So if during lateral raises you notice you often feel the front of your hip, turn your toe down toward the ground.

You may even notice often that your toe is turned out toward the ceiling.

The TFL contributes to tibial external rotation.

So internally rotate your foot is the OPPOSITE action, which can help “shut off” the TFL. Not to mention when you internally rotate your tibia, you often then even internally rotate our hip by extension.

Maintaining this internal rotation, you can then perform your lateral raise movement.

If you still are struggling to feel your glute medius, you can even kick slightly back as you raise up OR put your hip into extension, driving back into a slider or wall AS you perform that lateral raise movement.

This hip extension and slight kick back will engage your glute max, which will also hinder the TFL from taking over and allow you to potentially better activate your glute medius. This works because the TFL is a hip flexor so by putting your hip into extension, you can inhibit it from working!

lying lateral raise

#2: Change the hip flexion during those abduction moves.

When you’re first starting to “rehab” an issue, you need to use the moves you feel the most and build off of those.

Basically you want to take the path of least resistance to establish that mind-body connection.

If you feel a move working those glutes, use that first THEN even dive into other moves because you’ve already established that mind-body connection.

To find that move that helps you establish that mind-body connection, you may need to adjust the exact POSTURE you use during basic abduction moves.

By adjusting the amount of hip flexion or extension you perform the move in, you can find a way to maximize your glute medius engagement and minimize your TFL compensation.

It isn’t a clear cut and dry rule of what posture is best so you may want to play around to see what matches your personal recruitment patterns.

For some more flexion may “distract” the TFL because it is a hip flexor.

However, for some, more hip flexion may perpetuate it being overactive during those abduction moves.

In this case, putting the hip into more extension may be key to inhibit the muscle.

While you of course want the glute medius to be strong in both a slightly more hip-flexed or hip-extended state, you do want to start with the move you feel working correctly to make sure you establish that mind-body connection.

The fact that hip flexion can play a role in how much you’re able to engage the TFL is why that oh so “basic” clam exercise can so often backfire too!

The clam is a traditional glute activation movement. But this seemingly simple move is so often butchered. First off, you may find you need to use that internal rotation of the tibia I mentioned in the first tip to help.

Secondly, you may adjust how much you pull your knees forward or straighten your legs out.

The key is being conscious of what you feel working to then ADJUST your exact amount of hip flexion.

A great way to play around with different amount of hip flexion during even a bilateral abduction move is even seated on a bench.

You can lean back, sit up tall or even lean forward to different degrees to not only strengthen your glute medius in a variety of postures BUT also find the exact position that works best for you.

We have to remember to focus on what we feel working so we can work around our own biomechanics.

#3: Foam roll and stretch BEFORE you activate.

If you struggle to activate a muscle, you may find that foam rolling and stretching the muscle prior to doing activation moves is oh so key!

While people debate the benefit of both techniques, with one of the main arguments against them being that the benefits are short-lived, that doesn’t mean you can’t use these “short-lived” benefits to your advantage.

By rolling your TFL and then stretching to improve your hip mobility, you can inhibit this overactive muscle, even if just temporarily.

tfl-foam-rolling

If you interrupt that mind-body connection between your TFL and brain, and restore muscles to their proper length-tension relationships, you can then help yourself better establish the mind-body connection to the muscle you DO want to work – your glute medius!

So if you find your TFL is being a pesky little sucker and compensating for your glute medius no matter what posture or tweaks you do, try relaxing and inhibiting it IMMEDIATELY PRIOR to doing the glute activation moves.

Interrupt that communication so you can establish a new connection to those glutes!

A lacrosse ball is a great way to relax that TFL and even a simple half kneeling hip stretch with reach can improve your hip extension.

BONUS: If you have an imbalance do imbalanced prehab!

The one other key thing to note is if you have an imbalance, you need to do imbalanced rehab.

So if one side is constantly tight, you need to address that one side specifically.

You also want to assess if it is glute weakness on that SAME side or if there is even weakness on the OTHER side perpetuating the issues and leading to the TFL becomign overworked!

Of course seeing someone to asses you is key but KNOWLEDGE IS POWER. So now you can be aware of what you’re doing in your workouts and therefore why you are, or aren’t, seeing the results you want to seek out the help you need.

Using these tweaks you can help yourself strengthen your glutes and prevent your TFL from constantly compensating!

Now try implementing them in this amazing series below!

Quick Hip Mobility Series To Prevent IT Band Issues, Back, Hip And Knee Pain!

This Avoid IT Band Issues Series uses foam rolling and stretching to address your TFL tightness and overactivity. It even works to relax your peroneal (the outside of your lower leg) to make sure you’re working on any issues from the ground up.

It then uses two great abduction moves to activate your glute medius!

The Avoid IT Band Issues Series

Complete 1 round through the circuit below, spending a minute per move on each side.

CIRCUIT:
1 minute per side Peroneal Foam Rolling
1 minute per side TFL Foam Rolling
1 minute Standing TFL Stretch
1 minute per side Lying QL Stretch
1 minute Bridge Abductions
1 minute per side Lying Side Raises

Need more amazing series to improve your hip mobility and prevent lower back, hip and knee pain?

Join my 28-Day Booty Burner program!