Monitoring
After the recovery and strengthening phase, the patient should have their running programme increased gradually.
Patient Instructions
Patient 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. [6] A return to running programme could involve:
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First week: running on alternate days; easy sprints on level ground, and avoiding downhill running
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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 [7]
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Following 3 to 4 weeks: further gradual increases in distance and frequency.
