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Sports Injuries > Knee Pain > Iliotibial Band > Sports Massage > Rehabilitation > Strengthening > Stretching

 
sprained or twisted ankle

Sports Massage (Runner's knee / Iliotibial band)

 

The following sports massage guide is intended for information purposes only. We recommend seeking professional advice before attempting any self help treatment.

IMPORTANT: Before starting any massage treatment the therapist will check for contraindications (if any apply to you, then massage is not allowed) Click for details.

What equipment is required?

  • A lubricant is needed to allow the hands to glide smoothly. A number of massage oils are available to buy. A cheap but effective alternative is simple baby oil. Do not use too much oil. Enough to allow for smooth, controlled movement is required but too much will mean a lack of control.
  • A firm, flat surface to lie on in order to apply pressure.

How can sports massage benefit the rehabilitation of this injury?

  • The aim of sports massage is to release tension in the muscle and stimulate blood flow. For more details of the benefits click here.
  • Massage must not be performed during the acute stage of an injury - usually 48 hours after injury. For grade two and three strains, massage may not be suitable for over a week. This is because if the is still bleeding then heat and massage will increase bleeding, not stop it.

Technique 1: Effleurage

Aim - light stroking to warm up the area in preparation for deeper techniques.

  • With the hands stroke lightly but firmly upwards from just above the knee to the top of the thigh. Aim to cover as much of the leg as possible, particularly the outside where the Iliotibial band is.
  • Always stroke upwards towards the heart as this is the direction of blood flow. The other way can damage veins.
  • Then lightly bring the hands down the side to the start position again.
  • Repeat the whole movement using slow stroking techniques, trying to cover as much of the surface of the back as possible.
  • Repeat this technique for about 5 to 10 minutes, gradually applying deeper pressure on the up strokes.

Download (Full Leg) Video: Modem connection / Broadband



Download Video (Thigh): Modem connection / Broadband


Technique 2: Petrissage

Aim - kneading techniques to further warm up and manipulate the muscles. These techniques can stretch muscles sideways in a manner that normal stretching cannot.

  • With the fingers of one hand pull the muscle towards you whilst pushing it away with the thumb of the other hand.
  • Aim to lift the muscle away from the bone and move it across the bone.
  • Reverse the action to pull towards with the fingers of the other hand and away with the thumb of the first hand.
  • This should be a slow and deliberate movement. Too much oil will make it difficult. The therapist will find their own particular style which will come naturally - stay relaxed when performing this technique.
  • Petrissage may be applied for 5 to 10 minutes alternating with effleurage as the therapist feels.

Download Video: Modem connection / Broadband



Download Video: Modem connection / Broadband


Technique 3: Stripping the Iliotibial band

Aim - to apply deeper pressure specifically to the Iliotibial band, eliminating tight spots which prevent effective stretching.

  • This is the business part of the sports massage techniques. It is this technique that will have a real effect on the healing of this injury.
  • With the heal of the hand, slowly apply deep pressure along the side of the thigh (just above the knee but not on any sore areas) all the way up the band to the top of the thigh.
  • The therapist should be able to feel the Iliotibial band to know the technique is performed correctly.
  • Pressure should be as firm as possible without causing the athlete to tense up with pain. This will make any treatment useless.
  • Repeat 5 to 10 times and alternate with petrissage techniques.

Download Video: Modem connection / Broadband


Techniques 4: Circular frictions and trigger points.

Aim - to iron out any particular lumps, bumps and knots.

  • If the therapist finds any tight areas or knots in the iliotibial band then these can be worked out by applying circular frictions directly to the tight spot.
  • Gradually increase the pressure but not so much that the athlete tenses up.
  • The above techniques can be uncomfortable for the athlete so start gently.
  • Increase the pressure on the tight spot until it ranks 7/10 on the pain scale (10 being painful). Hold this pressure until it eases off to 4/10 on the pain scale (usually about 5 seconds).
  • Without easing off with the pressure, increase again until it reaches 7/10 on the pain scale once more. Hold until it eases, repeat once more.
  • This technique is very hard on the thumbs. It is important to keep the thumb slightly bent (flexed) when applying pressure to avoid damaging the joints.

Download Video: Modem connection / Broadband


Finishing off

The therapist can finish off by returning to effleurage techniques. The whole process should take about half an hour. Massage therapy can be applied every day if it is performed lightly however deeper techniques may result in a days recovery period to allow tissues to 'recover'.

For rehabilitation of muscle strains, sports massage is very important in softening / preventing scar tissue forming at the site of injury and re-aligning the new healing fibres in the direction of the muscle fibres. This will help prevent re-injury.

 


Sports massage

Sports massage

Effleurage

Effleurage

Effleurage

Effleurage

Petrissage

Petrissage

Petrissage

Petrissage

Stripping the Iliotibial band

Stripping the Iliotibial band

Stripping the Iliotibial band

Stripping the Iliotibial band

Circular frictions

Circular frictions

Trigger points

See also:

Cold therapy

 

 
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