Abstract

Abstract

Abstract

Iliotibial band friction syndrome (ITBFS) is one of the most common causes of lateral knee pain in athletes.^1,2 Conservative management has been with ice, modified activity, stretching, nonsteroidal anti-inflammatories (NSAIDs), and/or corticosteroid injections.^3–6 This treatment regimen has been effective in most, but not all.^3,7

This report describes a patient with chronic lateral knee pain caused by ITBFS unresolved with both conservative and surgical management. The patient presented with multiple lower extremity dysfunctions, and correcting these dysfunctions resolved the lateral knee pain. Therefore, osteopathic manipulative treatment applied to the lower extremity is a valid consideration for conservative management of lateral knee pain caused by ITBFS.

Abstract

Uterine-induced low back pain is primarily caused by pregnancy. More than 50% of women will experience it while pregnant.¹ Many of these changes are postural in nature and can last into the postpartum period.^1–3 There is also increased stress placed about the uterosacral ligaments and sacrum.^1,4–6 Back pain related to intrauterine devices (IUD) is less common than pregnancy-induced back pain, but it is still commonly present and is a common enough adverse reaction that it is listed on the package insert.⁷

An osteopathic approach to uterine-induced low back pain looks at the structural and functional changes caused by changes in the uterus and the resultant changes on the remainder of the body. The present case depicts this approach and possible anatomic reasoning to why and how this pain is present.