Is it my ITB?

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Is it my ITB?

Postby Wakatuki » Wed Jan 08, 2014 11:32 am

I think I know the answer but has anyone had the same?
Been having a bit of a rest over Christmas and not riding much. Started back on the yesterday and headed up my local hill, about 1/3way up my knees started to hurt on the anterior at the boney part of the knee. I pushed on to 1/2 way up the hill and decided it was just not worth it, something was a miss.
Rode with the usual bunch (40k's) this morning and other than being amazed at my total drop in fitness cardio wise, the ride was fine.
Now, back at work my outer hips are very tight, my knees ache and ankles, well, I wish they belonged to someone else lets put it like that.
All the pain/tenderness runs down the outside of the leg, thigh, knee, calf and ankle.

Does this sound like ITB band? Foam roller or sport massage to treat?

The only other medical change has been from popping the voltaren and paracetamol, 2 of each every two hours for pain relief regarding the other thread about painful testicals which still goes on... :roll: This is so I can avoid the endone I have also been prescribed so I can keep working and driving.
I have also been feeling VERY lathargic, but have blamed it on not excercising and the heat. (Sunshine Coast QLD). Very much a can't be bothered state of mind too. :( I am sure this will pass.. Just wondered if all the tabs would affect my tendons/bands...
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by BNA » Wed Jan 08, 2014 6:44 pm

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Re: Is it my ITB?

Postby Wakatuki » Wed Jan 08, 2014 6:44 pm

Short version :) Will tight ITB bands hurt my hips and ankles?
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Re: Is it my ITB?

Postby grantw » Wed Jan 08, 2014 6:55 pm

Whenever I've had ITB problems its been solely around the knee (that nasty clicking feeling) and typically brought on through overuse. Considering the other symptoms you mention and the epididymitis I would be thinking its an infection related event.
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Re: Is it my ITB?

Postby Dr_Mutley » Wed Jan 08, 2014 9:12 pm

Out of curiosity, what antibiotics were u on for your epididymo-orchitis? Are u still on some? Were u on ciprofloxacin at some stage? It's a common antibiotic to use for your complaint...
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Re: Is it my ITB?

Postby petie » Thu Jan 09, 2014 1:39 am

Wakatuki wrote:I think I know the answer but has anyone had the same?
Been having a bit of a rest over Christmas and not riding much. Started back on the yesterday and headed up my local hill, about 1/3way up my knees started to hurt on the anterior at the boney part of the knee. I pushed on to 1/2 way up the hill and decided it was just not worth it, something was a miss.
Rode with the usual bunch (40k's) this morning and other than being amazed at my total drop in fitness cardio wise, the ride was fine.
Now, back at work my outer hips are very tight, my knees ache and ankles, well, I wish they belonged to someone else lets put it like that.
All the pain/tenderness runs down the outside of the leg, thigh, knee, calf and ankle.

Does this sound like ITB band? Foam roller or sport massage to treat?

The only other medical change has been from popping the voltaren and paracetamol, 2 of each every two hours for pain relief regarding the other thread about painful testicals which still goes on... :roll: This is so I can avoid the endone I have also been prescribed so I can keep working and driving.
I have also been feeling VERY lathargic, but have blamed it on not excercising and the heat. (Sunshine Coast QLD). Very much a can't be bothered state of mind too. :( I am sure this will pass.. Just wondered if all the tabs would affect my tendons/bands...


Are you taking 2x500mg paracetamol every 2 hours?? If yes, how long have you been doing that for? Please stop immediately if you are and ring health direct +/- go to your nearest emergency department.
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Re: Is it my ITB?

Postby TheBikeShed » Thu Jan 09, 2014 2:14 am

It's hard to tell from your description, but I'd say that it's at least somewhat likely that what you're feeling is your IT band, though the fact that it continues from your knee down to your ankle is surprising. Did you do much stretching while you were off the bike over the holidays? If not, you might just need a bit of foam rolling and stretching to get everything loosened up again. Because this is happening after a break from cycling, I wouldn't be too worried about it yet—go on a couple really easy rides, do some foam rolling, and stretch twice a day—if things don't get better after a couple really easy rides, I'd consider seeing a doctor or a physio.
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Re: Is it my ITB?

Postby Wakatuki » Thu Jan 09, 2014 7:19 am

Update:
Firstly, my Para and Voltaren taking. To clarify, I take 2x500mg Paracetamol every four hours and 2x25mg Voltaren every four hours. I alternate them but at 2hr gaps. So 2 Para at 6 am then 2 Voltaren at 8, 2 Para at 10 and so on. This has been happening for 4 weeks. I do on the better days really drop down, perhaps only 4para and 2Voltaren I can gauge from the body wether its anti inflam or pain I need..

Antibiotics, been so many! Resprim Forte, Norfloxacin sandoz (the NS are the ones that made me click and pop), there have been others too. My last period of AB's was 10 days finishing on Christmas Eve, Resprim Forte.
Last year, at a guess I probably took AB's for a total period of 4 months, dependent on flare ups. The longest period was after the attack which put me in hospital, that was 4 weeks total. I don't recognise the name ciprofloxacin, nor the packet after a google search, I do not know what I received via IV.

The difficulty walking is straight back this morning, rolling is excruciating, but small rest and return! I have no clicking, just pain and tightness.
Image pain level 2 and tight sensation all the time.
Image pain level normally 0, but prolonged climbing while seated, 6-7.

Cant find a suitable ankle picture, so, the outer ankle knuckle pain runs up from that about 6cm upwards and at same time wraps around that to the inner ankle across the front of the foot.

My thoughts are to continue the stretch and rest as much as possible the ankle, if nothing improves see the doctor friday PM.
In other news I am still quite lethargic! Shoot me now... Joking I do not feel that way mentally!
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Re: Is it my ITB?

Postby SuperSix » Thu Jan 09, 2014 8:16 am

Itb doesn't extend down to the ankle. I had itb trouble late 2012 after doing too much too soon after a winter off.
The longer I rode the worse the pain got. It would usually start after 30 or 40 km and just get worse. The tightness in your hips could be related but not the ankle.
I went and saw a physio and got electro shock, ultrasound and massage treatments. I only went about 4 times and it worked a treat.

I'm no doctor but think you're taking too many drugs.
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Re: Is it my ITB?

Postby Wakatuki » Thu Jan 09, 2014 8:48 am

SuperSix wrote:II'm no doctor but think you're taking too many drugs.

So do I, i'm not a fan of pill popping. They are all prescribed and taken as directed, the other option is Endone, I don't want to start on that path.. I have just started paying my way (no private medical) with a private urologist to get this testical drama all out of the way, hopefully there is a resolution available. That means I can stop taking pills and my body can settle and return to normal.
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Re: Is it my ITB?

Postby Daus » Thu Jan 09, 2014 6:03 pm

I am a big fan of stretching to prevent injuries and assist old ones with flexibility. My training involves 15 to 20 mins stretching daily and on gym days an extra 20 mins during breaks in my circuit training to keep flexible. The tennis ball is great under calves and the roller is very useful for the thighs. I also use a 10 kg medicine ball to roll the inner and top of thighs. This has assisted me a lot with maintaining my old knees in conjunction with a lot of time on the cross trainer- no impact and very good for strengthening the knees. My wife has had issues with pain from her left hip to her knee and ankle due to an old break injury to her ankle- she has over compensated for the last 20 years (limps) since the break and is now doing rehab with her trainer to stabilize the injured area with lots of stretching with some success- it was bad enough to keep her awake some nights even with panadol use. Good luck with the pain management I know a great remedial sports massage guy at Mooloolaba that has been helpful in the past with me- really strong fingers.
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Is it my ITB?

Postby Dr_Mutley » Fri Jan 10, 2014 12:32 am

Waka:
I asked about the cipro as it does have an increased incidence of tendinopathies. Norflox is in the same family of ABs so it carries similar issues with tendons. It's unlikely a factor here as the first people usually know about it is when the tendon spontaneously ruptures.

Onto the aching all over issue. It sounds like you have some ongoing low grade infective activity in your problem area. It's funny how infections, usually viral (so not in your case) can amplify pain signals and identifies areas under a bit of strain.

From your story, it sounds like u need someone to tinker with your fit a bit. It sounds like all your lateral hip/leg/ankle structures are under a bit of stress when your on the bike. I guess cleat position and saddle height are the biggies here...

How do u know when your bike fit is perfect? When u get on the bike when your crook (not recommended), or just after being crook, and nothing focal hurts or aches.

WRT to your analgesic taking: it seems your taking close to 200mg of voltaren a day. That's a pretty high dose and I would try and back that off a bit. I would try and get it back to 50 to 100mg/ day if u can, and a sporadic 150mg/day in divided doses when flare ups occur. Ideally u want to get off the NSAIDs complrtely... At 200mg a day, it's not if, but when, your going to get a NSAID anti-inflammatory issue. The most commonly seen are gastritis, leading to upper GI ulcers, and renal complications. I can sympathesise with your discomfort as I've experienced similar issues in the past... Not nice at all!!

The last thing I would do is have between 100 & 200mg of voltaren/day on board, and ride, during summer. Your kidneys won't like u at all...

Sorry for being a little of topic, but just a couple of things to think about :-)
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Re: Is it my ITB?

Postby warthog1 » Fri Jan 10, 2014 7:57 am

Dr_Mutley wrote:
Sorry for being a little of topic, but just a couple of things to think about :-)


Damn good post :D
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Re: Is it my ITB?

Postby Wakatuki » Fri Jan 10, 2014 9:40 am

Cracking post Dr M, I wish you were local...

Dropped my pain relief dosage considerably yesterday, and felt more alert. Also throughout the day I kept rolling and stretching my ankles while sitting at the desk. During my a few minutes of quiet time I also assumed some odd looking positions and did ITB stretches, which, to the untrained eye resulted in a comment of "I have never seen a beached whale this far inland before, look at him rolling about" and I foam rolled again when I got home.
This morning I could walk with little twinges from the ankles. It was raining so I mounted the MTB and rode the hill; the gearing probably helped me keep the cadence up too.
Now back at work all seems a lot better than a few days ago I have popped 2 para's due to discomfort in my other area, will be holding out when I can.
But I am going to follow your advice and do a full retul fit. The same guy who recommended I go up a frame size; I think he right. Saving, saving.....

With regard to the other issue I have read in the past about increased pain due to infection, but had forgotten about it. My specialist has requested all my scan, notes etc from the hospital; I have also had another urine test. When she gets it all back and has interpreted the information I will be called back for another consult.
Daus, I must get into stretching, I have never seen it as necessary, how wrong I am. It was not taught at my school as a kid, 50 minutes of sport no warm up no cool down. Could you PM the Mooloolaba massage info please I do use a girl at HUB105 who is very good and always tells me off :roll: ,but happy to consider others.

Thanks again all.
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Re: Is it my ITB?

Postby Daus » Fri Jan 10, 2014 4:06 pm

PM sent- stretching is so important and its never too late to start and there are positive gains to be made. Look at other examples of stretching in action, Tai Chi (a billion Chinese can't be wrong) and Yoga.
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Re: Is it my ITB?

Postby Wakatuki » Mon Jan 13, 2014 4:50 pm

Will try and split these threads back to the originals now.

Update regarding the ITB.
Not really been riding much but as I roll more I feel better in my self. I am certainly tighter than before Xmas, perhaps that's part of the trouble. I will let you know what happens. Will be trying some pilates when a recommended instructor returns from their wedding in the coming weeks. I am hemorrhaging money at the moment so I will have to take the trial and continue at home as best as possible.
Saving for the bike fit too.
Oh and cut WAY back on the pills and generally feel better for it.

The testical thread! http://goo.gl/wQxKJ5
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