Emma James Physio Blog

Chartered Physiotherapy and Clinical Pilates


running injuries

A look at sports injuries – Cycling – Iliotibial Band Syndrome (ITBS)

The most common cause of lateral knee pain is ITBS (Iliotibial Band Syndrome).

Iliotibial-bandThe Iliotibial Band (ITB) is a thick band of tissue on the outside of the thigh. The ITB begins at the upper hip extending down the outside of the thigh connecting with the tibia (shin bone) at just below the knee. It is crucial in stabilizing the knee during excess activities and is common in runners and cyclists in the age group of 15-50.

The ITB is aggravated and irritated through excess repeated motion causing pain and inflammation. Bony anatomical prominences located on the outside of the thigh rub against this band causing friction. Often a clicking sound can result from the tight band moving over the surfaces. ITBS is aggravated during activities such as running up hills or on slanted surfaces.

Pain is typically described as on the outside of the knee or hip, exacerbated by motion and relieved during rest. ITBS can be relatively easy to treat following correct examination, such as with stretching, strengthening, reduced strenuous activity and ice.


Five top ways to promote quicker healing (including services at Champneys)

By creating an optimal psychological, nutritional and physiological environment, the body is able to focus purely on the job in hand – healing the particular injury/ailment.

The services provided through the Regenerate programme at Champneys Tring in Hertfordshire can help to create this ideal environment in the following ways:

  • nutritionDecrease emotional stress and distractions and ensure you are having the correct amount of rest and sleep
  • Decrease environmental stress
  • Ensure best and optimal circulation (acupuncture, kriotherapy)
  • Optimal and appropriate nutrition (nutritionist)
  • Exercising within the pain-free range and at an appropriate level for maximising healing potential (hydrotherapy, physiotherapy)


Regenerate is the UK’s leading residential medical centre based within the world class Champneys Tring Health Resort in Hertfordshire. Offering a bespoke professional service for injury rehabilitation, Regenerate provides the ultimate medical expertise and treatments required to recover physically, mentally and emotionally from all aspects of injury. Clients also benefit from using Champneys many services, as well as their luxury spa facilities and treatments.

Regenerate provides the highest standards and employs leading professionals in the medical fields under the Directorate of Champneys Medical Director, Dr Michael Curtin MB ChB Dip Med Ac. MF HOM. Regenerates multidisciplinary team includes: Doctor, Acupuncturists, Physiotherapists, Exercise Physiologists, Movement Therapists, Nutritionists, Personal Trainers, and Motivational and Mental Skills Coaches. They will conduct comprehensive examinations and diagnostic testing, and provide appropriate treatment which may include physiotherapy, acupuncture, clinical pilates, kriotherapy, nutritional therapy, exercise and rehabilitation programmes, sports massage, vibrogym therapy and altitude training, amongst others.

More Information

Blog Post by Emma James March 2016

Calf and Shin Injuries

Shin Splints, Achilles Tendonitis and Calf Muscle Injuries are common causes of pain in the shin and calf.

  • Achilles Paratendinopathy
  • Achilles Tendinopathy
  • Calf Muscle Strain
  • Compartment Syndrome
  • Shin Splints
  • Osgood Schlatters
  • Broken Leg
  • Tibialis Posterior Pain

‘Shin Splints’ is a catch all term for shin pain that is common during running. Sports medicine experts tend not to use the term Shin Splints, preferring Medial Tibial Stress Syndrome instead, as it more accurately describes the problem.


  • Sudden large force or pressure to the calf
  • Overuse injury common in running and jumping activities
  • Excessive acceleration from stationary and lunging
  • Insufficient warm up exercise
  • Flat feet or pronated arches
  • Improper or worn-out footwear
  • Muscular imbalances (e.g., tight calves)
  • Exercise that is too intense at the beginning of the program
  • Poor body alignment


The Calf is rested in an elevated position and a physiotherapist applies an ice pack for 20 minutes every two hours (never apply ice directly to the skin). A compression support can be applied to limit bleeding and swelling in the tissues. Electrotherapy treatment can also help during the early stages. Once the initial pain has worn off more active rehabilitation can be started, including Calf stretching and strengthening exercises.


Gait Scan at Emma James Physio



  • Always warm up well
  • Always cool down well
  • Stretch frequently
  • Strengthening exercises



How we can help

We can help with any of the injuries mentioned above. Visit us for Gait Scan or Personal Training. See our Website for details.

Blog at

Up ↑

%d bloggers like this: