04/05/2026
Nearly everytime I have an injury or setback, my experience doing PT makes me so incredibly grateful and in awe of what good rehab can do!
After a week of troubleshooting, actually feeling worse, not better, laying off the running, I went back to the drawing board this morning.
To answer the question of what I was missing, I revisited some of my old favourite podcasts in the rehab world, BJSM (with ) and Restoring human movement with Seb Gonzales.
Before, when I had IT Band syndrome, I knew a big component was from my low back, but it was less obvious. This time I had some tingling and significant tightness and discomfort along my entire L5/S1 distribution on the irritable R ITB side, and for a month I have been having not only low back stiffness in the morning (which I should add is not normal, and you should get checked out if you have this), but also recurring calf strains. I was doing cross training, very little running, core, nerve, flossing, and every combination of release and activate I could think of this past week, and I told my husband this morning, I was undeniably worse.
Every time I hinged, which a mother does about 2000 times a day, I could feel it in my knee. Also, a dead giveaway it was coming from the low back.
What I missed, that my fellow PT‘s podcasts reminded me of were repeated motions of the low back, and uphill treadmill running!
By the end of my training session this afternoon, just doing repeated motions and a bit of the uphill treadmill running, the relief in my low back and along the entire distribution of the nerves from L5-S1 was significant! I did a little jog this afternoon with my little one in the stroller even, and had basically no sensation in the knee!
Unbelievable!!
I will not underestimate the likelihood of low back involvement with IT band syndrome again!! And certainly, I hope I don’t forget about repeated motions of the lumbar spine again!