It is important to assess the level of obesity by BMI, distribution of weight (waist circumference), and the extent of co-morbidity, in order to provide effective treatment and assess level of disease risk (Table 3). 7,11,12 Patient engagement as a central agent in management is fundamental.
Muscular sheath â forms a sheath for the tensor fascia lata muscle. Tensor Fascia Lata (TFL) The tensor fascia lata is a gluteal muscle that acts as a flexor, abductor and internal rotator of the hip. Its nomenclature however, is derived from its additional role in tensing the fascia lata. The muscle originates from the iliac crest, and descends down the superolateral thigh.
Or iliotibial tract, as it is labelled in the diagram. The main problem occurs when the tensor fasciae latae muscle and iliotibial band become tight. This causes the tendon to pull the knee joint out of alignment and rub against the outside of the knee, which results in inflammation and pain.