What's your opinion re TFL and Glute Med/Min imbalance ie TFL rolling the ITB over the Lat Epicondyle as TFL overpowers those glutes hence causing that 'friction' type pain?
I don't know of any published evidence to suggest that this happens. It is true that many patients compensate for gluteal weakness with increased TFL use but I don't think this would have a significant effect on increasing ITB friction over the lateral epicondyle. Clinically I find a combination of increased ITB flexibility and increased gluteal strength yield excellent outcomes. To compliment this I may target the TFL to reduce it's activity and tension with trigger point treatment such as acupuncture.
I don't know of any published evidence to suggest that this happens. It is true that many patients compensate for gluteal weakness with increased TFL use but I don't think this would have a significant effect on increasing ITB friction over the lateral epicondyle. Clinically I find a combination of increased ITB flexibility and increased gluteal strength yield excellent outcomes. To compliment this I may target the TFL to reduce it's activity and tension with trigger point treatment such as acupuncture.