Iliotibial (ITB) Syndrome
Are you suffering with pain on the outside of your knee?
Pathology
The ITB is a band of fascia which runs from the ilium (hip) to the tibia (shin bone). The ITB is greatly responsible for the stability at both the hip and the knee. When the knee is flexed, the ITB moves over the lateral femoral condyle. It is the repetitive movement or rubbing of the ITB across this structure that can lead to inflammation and pain on the outside of the knee. This condition is very common in runners and cyclists.
Signs and Symptoms
- Pain on the lateral femoral condyle (outside of the knee).
- Positive Thomas or Ober's test.
- Pronation of the foot.
- Internally rotated knee.
- Anteriorly titled pelvis.
Possible Causes
- Poor running technique (e.g. internally rotated knee or over pronation of the foot).
- Inappropriate footwear.
- Lack of flexibility (tight ITB)
- Growth spurt.
- Excessive running or cycling.
Treatment
ITB syndrome can be treated with massage, stretching and physio exercises.
Massage and relief to the ITB, glutes and vastus lateralis (outer quad) is particularly important.
It's also important to give the area time to heal, and for the inflammation to reduce. Therefore reducing impact and volume through the ITB and legs is recommended.
At Thrive Therapy & Fitness, we have treated several cases of ITB syndrome.
If you are currently struggling we would love to help you!
