Iliotibial Band (ITB) Syndrome

Joel Grenfell • 8 November 2021

Iliotibial Band (ITB) Syndrome is very common among runners and cyclists and I have treated it frequently.

The ITB is a band of fascia which runs from the ilium to the tibia and is responsible for the stability of both the knee and hip.


When the knee is being flexed, the ITB moves over the lateral femoral condyle in the knee joint.

It is this repetitive movement and rubbing of the ITB that can lead to inflammation and pain on the outside of the knee.

This condition is very common in runners and is also known as 'Runner's Knee'.

Causes of ITB Syndrome include:
- Poor running technique.
- Inappropriate footwear.
- Lack of flexibility.
- Growth spurts.
- Sudden increases in training volume.
- Weak hip and thigh muscles.

Treatment and prevention of ITB syndrome includes:
- Rest, ICE and taking anti-inflammatories to reduce the inflammation and pain in the initial stages of injury (First 48 hours).
- Stretching and massaging the ITB and connected structures.
- Strengthening of the thigh, hip and core muscles.
- Correcting and optimising running technique.
- Ensuring your footwear is appropriate for your gait and running style.

For treatment, rehabilitation and advise please feel free to contact me and I will be more than willing to assist you.

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