What is Iliotibial Band Syndrome?
Iliotibial band Syndrome (ITBS) is an overuse injury that is caused by the inflammation of the Iliotibial band, located on the lateral aspect of the thigh. The inflammation of the IT band causes the tissue to rub on the lateral aspect of the knee joint and bone. ITBS is most apparent in runners who focus on running downhill or in one specific direction. The injury also appears to affect women more than men.
Causes
ITBS can be caused by:
- Repeated internal rotation of the foot
- Running downhill, on banked surfaces and/or excessively
- Muscular weakness of the gluteus medius muscle
Symptoms
- Swelling at the knee, usually on the outer side
- Pain (Stinging/Stabbing) at the knee, usually on the outer side
- Pain with walking, climbing, standing after being seated and/or walking down the stairs
- Tightness/Pain on the outside of the hip
Treatment
- RICE: Rest, ice, compression, elevation
- Physiotherapy
- Chiropractic therapy
- Exercise modifications
- Foam rolling/Massage therapy
- Anti-inflammatory medications
- Strengthening of the gluteal and hip muscles
- Surgery as a last resort
Prevention
ITBS can be avoid by many simple precautions such as…
- Avoid internal rotation of the foot
- Avoid wearing worn-out shoes
- Avoid running on concrete surfaces
- Change directions often when running
- Orthotics
