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ITB Syndrome

Iliotibial Band Syndrome

If you're experiencing persistent pain in the outer knee while running or engaging in physical activities, book in with  our musculoskeletal  podiatrist.
What is Iliotibial Band Syndrome?
Iliotibial band syndrome (ITBS), also known as runner’s knee, causes outer knee pain in runners. It is due to tightness or overactivity of the Tensor Fascia Lata (TFL) muscle connected to the Iliotibial Band (ITB) running from the hip to the knee. The rubbing of the ITB against the thigh bone leads to inflammation and pain, affecting performance and daily life.
Causes of Iliotibial Band Syndrome
The pain is often caused by a tight or overactive muscle called the Tensor Fasciae Latae (TFL). It attaches to the band of connective tissue running down the outer thigh from the hip to the knee. This friction against the bone during running can cause inflammation. Strengthening the main muscles that move the hip outward, particularly the gluteus medius can help reduce the strain on the band over time.
Specific factors that may increase the likelihood of developing Iliotibial Band Syndrome include:
  • Pronation of the foot
  • Pelvic and spinal dysfunction
  • Tight and weak gluteus medius, quadriceps, and hamstrings
  • Tight or hyperactive adductors (inside of thigh)
  • Being bow-legged
  • Regularly running on an oval track
Symptoms of Iliotibial Band Syndrome
One of the main signs of iliotibial band (ITB) syndrome is a sharp pain or ache on the outside of the knee. Other signs to watch for include:
  • Pain that gets worse when running or walking downhill
  • Feeling better after resting
  • Pain when bending or straightening the knee
  • Presence of tender points and soreness in the buttock muscles
  • Possible connection to greater trochanteric bursitis (over the hip)
Treatment for iliotibial band syndrome
During your initial assessment, our podiatrist will thoroughly discuss Iliotibial Band Syndrome, its root causes, and the crucial role of our treatment. Subsequently, a personalised plan will be developed, including the following components:
  • Addressing the root cause and restoring proper function to the affected muscles and ligaments
  • Emphasizing the importance of maintaining strong hip abductors
  • Strengthening gluteal muscles
  • Providing orthotics prescriptions for pronation of the foot if required
  • Incorporating stretching of the iliotibial band and associated tight musculature, as well as reinforcing weaker muscles
  • Utilizing soft tissue or deep friction massage techniques
  • Employing myofascial release techniques
At Bucks Podiastry, we know how knee pain can hold you back.
Book an appointment with us today and start your journey to recovery with a personalised treatment plan.
Each patient has a plan made to suit them, their goals and their stages of injury/recovery.
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