How Do I Treat Iliotibial Band Syndrome?

Iliotibial Band Syndrome (ITBS), also known as IT Band Syndrome or ITB Syndrome, is a common overuse injury that affects the iliotibial band—a thick band of fibrous tissue that runs along the outside of the thigh, from the hip to the shin. The iliotibial band plays a role in stabilizing the knee during movement.

ITBS occurs when the iliotibial band becomes tight or inflamed, leading to pain on the outer side of the knee, especially during activities that involve repetitive bending and straightening of the knee, such as running or cycling. The pain is typically felt on the lateral (outer) aspect of the knee and can range from a dull ache to sharp or burning discomfort.

Common causes of ITBS include:

1. Overuse: Excessive or repetitive activities, such as running long distances or cycling, can lead to irritation of the iliotibial band.

2. Muscular Imbalances: Weakness or imbalances in the muscles surrounding the hip and knee, such as the glutes and quadriceps, may contribute to ITBS.

3. Improper Training Techniques: Sudden increases in training intensity, inadequate warm-up, or improper biomechanics during activities can contribute to ITBS.

4. Inadequate Recovery: Not allowing sufficient time for rest and recovery between intense workouts can increase the risk of overuse injuries, including ITBS.

Treatment for ITBS typically involves:

1. Rest: Give the affected leg time to heal by reducing or avoiding activities that aggravate the symptoms.

2. Ice: Applying ice to the affected area can help reduce inflammation and alleviate pain.

3. Stretching and Strengthening Exercises: Focus on stretching the iliotibial band and strengthening the muscles around the hip and knee, particularly the glutes and quadriceps.

4. Foam Rolling: Using a foam roller to massage and release tension in the iliotibial band can be beneficial.

5. Orthotics or Shoe Inserts: Correcting biomechanical issues with the use of orthotics or shoe inserts may help alleviate symptoms.

6. Professional Evaluation: If symptoms persist, consulting with a healthcare professional, such as a physical therapist or sports medicine specialist, is recommended for a thorough assessment and tailored treatment plan.

Preventing ITBS involves incorporating proper warm-up and cool-down routines, gradually increasing training intensity, addressing muscular imbalances, and paying attention to proper biomechanics during activities.

Author

Dr. Catherine Logan, MD, MBA Catherine Logan, MD, MBA, MSPT, is a sports medicine orthopaedic surgeon specializing in complex knee and shoulder surgery at Colorado Sports Medicine and Orthopaedics (COSMO) in Denver, Colorado. As a former physical therapist & trainer, Dr. Logan provides a distinct expertise in sports injury, prevention, and surgical management.