Iliotibial Band Syndrome (ITBS)

ITBS is one of the most common causes of lateral knee pain in runners!

Cause

It is caused by repetitive forward and backward shifting of the IT band across the lateral femoral condyle resulting in inflammation. 

Risk Factors

Training Errors

Anatomical Factors

Biomechanical Factors

Sudden change in training intensity

Poor shoe support

Lower body strength imbalance

Increase angle of knee flexion at heal strike

Genu Recurvatum or Genu Varum

Tight Iliotibial Band

Weak hip abductors

Signs and Symptoms

Pain predominantly over lateral femoral condyle

Swelling may be visible over the lateral knee

Joint crepitus and/or reduced range of motion

Special Tests

The Ober test is the most commonly used test to assess tightness of the Iliotibial band.

Treatment

Acute Phase

  • Ice

  • NSAIDs

  • Cortisone injection

Corrective Treatment Phase

  • Physical Therapy

  • Stretching

  • Foam Rolling

Long-Term Maintenance

  • Change shoes

  • Progressive training load

  • Stretch/foam roll regularly

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Clinic Information

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Needham Heights, MA  02494

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E-mail:  team@ortho.boston

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Ortho.Boston is a private Orthopedic Surgery practice located in Needham Heights, MA.

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