The ilio-tibial band is a large band of connective tissue which runs from the side of the pelvis just above the hip to just below the side of the knee. ITB friction syndrome is a common running injury which is easy to treat if diagnosed correctly. It occurs when the ITB becomes tight and rubs off the outside of the knee, becoming inflammed and painful.

Symptoms can occur following periods of overuse or in the case of running, increased training at long distances. Symptoms include pain at the side of the knee, worse running downhill, improved with rest. Pain can also radiate down towards the shin or on the outside of the hip. Initially symptoms may occur following a training session but then gradually manifest earlier on during the run.

Although the symptoms are produced from the tight inflammed ITB the underlying cause is usual due to altered bio-mechanics of the leg. Tight calves, fallen arches, weak buttock muscles and 'bow legging' can all contribute to the shortening of the ITB.

Correct treatment for ITB Friction Syndrome requires an accurate bio-mechanical assessment, to identify the muscles contributing to the shortening of the ITB.

Local treatment may consist of ice, ultrasound, sports massege, and stretching.
Treatment may then include, if appropriate: rest, modification of running speeds, surfaces and terrain (i.e. faster speeds for shorter distances, avoiding hills), an appropriate stretching regime (e.g. calf muscles and hip flexors), orthotics (if necessary) and anti-inflammatories (please consult your Doctor or Pharmacist).

Further details on ITBS, its causes, diagnosis and treatment are available on Anaerobic.Net (Above figure is from this site.)

If in any doubts about your symptoms contact your Doctor or Chartered Physiotherapist. For further information or a list of Chartered Physiotherapists in your area see www.iscp.ie

Jane Campbell MISCP, MSCP, SRP
Chartered Physiotherapist