Iliotibial (IT) Band Syndrome

Common among runners and cyclists, the Iliotibial Band Syndrome (ITBS) refers to pain and instability caused by overuse of the knee joint which has weakened the connective tissues on the outer part of the knee or thigh. This particular area just on the outside of the knee is what is known as the iliotibial band, or IT band for short. This thick tissue band begins at the pelvis, travels down the outside of the thigh and crosses the knee, eventually attaching to the top part of the main shinbone, or tibia. A patient with this condition may experience pain, inflammation, popping or snapping sounds at the knee, as well as a lack of stability and a loss of range of motion in the knee. 

Causes of IT band syndrome may be associated with poor training routines, muscle inflexibility, mechanical imbalances in the lower back, pelvis, and hips, hereditary anatomical issues, like flat feet, as well as poor equipment choices, such as incorrect or worn down running shoes. To improve the health of your IT Band, a conservative treatment program can include rest, ice, medications, physical therapy, low impact activities, changes to your equipment, and/or working with a sports performance specialist. Surgery, on the other hand, is typically unnecessary as the IT band usually improves with treatment and time.