ILIOTIBIAL BAND (ITB) FRICTION SYNDROME

The iliotibial band (ITB) is a tendon-like structure that extends along the outside of the leg from the hip to the knee providing stabilisation.

The repetitive bending/straightening of the knee involved in long-distance running can stimulate friction between the ITB and underlying structures (bursa and bone). As such, runners commonly suffer with sharp pain on the outside of the knee caused by ITB friction.

Pain associated with ITB friction syndrome often comes about with rapid increases in training loads and can be particularly aggravated by downhill running. Typically, individuals who have weak hip abductor muscles (muscle at the side of the hip) are more prone to developing ITB friction syndrome as a result of sub-optimal hip and knee position. Tightness of the quadricep muscles can also contribute.

Treatment options for ITB friction syndrome depend on the assessment findings for each individual, but can include:

• Hands-on treatment from your physio
• Dry needling
• Stretches
• Foam rolling
• Strengthening exercises
• Advice around training load
• Gaitscan Orthotic or footwear prescription
• Rest
• Anti-inflammatory medication

If you’re looking to increase your running loads but would like an assessment to prevent the development of ITB friction syndrome, please call Hartwell Physiotherapy on 9889 3903 or book online.

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