ITB Syndrome

Iliotibial Band Syndrome (ITBS) is a common cause of outer knee pain, especially in runners, cyclists, and athletes. The IT band is a thick, fibrous tissue that extends from your hip to your shinbone. When this band becomes tight or inflamed, it rubs against the outer part of the knee, causing irritation and pain. Early physiotherapy can prevent the condition from becoming chronic and restore pain-free movement.

Symptoms

  • Sharp or burning pain on the outer side of the knee

  • Pain that worsens with running, cycling, squatting, or climbing stairs

  • Swelling or tightness near the knee joint

  • Snapping or popping sensation during movement

  • Pain that reduces with rest but returns with activity

Causes

  • Overuse from repetitive knee bending (e.g., running, cycling)

  • Sudden increase in physical activity or training intensity

  • Tightness in the IT band, hip flexors, or quads

  • Weak glutes or hip muscles

  • Improper running form or poor biomechanics

  • Leg length discrepancy or uneven posture

  • Worn-out or inappropriate footwear

When to See a Physiotherapist

Consult a physiotherapist if:

  • Pain on the outside of your knee persists for more than a few days

  • Symptoms interfere with your ability to run, walk, or climb stairs

  • Home remedies like ice and rest aren’t helping

  • You notice stiffness, swelling, or snapping sensations near your knee

Risks

You may be more prone to ITB Syndrome if you:

  • Are a runner or cyclist

  • Train on uneven or inclined surfaces

  • Suddenly increase workout intensity or frequency

  • Have muscle imbalances or poor posture

  • Skip warm-ups or stretching

  • Wear worn-out shoes or use incorrect form

How to Prevent ITB Syndrome

  • Warm up before and cool down after physical activity

  • Incorporate hip and core strengthening exercises

  • Stretch regularly, especially your IT band, quads, and glutes

  • Avoid sudden changes in your training schedule

  • Cross-train to reduce repetitive strain

  • Wear supportive, activity-appropriate footwear

  • Correct your posture and running mechanics

Treatments at Fitwell Physiotherapy, Kharadi

Our tailored ITB Syndrome treatment focuses on pain relief, restoring flexibility, and preventing recurrence:

Manual Therapy

Hands-on techniques to release tight muscles and fascia along the IT band and surrounding areas.

Electrotherapy & Dry Needling

Used to reduce inflammation, improve blood flow, and release trigger points.

Targeted Stretching & Strengthening

Focused on the hips, glutes, hamstrings, and core to support better alignment and movement control.

Postural & Gait Correction

We evaluate your walking or running form and correct biomechanical issues.

Functional Rehab

Gradual return-to-activity plan tailored to your fitness level and goals.

Frequently Asked Questions

ITB syndrome, short for iliotibial band syndrome, is a common overuse injury among runners and athletes. It involves inflammation and irritation of the iliotibial band, a thick band of fibrous tissue that runs along the outside of the thigh from the hip to the knee.

Symptoms of ITB syndrome typically include pain or aching on the outside of the knee, especially during activities such as running, walking, or cycling. The pain may worsen with continued activity and may improve with rest. Some individuals also experience swelling or tightness along the outside of the knee.
ITB syndrome is often caused by repetitive friction of the iliotibial band as it rubs against the bony prominence of the femur (thigh bone) near the knee joint. This friction can lead to inflammation and irritation of the IT band. Common contributing factors include overtraining, improper running or cycling technique, muscle imbalances, and biomechanical issues such as overpronation.
ITB syndrome is typically diagnosed based on a thorough physical examination and a review of the individual’s medical history. The healthcare provider may perform special tests to assess for tenderness along the outside of the knee and may observe the individual’s gait and movement patterns. In some cases, imaging tests such as MRI or ultrasound may be ordered to rule out other potential causes of knee pain.
Treatment for ITB syndrome usually involves a combination of rest, ice, stretching, and strengthening exercises. Resting the affected leg and avoiding activities that exacerbate symptoms can help reduce inflammation and promote healing. Ice therapy can help alleviate pain and swelling. Stretching exercises targeting the IT band, hip muscles, and quadriceps can improve flexibility and reduce tension. Strengthening exercises for the hip abductors and external rotators can help correct muscle imbalances and improve biomechanics. In some cases, a healthcare provider may recommend physical therapy, corticosteroid injections, or other interventions to manage symptoms and prevent recurrence.

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