The provider will do a physical exam, including a thorough exam of your knee. This will include tests of your range of motion, strength, and sore areas of your knee. Your provider will need to distinguish between iliotibial band syndrome and other possible causes of your knee pain. These can include osteoarthritis or a meniscal tear. Usually, your healthcare provider won't need any additional tests to diagnose iliotibial band syndrome.
If the diagnosis is unclear, you might need imaging tests, like an X-ray or MRI, to rule out other possible causes.
Your healthcare provider might suggest several different treatment strategies to help ease your symptoms. These might include:. You may find it helpful to work with a physical therapist as well. These changes help most people with iliotibial band syndrome. Your healthcare provider might advise surgery if you still have significant symptoms after 6 months of trying these other therapies.
Several different surgical choices exist, including one that removes the part of the iliotibial band that moves over the femur. You can discuss all your surgical choices with your healthcare provider.
In some cases, iliotibial band syndrome is preventable. To help prevent a flare-up, take care to:. If you're new to exercise, start slowly and gradually increase your activity. Ask your healthcare provider or trainer if they have additional advice. If your symptoms don't start to improve after several weeks of treatment, plan to see your healthcare provider soon. You may have a different kind of problem with your knee. Skip to content. Iliotibial Band Syndrome Not what you're looking for?
Start New Search. What is iliotibial band syndrome? What causes iliotibial band syndrome? Who is at risk for iliotibial band syndrome? If you're a runner, you might be more likely to develop iliotibial band syndrome if you: Run on uneven or downhill terrain Run in worn-out shoes Run many miles per day Have legs that slope a little inward from your knee to your ankle bowlegged Run in cold weather.
What are the symptoms of iliotibial band syndrome? How is iliotibial band syndrome diagnosed? How is iliotibial band syndrome treated?
These might include: Limiting activities that make your knee pain worse for a while like running , and returning to these activities slowly Icing the outside of your knee Taking over-the-counter pain medicines Getting corticosteroid shots to decrease inflammation Making changes to your activity, like lowering your bicycle seat for cycling or improving your running form Practicing special exercises to stretch and strengthen the muscles around your hip and your knee You may find it helpful to work with a physical therapist as well.
What can I do to prevent iliotibial band syndrome? To help prevent a flare-up, take care to: Run on even surfaces. Replace your running shoes regularly. Functionally, the iliotibial tract extends the tensor fascia latae muscle into the lower thigh and leg, allowing it to function as an abductor, medial rotator and flexor of the thigh.
It also allows the tensor fascia latae and gluteus maximus muscles to support the extension of the knee while standing, walking, running and biking.
A common injury to the iliotibial tract is iliotibial band syndrome ITBS , a condition caused by the friction of the tract moving across the tissues on the lateral side of the thigh. When the knee flexes, the iliotibial band moves posteriorly over the bony ridge of the lateral condyle of the femur. It then passes over the lateral condyle again when it moves anteriorly during knee extension. The repeated flexion and extension involved in long distance running results in the iliotibial band becoming inflamed, irritated and painful.
Fortunately, this condition is easily treated with rest, ice, compression and elevation RICE. By: Tim Taylor. Date August 26, A former Ph. The studies — co-authored by Daniel Lieberman, the Edwin M. Though often compared to tendons — the two can serve similar functions — fascia is composed of large sheets, while tendons are more rope-like.
The notion that the IT band acts as a spring to aid in locomotion runs counter to the decades-old belief that its primary function is to stabilize the hip during walking.
One part of the IT band stretches as the limb swings backward, Eng explained, storing elastic energy. That stored energy is then released as the leg swings forward during a stride, potentially resulting in energy savings.
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