Ilio Tibial Band (ITB) Syndrome
The Ilio Tibial band extends along the lateral aspect (outside) of the thigh, crosses the knee and inserts on the lateral tibia at the Gerdy’s tubercle.
Anatomically the ITB is a thickening of the fascia, of the gluteus maximus, minimus and fascia lata.
It assist in abduction and internal rotation of the hip (when flexed to 30⁰), knee extension (when less than 30⁰ flexion) and knee flexion (when flexed to a greater degree than 30⁰)
Ilio Tibial Band friction Syndrome results in inflammation of the bursa surrounding the ITB.
This is the most commonly occurring lateral knee pain in the running community and is characterized by lateral knee pain which may be severe.
It is caused by a tightening of the Ilio Tibial Band as a result of continuous flexion and extension during running.
It is often aggravated by running down hill, and when running at slower speeds.
Pain tends to develop gradually during running, but generally resolves after resting.
ITB Syndrome pain tends to be localized over the femoral epicondylyte, but may spread to the tibia, calf and thigh.
Pain may be intensified by climbing stairs and running downhill.
Initially, the area should be treated with ice to reduce the inflammatory response. Non steroidal anti -inflammatory drugs may also be useful for the pain.
Massage, stretching exercises and myofascial release techniques can be used to release the tightness of the IT Band.
Biomechanical assessments should be performed to eliminate misalignment issues, and the necessity for orthotics and replacement of running shoes considered.
Published: July 8, 2011
Ilio Tibial Band Syndrome Treatments