What is ITB Syndrome?
Iliotibial Band (ITB) Syndrome is an overuse injury where the iliotibial band — a thick band of connective tissue running along the outside of the thigh — becomes tight and inflamed. This commonly causes lateral knee pain that worsens with running, cycling, or repetitive bending of the knee. ITB syndrome is one of the most common causes of knee pain in runners, affecting approximately 12% of long-distance runners (Fairclough et al., 2006).
Common Causes
• Repetitive running or cycling without adequate conditioning.
• Leg length discrepancies or biomechanical imbalances.
• Weak hip stabilisers or gluteal muscles.
• Poor footwear or running technique.
• Tightness in the quadriceps, hamstrings, or IT band itself.
Treatment Options
WCCC management may include:
• Soft tissue therapy and targeted stretching to release tension in the IT band and surrounding muscles.
• Gentle chiropractic adjustments to optimise hip, knee, and lower back alignment.
• Strengthening and rehabilitation exercises for the gluteals, hips, and core.
• Advice on training modifications, posture, and footwear to reduce recurrence.
• Collaboration with sports physicians or physiotherapists for further assessment if needed.
References:
• Fairclough J, et al. The biomechanical origins of iliotibial band syndrome in runners. Clin Biomech. 2006;21(9):785–793.
• Gerritsen KL, et al. Epidemiology of iliotibial band syndrome in runners. Int J Sports Med. 2008;29(4):270–275.
