Iliotibial Band (ITB) Syndrome

In runners, cyclists or those that exercise extensively, tightness and discomfort can develop on the side of the knee, sometimes extending up the side of thigh as far as the hip in a condition known as Iliotibial band (ITB) syndrome or runner’s knee.

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Iliotibial Band (ITB) Syndrome

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The iliotibial band, or ITB, is a tendon that runs down the outside of the thigh, connecting the hip muscle to the shin. As you repeatedly bend and extend your leg, the tendon can irritate the soft tissues, causing them to become inflamed. Iliotibial band (ITB) syndrome can develop in anyone, but it is very widespread in distance runners.

ITB syndrome can also occur when you are returning to sport after an injury and it is important to follow advice on warming up beforehand and stretching after.

FAQs

+ What are the symptoms of ITB syndrome?

Symptoms are mainly discomfort through to severe pain on the outside of the knee. It can stretch up the thigh. There may also be tenderness and swelling. Sufferers may find it worsens when running or when going down the stairs.

+ How is ITB syndrome diagnosed?

During your consultation with Mr David Houlihan-Burne, he will diagnose ITB syndrome by discussing your symptoms and performing a physical examination. This may need confirming with further investigations such as an MRI or an ultrasound scan.

+ How is ITB syndrome treated?

Rest and physiotherapy may be sufficient for ITB syndrome to resolve itself. If very painful, Mr David Houlihan-Burne may recommend an ultrasound-guided cortisone injection.

Muscle relaxing injections into the hip muscle can be used to strengthen the other muscles surrounding the knee and help relieve problems with the ITB band.

If these treatments fail to improve your symptoms, then Mr Houlihan-Burne may recommend an ITB lengthening procedure under general anaesthetic. He will thoroughly explain all possible risks and potential benefits of surgery before you make the decision to go ahead.