Iliotibial Band (ITB) Syndrome



Iliotibial Band Syndrome (ITBS) is one of the most common overuse injuries among runners. It occurs when the iliotibial band, the ligament that runs down the outside of the thigh from the hip to the shin, is tight or inflamed. ITB Syndrome typically affects the lateral (outside) part of the knee. When running a consistent course, pain seems to come on and about the same distance/time on each run.

  • Biomechanical issues including leg length discrepancy or poor hip abductor strength
  • Exercising on hard surfaces or unlevelled ground
  • Rapid progression of training loads/intensity
  • Improper footwear


  • Therapeutic exercises to strengthen other muscles to unload the ITB
  • Enhancing range of motion through soft tissue techniques
  • Guidance about appropriate footwear