Iliotibial Band Syndrome
Iliotibial Band Syndrome1

What is Iliotibial Band Syndrome?

Iliotibial Band Syndrome (ITBS) is a common overuse injury that affects the iliotibial band (IT band), a thick band of fascia running along the outside of the thigh from the hip to just below the knee. ITBS occurs when the IT band becomes tight or inflamed, causing pain and tenderness on the outer knee. This condition is prevalent among runners, cyclists, and athletes involved in activities requiring repetitive knee flexion and extension.

Causes

Overuse and Repetitive Motion
Activities like running, cycling, and hiking that involve repetitive bending and straightening of the knee.
Biomechanical Issues
Poor running form, leg length discrepancies, or excessive pronation of the foot.
Muscle Imbalance
Weak hip or gluteal muscles can cause the IT band to work harder, leading to tightness and inflammation
Improper Training
Rapid increase in training intensity, duration, or frequency without adequate rest and recovery.
Inadequate Equipment
Worn-out running shoes or improper bike fit.
kneepain1

Symptoms

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Pain: Sharp or burning pain on the outer side of the knee, which may worsen with activity and subside with rest.

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Tenderness: Tenderness along the outer thigh and knee.

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Swelling: Mild swelling around the outer knee.

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Stiffness: Tightness and decreased range of motion in the hip and knee.

Diagnosis of Iliotibial Band Syndrome

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Medical History and Physical Examination: Assessment of symptoms, activity level, and knee function, including palpation of the IT band and specific tests like the Ober’s test and the Noble compression test.

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Imaging Tests:

X-rays: To rule out other causes of knee pain, such as fractures or arthritis.

MRI or Ultrasound: Detailed images of the soft tissues to confirm inflammation of the IT band.

Chondromalacia Patellae2

When to See a Doctor

Consult a doctor if you have:

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When your knee pain is severe

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Persistent by significant redness

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Persistent by significant swelling

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Persistent by significant warmth

Treatment Options

Conservative Treatments:
  • Rest: Avoiding activities that aggravate the knee pain.
  • Ice: Applying ice packs to the outer knee to reduce inflammation.
  • Medications: NSAIDs to reduce pain and inflammation.
  • Stretching and Foam Rolling: Stretching the IT band and surrounding muscles, and using a foam roller to release tension.
  • Physical Therapy: Exercises to strengthen the hip and gluteal muscles, improve flexibility, and correct biomechanical issues.

Pain Interventions

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Platelet-Rich Plasma (PRP) Therapy : Using the body’s own platelets to promote healing and reduce inflammation.

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Prolotherapy : It is a safe treatment that has been shown to improve stiffness, pain, function, and quality of life in patients

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Hyaluronic Acid Injections : To lubricate the joint and reduce pain.

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Corticosteroid Injections : To reduce severe inflammation and pain.

Prolotherapy, Stem cell treatments for knee

ACL and PCL Tears3

Prevention

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Proper Training : Gradually increasing training intensity, duration, and frequency, and incorporating rest days.

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Biomechanical Assessment : Evaluating and correcting running form, gait, and bike fit.

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Strengthening and Stretching : Regularly performing exercises to strengthen the hip and gluteal muscles and stretching the IT band

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Appropriate Equipment : Using proper footwear and ensuring a good fit for running shoes and bikes.

Conclusion

Iliotibial Band Syndrome can significantly impact an athlete’s performance and daily activities, but with proper diagnosis and treatment, most individuals can manage symptoms and return to their activities. Early intervention, a tailored treatment plan, and preventive measures are crucial for successful management and long-term joint health. If you experience symptoms of ITBS, consult our specialists at ALGOS, for comprehensive care and personalized treatment options.

Conditions We Treat

Effective Pain Treatments

At ALGOS, we specialize in treating a wide range of chronic pain conditions without the need for surgery to help you achieve lasting relief and regain your mobility.

Located centrally on Cunningham Road in Bengaluru, our clinic is easily accessible from all parts of the city, ensuring high-quality pain management services are available to everyone.

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