Reader Question:

My running partner was diagnosed with IT band syndrome. What is it?

Iliotibial band (IT Band) syndrome is the inflammation of the thick band of fibrous tissue that begins at the hip and extends to the outer side of the shin bone just below the knee joint. The function of the iliotibial band is to provide stability to and
help flex the knee joint. When it becomes irritated, knee movement becomes painful along the outside of the knee joint and worsens with continued movement. It typically affects long distance runners and can be caused by weak hip abductors, foot pronation and running on a crowned surface. Initial conservative treatments include rest, decreasing exercise time and intensity, heat and stretching prior to exercise and icing afterwards. Physical therapy can help decrease inflammation and improve function of the iliotibial band.

Therapists can advise in training program changes and proper footwear to improve running mechanics. Treatments include exercises to help improve flexibility of the iliotibial band and gluteal muscles, strengthening of the hip abductors and knee flexors and soft tissue mobilization to lengthen the iliotibial band.

Vince Frisillo, MPT
Physical Therapy & Sports Medicine
Excel Therapy Specialists