Home > Knee > Iliotibial Band Friction Syndrome
Overview
The iliotibial band runs down the outside of the leg, starting at the pelvis and attaching just below the knee. It is important for stabilizing the lateral part of the knee as it flexes and extends. This connective tissue can become inflamed with overuse, causing Iliotibial Band Friction Syndrome. Both running and cycling are commonly associated with this injury due to repetitive motion of the knee.
Symptoms
You may experience pain, tenderness or swelling on the outside of your knee, which may be exacerbated by a change in terrain or increase in mileage. Pain often decreases when you are at rest.
Examination
Your doctor will examine you, noting any swelling, tenderness, or decrease in range of motion. He or she will order x-rays to evaluate the bony structures of the knee. MRI may also be performed to rule out any associated soft-tissue injury in the same area.
Treatment
ITB Friction Syndrome is generally treated with anti-inflammatory medications, rest and physical therapy. Training modifications such as changing footwear or foot position while cycling. Avoiding a sudden increase in mileage is also helpful. Corticosteroid injections can sometimes alleviate symptoms and are often used in conjunction with the previously mentioned treatments. In rare cases, surgical intervention may be recommended. You and your doctor will determine which treatment is best for you based on the severity of your injury and your activity level.