Your Iliotibial Band Syndrome Specialist in Bartlett, IL
Iliotibial Band Syndrome (ITBS)
Iliotibial band syndrome (ITBS) is a common overuse injury that causes pain on the outside of the knee. It occurs when the iliotibial (IT) band, a long piece of connective tissue running from the hip to the shin, becomes tight or inflamed. This condition is especially prevalent among runners, cyclists, and other athletes who frequently bend their knees. Symptoms typically involve aching, burning, or tenderness on the outer part of the knee. Treatment usually focuses on relieving inflammation and pain through rest, ice, and anti-inflammatory medications. Stretching and strengthening exercises are also crucial for recovery and preventing recurrence.
At Barrington Orthopedic Specialists, our highly experienced, board-certified, and fellowship-trained knee specialists can provide relief from the knee pain associated with IT band syndrome. Our team will work with you to create a personalized treatment plan aimed at reducing your pain and inflammation, so you can get back to the activities you enjoy without discomfort or lack of mobility.
Don't let iliotibial (IT) band syndrome keep you from your daily activities. If you're experiencing pain on the outside of your knee, it's time to seek professional care. The specialists at Barrington Orthopedic Specialists can diagnose your condition and create a personalized treatment plan to get you back on track. For severe pain, visit our Immediate Care Clinic in Schaumburg, IL for prompt attention.
What Is Iliotibial Band Syndrome? Understanding Your Knee Pain
The knee is a joint formed by two or more bones that are connected by thick bands of tissue called ligaments.
The knee is the largest joint in the body and is made up of three main parts:
- The lower end of the thigh bone, or femur.
- The upper end of the shin bone, or tibia.
- The kneecap, or patella.
At some time in life, you may experience knee pain. Iliotibial band syndrome is a common knee injury that usually presents as lateral knee pain caused by inflammation of the distal portion of the iliotibial band; occasionally, however, the iliotibial band becomes inflamed at its proximal origin and could cause referred hip and knee pain. The iliotibial band is a thick band of fascia that is formed proximally by the confluence of fascia from hip flexors, extensors, and abductors. The band originates at the lateral iliac crest and extends distally to the patella, tibia, and biceps femoris tendon.
Iliotibial band syndrome occurs frequently in runners or cyclists, and is caused by a combination of overuse and biomechanical factors. The syndrome can cause significant morbidity; however, most patients respond to a conservative treatment approach that involves stretching and altering training regimens.
Orthopedic Knee Specialists at BOS
Meet the sports medicine and knee specialists who diagnose and treat iliotibial band syndrome and lateral knee pain for patients across the Barrington Orthopedic Specialists network.
Frequently Asked Questions
What Causes Iliotibial Band Syndrome (ITBS)?+
ITBS occurs due to friction of the iliotibial band sliding over the bony structures of the knee, particularly the lateral femoral epicondyle. Symptoms often begin as diffuse pain on the lateral side of the knee, which can progress into sharp, localized discomfort with continued activity. Aggravating activities include running, particularly downhill or with long strides, and prolonged sitting with the knee flexed.
What Are The Symptoms of Iliotibial Band Syndrome (ITBS)?+
Common symptoms include:
- Diffuse or sharp pain on the lateral side of the knee.
- Pain aggravated by running or prolonged knee flexion.
- Loss of full range of motion.
- Tenderness along the lateral femoral epicondyle.
- Discomfort while walking or engaging in repetitive knee movements.
What Are the Nonsurgical Treatment Options for ITBS?+
Treatment focuses on reducing inflammation, minimizing activity that exacerbates symptoms, and improving strength and flexibility. Nonsurgical treatment options include:
- Activity Modification: Avoid repetitive knee flexion/extension activities like running or cycling.
- Massage and Stretching: Stretch the iliotibial band, hip flexors, and hamstrings to reduce tightness.
- Physical Therapy: Engage in a tailored stretching and strengthening program focusing on the gluteus medius and other supporting muscles.
- Anti-Inflammatory Medications: Use NSAIDs like ibuprofen to alleviate pain and swelling.
- Ice Application: Apply ice packs to reduce inflammation and pain after activity.
- Corticosteroid Injection: For persistent swelling or pain, an injection may be recommended to target inflammation at the point of maximum tenderness.
What Are the Surgical Treatment Options For Iliotibial Band Syndrome?+
Surgery is considered only in cases that do not respond to conservative treatment. The most common surgical approach is releasing a portion of the iliotibial band over the lateral epicondyle. Studies show good to excellent outcomes in 84% of patients who undergo this procedure.
What Can I Expect During Recovery from ITBS?+
Most patients improve within 3 to 6 weeks with consistent stretching, strengthening, and activity modification. A gradual return to running is recommended, starting with short distances at an easy pace on flat surfaces.