Iliotibial band syndrome

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Iliotibial band syndrome-en.svg
Wrap around artifact MRI right knee on proton density fat saturation sequence.jpg

Common knee injury


Iliotibial band syndrome
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Synonyms ITBS, IT band syndrome
Pronounce N/A
Field Sports medicine
Symptoms Pain on the outer part of the knee
Complications N/A
Onset Gradual
Duration
Types N/A
Causes Overuse, repetitive activities
Risks Running, cycling, hiking
Diagnosis Based on symptoms, physical examination
Differential diagnosis Patellofemoral pain syndrome, meniscal tear
Prevention N/A
Treatment Rest, physical therapy, stretching, strengthening exercises
Medication NSAIDs
Prognosis Generally good with appropriate treatment
Frequency Common in athletes
Deaths N/A


Iliotibial band syndrome (ITBS) is a common knee injury that typically results from overuse. It is characterized by pain on the outer part of the knee, which is often exacerbated by activities such as running, cycling, and hiking.

Anatomy[edit | edit source]

The iliotibial band (IT band) is a thick band of fascia that runs along the outside of the thigh from the hip to the shin. It plays a crucial role in stabilizing the knee during activities.

Causes[edit | edit source]

ITBS is primarily caused by repetitive activities that lead to overuse of the IT band. Common risk factors include:

Symptoms[edit | edit source]

The main symptom of ITBS is pain on the outer part of the knee. This pain typically worsens with activity and may be accompanied by a clicking sensation. The onset of symptoms is usually gradual.

Diagnosis[edit | edit source]

Diagnosis of ITBS is based on the patient's symptoms and a physical examination. A healthcare provider may perform specific tests to rule out other conditions such as patellofemoral pain syndrome or a meniscal tear.

Treatment[edit | edit source]

Treatment for ITBS generally involves:

  • Rest and avoiding activities that exacerbate the pain
  • Physical therapy to improve flexibility and strength
  • Stretching exercises targeting the IT band
  • Strengthening exercises for the hip and thigh muscles
  • Use of NSAIDs to reduce pain and inflammation

Prognosis[edit | edit source]

With appropriate treatment, the prognosis for ITBS is generally good. Most individuals can return to their regular activities once the pain subsides and they have addressed any underlying biomechanical issues.

Prevention[edit | edit source]

Preventive measures for ITBS include:

  • Regular stretching and strengthening exercises
  • Proper warm-up and cool-down routines
  • Gradual increase in activity levels
  • Ensuring proper footwear and equipment

See also[edit | edit source]

References[edit | edit source]

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Contributors: Prab R. Tumpati, MD