Iliotibial Band Syndrome (ITBS): Comprehensive Care at Palms Physiotherapy

What is Iliotibial Band Syndrome (ITBS)?

Iliotibial Band Syndrome, often referred to as ITBS, occurs when the iliotibial band (ITB)—a thick band of fascia running from the hip to the knee—becomes irritated or inflamed.

This condition is typically associated with repetitive bending and straightening of the knee, making it a frequent issue for runners, cyclists, and other athletes involved in repetitive lower-limb activities.

What are the Symptoms of ITBS?

Common signs of ITBS include:

• Pain on the Outer Side of the Knee: Usually worsened by running, cycling, or descending stairs.

• Swelling or Tenderness: Along the outer knee or thigh.

• Stiffness or Tightness: Particularly after physical activity.

• Clicking or Popping Sensation: Felt when the knee is bent or straightened.

Symptoms often worsen with continued activity and may persist even during rest if left untreated.

What Causes ITBS?

ITBS is primarily an overuse injury, but several factors can contribute to its development, including:

• Poor Training Techniques: Sudden increases in mileage, improper footwear, or inadequate warm-ups.

• Muscle Imbalances: Weak glutes, hips, or core muscles.

• Biomechanical Issues: Flat feet, leg length discrepancies, or poor running form.

• Tight Iliotibial Band: Limited flexibility in the ITB can lead to increased friction over the knee joint.

How is ITBS Diagnosed?

At Palms Physiotherapy, our clinicians use a thorough diagnostic approach to identify ITBS:

• Detailed History: Discussing your symptoms, activity level, and any contributing factors.

• Physical Examination: Assessing tenderness, range of motion, and muscle imbalances.

• Gait Analysis: Identifying biomechanical issues that may contribute to ITBS.

In rare cases, imaging studies like ultrasound or MRI may be recommended to rule out other conditions.

Treatment for Iliotibial Band Syndrome at Palms Physiotherapy

Our multidisciplinary team offers evidence-based treatments tailored to your individual needs.

1. Physiotherapy for ITBS

Our physiotherapists focus on:

• Manual Therapy: Techniques to reduce tightness in the ITB and surrounding muscles.

• Stretching Programs: Improving flexibility in the ITB, hips, and quads.

• Strengthening Exercises: Targeting glutes, hips, and core to improve stability.

• Gait Re-Training: Correcting biomechanical issues contributing to ITBS.

2. Exercise Physiology for ITBS

Our Accredited Exercise Physiologists design individualized programs to:

• Prevent recurrence by addressing muscle imbalances.

• Support gradual return to running, cycling, or other sports.

• Improve overall functional movement patterns.

3. Advanced Therapies

Additional treatments may include:

• Dry Needling: Relieving muscle tension in the ITB and surrounding areas.

• Shockwave Therapy: Stimulating tissue healing and reducing chronic pain.

• Taping Techniques: Providing support to the knee during activity.

4. Personalized Rehabilitation Programs

We develop step-by-step rehabilitation plans that include:

• Gradual activity resumption.

• Education on proper training techniques and footwear.

• Guidance on cross-training activities to avoid overuse.

Preventing ITBS

To reduce your risk of ITBS, consider the following tips:

• Warm-Up and Stretching: Incorporate dynamic stretches before activity and static stretches afterward.

• Strength Training: Focus on building hip and core strength.

• Proper Footwear: Ensure your shoes are appropriate for your activity and foot type.

• Gradual Training Progression: Avoid sudden increases in mileage or intensity.

Frequently Asked Questions

1. Can I keep running with ITBS?

It's best to reduce or stop activities that worsen your symptoms and focus on treatment to prevent further injury.

2. How long does it take to recover from ITBS?

With consistent treatment, most patients see improvement within 6–8 weeks. Severe cases may take longer.

3. Is surgery required for ITBS?

Surgery is rarely needed and is only considered in extreme cases where conservative treatments have failed.

Why Choose Palms Physiotherapy for ITBS Treatment?

• Expert Team: Skilled physiotherapists, exercise physiologists, and allied health professionals.

• Cutting-Edge Facilities: Rehabilitation gym, sensory room, and advanced therapy equipment.

• Holistic Approach: Tailored treatment plans designed to meet your goals.

Contact Us for Expert ITBS Care

Take the first step toward recovery with our team of allied health professionals.