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Iliotibial Band Syndrome

If you’ve ever experienced persistent knee pain on the outer side of your leg, you might be dealing with iliotibial band syndrome. This common overuse injury affects runners, cyclists, and other athletes, but it can also develop in anyone with muscular imbalances or improper movement patterns.

Benjamin W. Szerlip, DO, specializes in diagnosing and treating sports-related injuries like iliotibial band syndrome in Austin, Texas. As a fellowship-trained shoulder and sports medicine surgeon, Dr. Szerlip offers expert care to help you recover quickly and safely. Contact us today!

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“Dr. Szerlip was very personable, knowledgeable, and took time for all my questions. He gave great explanations of my problem and potential solutions. I have full confidence in his recommendations for treatment and therapy.” — Pam G. 

What is Iliotibial Band Syndrome?

Iliotibial band syndrome (IT band syndrome) is an overuse injury that affects the thick band of connective tissue that runs from the hip down to the outer side of the knee joint. This iliotibial band (IT band) helps stabilize the knee during movement, but when it becomes tight or irritated, it can cause pain and inflammation.

IT band syndrome is a common sports injury affecting long-distance runners and cyclists. However, anyone can develop it due to poor biomechanics, weak hip muscles, or improper training techniques.

What Causes Iliotibial Band Syndrome?

Several factors can contribute to IT band syndrome, including:

  • Repetitive knee movements: Activities like running, cycling, or hiking can cause excessive friction between the IT band and the knee.
  • Hip abductor weakness: Weak hip muscles, particularly the hip abductors, can lead to poor alignment and increased stress on the knee joint.
  • Tight IT band: A lack of flexibility in the iliotibial band can cause excessive tension, leading to inflammation.
  • Poor running or cycling form: Incorrect movement patterns can increase strain on the IT band.
  • Improper footwear: Worn-out or unsupportive shoes can contribute to abnormal stress on the legs.
A man sitting and holding his knee in pain caused by iliotibial band syndrome in Austin, Texas.

What Are the Symptoms of Iliotibial Band Syndrome?

The most common symptom of iliotibial band syndrome is knee pain on the outer side of the leg, often worsened by activity. Other symptoms include:

  • A sharp or burning pain on the outer knee, especially when running or going downhill.
  • Tenderness or swelling along the iliotibial band.
  • A snapping or popping sensation near the knee joint.
  • Pain that starts after a certain distance or time during exercise and improves with rest.

How is Iliotibial Band Syndrome Diagnosed?

To diagnose iliotibial band syndrome, Dr. Szerlip will perform a thorough evaluation, which may include:

  • Physical examination: Checking for tenderness, swelling, and pain with movement.
  • Movement analysis: Assessing how your hip muscles and legs function during activity.
  • Imaging tests: While iliotibial band syndrome is usually diagnosed clinically, imaging tests like an MRI may be used to rule out other knee conditions.
 

If you’re experiencing persistent knee pain, Benjamin W. Szerlip, DO, offers expert evaluation and treatment to get you back to peak performance.

How is Iliotibial Band Syndrome Treated?

Most cases of iliotibial band syndrome can be treated with conservative methods, including the following:

  • Rest and activity modification: Reducing high-impact activities allows the IT band to heal.
  • Physical therapy: A physical therapist can guide you through exercises to strengthen the hip muscles and improve flexibility.
  • Foam rolling and stretching: Targeted techniques can help release tension in the iliotibial band.
  • Anti-inflammatory medications: Over-the-counter NSAIDs may help reduce pain and swelling.
  • Corticosteroid injections: In some cases, injections may be recommended to reduce severe inflammation.
 

If conservative treatments don’t provide relief, Dr. Szerlip can discuss advanced options, including minimally invasive procedures such as knee arthroscopy.

Recovery from Iliotibial Band Syndrome

Recovery time varies based on the severity of the condition and how quickly treatment begins. With physical therapy and proper rehabilitation, most people recover within a few weeks to a few months.

To speed up recovery:

  • Follow your physical therapist’s recommendations.
  • Gradually return to activity instead of rushing back into high-impact sports.
  • Focus on hip abductor and hip muscle strengthening to prevent recurrence.

How Can I Reduce My Risk of Iliotibial Band Syndrome?

Preventing IT band syndrome involves maintaining good movement mechanics and taking care of your muscles. Here’s how to reduce your risk:

  • Warm up and stretch properly before workouts.
  • Strengthen your hip muscles to improve knee alignment.
  • Gradually increase activity levels instead of making sudden changes in intensity.
  • Use proper footwear that provides adequate support.
  • Pay attention to form when running, cycling, or performing repetitive movements.

Expert Care for Iliotibial Band Syndrome in Austin, Texas

If you’re struggling with iliotibial band syndrome, expert care is just a call away. Benjamin W. Szerlip, DO, specializes in diagnosing and treating sports injuries, including IT band syndrome. Whether you need physical therapy, advanced treatment options, or guidance on preventing future injuries, Dr. Szerlip can help you recover and stay active.

Don’t let knee pain slow you down—schedule an appointment today!

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  1. https://orthoinfo.aaos.org/en/diseases–conditions/iliotibial-band-it-band-syndrome