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Iliotibial Band Syndrome

Written by: Scott Bentson, DC, MS

What is Iliotibial Band Syndrome?

The iliotibial band (aka I.T. Band) is layer of strong and fibrous connective tissue (fascia) that runs from the hip-down the outside of the thigh-to a point just below the knee. The band functions in coordination with the quadriceps to stabilize the knee. With overuse or injury, the connective tissue becomes inflamed and painful resulting in iliotibial band friction syndrome (ITBFS). Runners, dancers, cyclists and other athletes who engage in repetitive exercise are prone to developing this syndrome. The pain can be located anywhere along the lateral aspect (outside) of the thigh. Generally, the pain increases with increasing activity and is worse when running down hill or traveling down stairs. In some people the pain is constant, but typically the pain is felt with movement.

How is Iliotibial Band Syndrome diagnosed?

Iliotibial band syndrome is generally diagnosed by history and physical exam. Your chiropractor will ask you questions like what makes it worse, what makes it better, how/when it began, and what it feels like. An exam will be performed that will consist of orthopedic tests designed to provoke the pain. The chiropractor will use his/her hands to palpate for abnormalities along the outside of your thigh. Your chiropractor may also provide a biomechanical assessment (watching you in action) to establish if there are any abnormalities of gait and movement. Rarely, further testing such as an x-ray or MRI will be ordered.

What Are the Options for Treating Piriformis Syndrome?

Iliotibial band syndrome is commonly treated at Lehigh Valley Chiropractic. You may experience relief with the conservative treatments rendered by our chiropractors. For this condition, treatments such as myofascial release (including foam roller myofascial release), therapeutic ultrasound, strengthening exercises, and stretching are safe and effective. Our chiropractors may also recommend RICE (rest, ice, elevation, compression), reduced training, cross training and changes in footwear. Don’t let pain prevent you from the activities you enjoy. Contact Lehigh Valley Chiropractic to schedule your first appointment and get on the road to recovery.

• Iliotibial band friction syndrome--a systematic review. Ellis R, Hing W, Reid D. Man Ther. 2007 Aug;12(3):200-8. Epub 2007 Jan 8. Review. Treatment of an individual with piriformis syndrome focusing on hip muscle strengthening and movement reeducation: a case report. Tonley JC, Yun SM, Kochevar RJ, Dye JA, Farrokhi S, Powers CM. J Orthop Sports Phys Ther. 2010 Feb;40(2):1.
• Practical management of iliotibial band friction syndrome in runners. Fredericson M, Weir A. Clin J Sport Med. 2006 May;16(3):261-8.
• Relief of internal snapping hip syndrome in a marathon runner after chiropractic treatment. Konczak CR, Ames R. J Manipulative Physiol Ther. 2005 Jan;28(1):e1-7.

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