Iliotibial Band Syndrome

Iliotibial band syndrome (ITBS) is thought to be the most common cause of lateral knee pain.  Usually ITBS presents with pain and or tenderness on palpation of the lateral aspect of the knee just above the lateral femoral epicondyle. ITBS is considered a non-traumatic overuse injury most often seen in runners and is often associated with underlying weakness of the hip abductor (Glutes) muscles.

ITBS was often considered to be a friction syndrome but recent research now suggests that the condition is likely to be caused by compression of the innovated local adipose (fatty)  tissue under the iliotibial band. The ITB is a strong complex structure which has multiple attachments along the upper leg and around the outside of the knee. Its role is to provide stability for both the hip and knee joints and is often thought to store and release energy a little bit like a spring.

Signs and Symptoms

The main symptom with ITBS is sharp pain on the outer aspect of the knee. This can be worse when the heel strikes the ground;  during running or when walking downstairs. You may or may not also have an audible clicking when flexing and extending the knee.

Occasionally, there will be swelling.

Our Approach

Treatment for ITBS at Physio23 will follow our 3RM journey after a thorough examination and assessment of the condition.

Initially we will work to rest and release the appropriate structures and consequently restore function to your knee and your hip. As loss of strength and control around your hip is a common cause of ITBS our focus in the rehabilitation will be targeting this. Once your initial symptoms have calmed down we can look at addressing any obvious abnormal biomechanics around your hip knee and foot and progress your exercises accordingly.

Then we aim to work on Rebuilding your whole kinetic chain.  This is where we put it all together helping improve your lower limb and core muscles to achieve full resolution of Achilles tendinopathy.


Finally it’s time to Move.  Get back to what you enjoy doing!

Invest in your health

Meet Lachie - Principal Physiotherapist

PHYSIO23 is a values based, patient-centred clinic. We are delighted to partner with each patient on their unique journey to reaching their health, recovery and mobility goals.  Our physiotherapists are  committed to maximising their clinical expertise through evidence-based practice  to ensure every patient receives the quality care they  deserve. 

Would you like to book an appointment at physio23?

Why choose us

Patient Focussed

A physio that will spend the time to get to know you and find out about your current concerns and relevant past injuries

Results Based

You will receive a thorough assessment, an accurate diagnosis and a clear plan moving forward

Quality Care

Evidence-based, up-to-date treatment modalities to help you navigate your injury effectively.

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