Runners Knee - Iliotibial Band Syndrome

What is Runners Knee?

The Iliotibial band (ITB) experiences friction as it passes over the femur bone on the epicondyle (bony bit on the outside of the knee). When the knee bends at approximately 20-30 degrees the ITB experiences the greatest friction. During running, the knee is normally flexed at around 20 degrees when the runner’s foot hits the ground making the ITB is highly susceptible to friction on the lateral epicondyle of the femur. Running regularly increases the likely hood of a person suffering from irritation of the ITB commonly known as Runner knee or iliotibial band friction syndrome.

Symptoms of Iliotibial Band Friction Syndrome

• Pain on the outside of the knee around the lateral epicondyle.
• Running (particularly downhill) aggravates the pain.
• Flexion or extension of the knee causes pain
• Decreased strength in hip abduction
• Tenderness in trigger points in the gluteal area
• The ITB feels tight

Any treatment for Runners knee must be done in conjunction with stretching of the ITB. Sports massage can be particularly helpful for this condition.

Runners knee prevention

• Rest- avoid painful stimuli, for example downhill running
• For swelling employ the R.I.C.E. technique
• Stretches of the ITB is very effective.
• Employ self-massage techniques to aid the tightness of the ITB.
• See a sports injury specialist.

Iliotibial Band Syndrome Treatment

• Soft tissue or deep friction massage can be used.
• Prescribe anti-inflammatory medication such as NSAID’s e.g. Ibuprofen.
• Myofascial releasing techniques have been shown to be highly effective
• Perform dry-needling techniques.
• Outline a rehabilitation strategy which may include ITB stretches and exercises to strengthen the hip abductors.
• Use electrotherapeutic treatment techniques such as TENS, ultrasound and/or interferential.
• In acute cases a corticosteroid injection into the site of irritation may provide pain relief.

Iliotibial band friction syndrome may require long-term rehabilitation and frequent ITB stretches are usually indicated even when symptoms have lessened.

Recommended Products:

• Iliotibial Compression Band - provides targeted compression to help stabilize the Iliotibial tract.

Please see the Virtual Sports Injury Clinic for more information on how to treat Runners Knee.