Iliotibial band (ITB) syndrome, also known as runner’s knee, is the most common cause of lateral knee pain among athletes, making up 12 percent of all running-related injuries, according to recent studies.

The iliotibial band is a thick, fibrous band over the outer part of the thigh muscles. This band crosses the hip joint and extends distally to insert at the knee.

In some individuals, the repetitive motion of the knee causes the distal ITB to become irritated and inflamed, resulting in diffuse pain on the outside of the knee.

Colorado is known for its active and healthy population, with many individuals who enjoy running and cycling-- the two populations most effected by ITB syndrome.

Iliotibial band syndrome can cause significant pain and may force some individuals to actually give up an activity they enjoy. Although this condition is easy to diagnose, it can be a challenge to treat.

Treatment requires patient education and active participation, including compliance with modifying activity level. Most patients respond to conservative treatments offered by a licensed physical therapist.

These treatments may include implementation of a stretching program, aggressive soft tissue mobilization, therapeutic modalities of ultrasound or iontophoresis, assessment of body alignment, assessment of foot biomechanics, and education on activity modification and monitored gradual progression back to normal activities.

Scott Miller is Director of Rehabilitation Services at Parker Adventist Hospital. To schedule an appointment, please call 303-269-4590.