What is IT band syndrome?
The iliotibial band is the tendon attachment of hip muscles at the top of the pelvis and extending down onto the upper leg (tibia) just below the knee. Where the tendon passes below the knee, there is a bursa sac between the bone and tendon. This tendon moves over the knee and the bursa acts as a buffer to reduce friction. When overuse occurs, the
excessive friction causes inflammation and pain. This is called iliotibial band syndrome, and can present as lateral hip, thigh, and/or knee pain. Dr. Austin Chen, orthopedic hip and sports medicine specialist in the Boulder Colorado area specializes in treating IT band syndrome.
Iliotibial band syndrome is common in athletes and runners. It is an overuse injury, although direct trauma to the outer knee may cause the bursa to get inflamed. IT band syndrome can cause a tight IT band and result in a condition called External Snapping hip. This is where the IT band snaps over the greater trochanter causing pain or even an audible noise or visible pop.
What are the symptoms of IT band syndrome?
- Crackling sound
- Pain when the foot hits the ground
- Pain, swelling, warmth at the outer knee that travels up the leg
- Initially, pain at the beginning of an exercise that lessens once warmed up; eventually, pain throughout the activity, worsening as the activity continues; may cause the athlete to stop in the middle of training or competing
- Pain when running down hills or stairs
What are the causes of IT band syndrome?
- Overuse
- Tight muscles and tissues
- Weak hip muscles
What is the treatment for IT band syndrome?
The non surgical treatment options for IT band syndrome include rest, foam rolling, activity modification, physical therapy, ice massage and anti-inflammatories. In cases where the pain does not subside, Dr. Chen will discuss surgical options. Hip arthroscopy can be used to lengthen the IT band.
