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Iliotibial Band Syndrome (Runner's Knee)

Pain on the outer side of the knee caused by friction of the iliotibial band over the lateral femoral epicondyle.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ortopedi ve Travmatoloji department. Book Appointment →

What is Iliotibial Band Syndrome (Runner's Knee)?

The iliotibial band is a thick fibrous fascial structure formed by the merging of tensor fascia lata and gluteus maximus muscles on the lateral side of the hip; it inserts on the Gerdy tubercle on the outer side of the knee. When the knee is flexed at 30 degrees, the band rubs over the lateral femoral epicondyle.

When this friction is repeated during long-distance running, downhill activities, and faulty training programs, it leads to inflammation and pain. It is a common sports injury affecting approximately 12% of runners.

Hip abductor weakness, leg-length discrepancy, foot overpronation, and running on a sloped surface are important contributing factors.

Symptoms

Burning, sharp pain on the outer side of the knee
Pain that begins consistently at a certain distance during running
Pain worsening when going down stairs
Tenderness over the lateral femoral epicondyle
Resolution of pain after stopping running
Rarely, knee swelling

Risk Factors

Long-distance running
Sudden increase in training load
Running on sloped or hard surfaces
Hip abductor muscle weakness
Leg-length asymmetry
Overpronation

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If lateral knee pain interrupts running at 2–3 km
  • If there is no response to conservative treatment for more than 6 weeks
  • Chronic pain affecting daily walking

Treatment Methods

01
Activity restriction and load reduction
02
Ice application and NSAIDs
03
ITB stretching exercises and foam roller massage
04
Hip strengthening (abductors and gluteus)
05
Running technique analysis and correction
06
Corticosteroid injection (in chronic cases)

Which Department to Visit?

You can visit our Ortopedi ve Travmatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ortopedi ve Travmatoloji Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.