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Iliotibial
band (ITB)
syndrome
(runner’s
knee)
The iliotibial band (ITB) is a tough
tendon running down the outside of
the thigh that connects a hip muscle to
the shinbone just below the knee.
As the tendon crosses the knee it has
to pass over a bony bump known at
the lateral femoral condyle. There is a
bursa situated between the two that
can become inflamed; this is known as
ITB syndrome or ‘runner’s knee’.
ITB syndrome is most common in
athletes who maintain their fitness
through prolonged, repetitive
exercise such as running or cycling.
It’s particularly common in athletes
returning from injury. You can
minimise the risk of developing ITB
syndrome by warming up slowly and
stretching before and after exercise.
How is it caused?
What are the
symptoms?
Symptoms include aching or
pain on the outside of the knee,
as well as tenderness and
swelling. They are often worse
when running and descending
stairs or slopes.
A diagnosis made during a
medical examination can be
confirmed with an MRI or
ultrasound scan.
How is it diagnosed?
Non-operative treatment: rest and
physiotherapy may be enough for your knee
to recover. An ultrasound guided cortisone
injection into the inflamed bursa can also
help to reduce pain. If this does not relieve
your symptoms, your clinician may
recommend an injection of botulinum toxin
into the hip muscle at the top of the ITB.
This not only loosens the ITB but also
deactivates it, so that other muscles around
the knee are used instead. As these other
muscles get stronger, the risk of recurrent
ITB problems in the future is reduced.
How is it treated?
Surgery
if non-operative treatment doesn’t
improve your symptoms, your surgeon
may advise that you have an ITB
lengthening procedure. This is a minor
operation that can be carried out under
general anaesthetic as a day case.
This information is only a guideline to help you understand your
treatment and what to expect. Everyone is different and your
rehabilitation may be quicker or slower than other people’s. Please
contact us for advice if you’re worried about any aspect of your
health or recovery.
Important
CONTACT US
2037334639
info@fortiusclinic.com
https://www.fortiusclinic.com/
75 King William Street
London
EC4N 7BE
Iliotibial band (ITB) syndrome (runner’s knee).pdf

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Iliotibial band (ITB) syndrome (runner’s knee).pdf

  • 2. The iliotibial band (ITB) is a tough tendon running down the outside of the thigh that connects a hip muscle to the shinbone just below the knee. As the tendon crosses the knee it has to pass over a bony bump known at the lateral femoral condyle. There is a bursa situated between the two that can become inflamed; this is known as ITB syndrome or ‘runner’s knee’.
  • 3. ITB syndrome is most common in athletes who maintain their fitness through prolonged, repetitive exercise such as running or cycling. It’s particularly common in athletes returning from injury. You can minimise the risk of developing ITB syndrome by warming up slowly and stretching before and after exercise. How is it caused?
  • 4. What are the symptoms? Symptoms include aching or pain on the outside of the knee, as well as tenderness and swelling. They are often worse when running and descending stairs or slopes.
  • 5. A diagnosis made during a medical examination can be confirmed with an MRI or ultrasound scan. How is it diagnosed?
  • 6. Non-operative treatment: rest and physiotherapy may be enough for your knee to recover. An ultrasound guided cortisone injection into the inflamed bursa can also help to reduce pain. If this does not relieve your symptoms, your clinician may recommend an injection of botulinum toxin into the hip muscle at the top of the ITB. This not only loosens the ITB but also deactivates it, so that other muscles around the knee are used instead. As these other muscles get stronger, the risk of recurrent ITB problems in the future is reduced. How is it treated?
  • 7. Surgery if non-operative treatment doesn’t improve your symptoms, your surgeon may advise that you have an ITB lengthening procedure. This is a minor operation that can be carried out under general anaesthetic as a day case. This information is only a guideline to help you understand your treatment and what to expect. Everyone is different and your rehabilitation may be quicker or slower than other people’s. Please contact us for advice if you’re worried about any aspect of your health or recovery. Important