Treatment for Iliotibial Band Syndrome

Iliotibial band syndrome, or IT band syndrome, is a condition that causes pain on the outside of the knee. It most often occurs in athletes, especially long-distance runners. It can happen if you cycle, ski, row, or play soccer. It can also occur in people who are starting to exercise.

Types of treatment

Treatment may include:

  • Avoiding any activity that makes your knee pain worse for a while (like running), and returning to this activity slowly over time

  • Icing the outside of your knee when it causes you pain

  • Taking over-the-counter pain medicines

  • Having corticosteroid injections, to reduce inflammation

  • Making changes to your activity, like lowering your bicycle seat for cycling or improving your running form

  • Practicing special exercises to stretch and strengthen the muscles around your hip and your knee

You may find it helpful to work with a physical therapist.

These treatments help most people with IT band syndrome. Your doctor may advise surgery if you still have severe symptoms after 6 months or more of other treatment. Your doctor will talk with you about the types of surgery.

Preventing IT band syndrome

You may be able to prevent IT band syndrome if you:

  • Run on even surfaces

  • Replace your running shoes often

  • Ease up on your training

  • On a track, make sure you run in both directions

  • Have an expert check your stance for running and other sporting activities

  • Stretch your outer thigh and hamstrings often

If you are new to exercise, start slowly. Increase your activity over time.

Talk with your doctor or trainer for more advice.

When to call the healthcare provider

Call your healthcare provider right away if you have any of these:

  • Symptoms that get worse, or don’t get better with treatment

  • New symptoms

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