I.T.B. Friction Syndrome

by (Osteopath & Exercise Scientist)

I.T.B. friction syndrome is a common condition affecting runners and one I see often. It is generally poorly understood and often poorly managed. It is a complex condition that has many facets but when all the causes are addressed the results are so much better.

What you need to know:

  • common condition with runners, hiking and cycling
  • can appear with a sudden increase in training load
  • occurs when the attachment of the band continuously rubs against the outside of the femur (thigh) bone with training

Common signs and symptoms may include:

  • Pain with running, repeated knee bending
  • Tenderness over the outside of the knee
  • Tightness of the ilio-tibial band
  • Weakness of hip stabilisers

To reduce you knee pain, you need to address all the areas contributing to your pain.


  • Reduce the current training load and avoid painful movements
  • Icing and anti inflammatory medications to settle the pain
  • Physiotherapy/Osteopathic treatment and rehabilitation program
  • Stretching, self massage with foam roller

Long term

  • Progressive strengthening of the core and hip stabilisers. Rehabilitation program designed by your Physiotherapist/Osteopath
  • Address foot posture and footwear
  • Gradual progression back into training – low load building gradually with 10% increments.

For more information contact kylie.takarangi@staytuned.com.au

by (Osteopath & Exercise Scientist) on 18th September 2015 |

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