Iliotibial Band Syndrome

The lliotibial band is an extension of a muscle higher up in the pelvis that extends down into a band attaching around the outside aspect of the knee. Injury occurs when this band starts to rub against the many bony prominences at the knee creating inflammation and localised trauma. It is estimated that Iliotibial Band Syndrome (ITBS) is responsible for 12% of pain in the knees of runners and athletes involved in numerous sports. 1 “Overuse” is typically the term that is used when describing ITBS injuries. In actually fact it’s not overuse but rather incorrect biomechanical function, which will causes injury with even average levels of training.

Chiropractic care can be effective in treating ITBS, as we take a whole body approach to the condition and look at regions above and below the site of injury.

Complete assessment of the entire lower extremity is an integral part of the treatment of ITBS. So this means checking the functioning and movement of the feet, knees, pelvis and lower back to identify any possible biomechanical dysfunctions that maybe present.

When pelvic mechanics are not functioning properly the muscles don’t work efficiently which hinders flexibility and mobility. This can lead to tight muscles which may inhibit motion and cause pain. It is important to manipulate and stretch capsular joint restrictions during the treatment phase. This helps improve normal motion and promotes proper biomechanics as well as keeping the joint lubricated.

Chiropractic adjustments are performed to help restore normal biomechanics to the lower extremities, pelvis and lower back.

A routine of flexibility and strengthening training combined with knee strapping and advice on footwear will improve joint alignment and movement. Other treatments recommendations may include orthotics and modifying sport activities.

Most cases of ITBS respond very well to Chiropractic treatment and usually require only 4-6 weeks of care.


  • Fredericson M, Wolf C. Iliotibial band syndrome in runners: innovations in treatment. Sports Med, 2005;35:451-459.
  • If you are in pain or suffering from an injury & live in Rouse Hill, Kellyville, Stanhope Gardens, Riverstone or the hills district please  call 02 8883 2270 and see one of our Chiropractors at Rouse Hill Chiropractic.
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