The ilio tibial band runs from the hip to the lateral or outside of the top end of the tibia. It's function is to resist internal rotation of the tibia as well as to maintain the lateral integrity of the leg.

Ilio tibial band syndrome is a condition where the ilio tibial band is stretched and torqued and the distal or farthest end of the band rubs across the lateral condyle of the femur which is located at the knee joint.

Most people with this condition complain of pain on the lateral side of the knee often extending up the outside of the thigh as high as the hip area.

HOW IS IT CAUSED?

Over stress of the ilio tibial band. During normal walking cycles, the femur and the tibia rotate in unison. However, when a person over pronates or walks on the arch of the foot (flat footed), the tibia is locked into what we call a saddle joint and rubs across the outside of the femur at the knee joint which causes the band to become stretched and put on a torque.

Since the problem is over pronation (poor or weak arches, flat footed), the person should be fitted with orthotics to correct the counter rotation between the femur and the tibia. One should also strengthen the arch of the foot by performing various exercises. Please feel free to ask questions at APTA therapy department in the gym.

One of the more frustrating injuries for a runner or anyone who is an avid exercise individual involves a tendonitis of the knee specifically the ilio tibial band. It hurts going up or down stairs, when you start up for a run or vigorous activity (but usually subside as one continues the activity) until you stop to get a drink, then attempt to start up again. It also hurts during regular daily routines.

The standard treatment has been to rest, take anti-inflammatories, stretching, and slowly ease back into your usual exercise routine or running.

Now an addition to the treatment is the Patt-strap. This latest protocol is a very snug band worn about 2 to 3 inches above the patella (kneecap). You may also want to see a therapist to help alleviate the inflammation with ultrasound and ice as well as ensure proper stretching techniques.

The key to returning to running or exercise is to terminate the activity when you sense the knee getting stiff or tight.