- Iliotibial band syndrome (ITBS) is thought to be a pathology of compression of sensitive structures, not friction.
BACKGROUND & OBJECTIVE
Iliotibial band syndrome (ITBS) is thought to be the most common cause of lateral knee pain, and yet it’s a pathology that is poorly understood and drastically under-researched! Beyond some seminal papers in the early 80’s, there are just a handful of clinical studies and very limited high-quality evidence. This narrative review sought to examine the literature to provide an overview of current thoughts on pathology and management. Below we’ll summarise some of their findings.
This paper challenges common treatment approaches for ITBS such as stretching and massage.
For some time, ITBS has been considered a ‘friction syndrome’ with the ITB thought to cause friction on the structures beneath it, leading to pain. The ITB was seen as a moveable structure that could roll over the lateral femoral