IT Band Syndrome
Guided Injections.
Injections for IT Band Syndrome
The IT band (ITB) is a thick piece of connective tissue that originates in the hip (as an extension of the gluteus maximus and Tensor Fasciae Latae muscles) and connects to the outside of the knee. It supports the hip and knee with functional activities such as walking, running, cycling, and sports.
This overuse injury manifests as lateral knee pain due to the friction created between the ITB and outer structures of the knee. When this structure becomes irritated, you may be unable to tolerate your typical levels of exercise and loading.
(Bolia et al., 2020)
What are the common symptoms of this?
Pain on the outside of the knee that is aggravated by activities that require repetitive motions. These may include walking, running, jumping, negotiating steps, and cycling.
(Miccio et al., 2021)
How is this diagnosed?
To assess your condition, your physiotherapist will ask about your symptoms and conduct a physical examination, looking for the following:
- Pain with palpation of the IT band
- Swelling over the lateral knee
- Weakness or dysfunction in the muscles surrounding the IT band
- Pain with functional movements or increased loading of the ITB
- Problems with your running or cycling biomechanics
Treatment options
Guided Corticosteroid Injections
For persistent pain, corticosteroid injections may be recommended to reduce inflammation and provide short-term relief.
Your Clinician
BSc Physiotherapy MSCP (Hons)
PGCert Independent Medical Prescriber
PGCert Soft Tissue and Joint Injection Therapist
PGCert Diagnostic Ultrasound
Bolia, I. K., Gammons, P., Scholten, D. J., Weber, A. E., & Waterman, B. R. (2020). Operative versus nonoperative management of distal iliotibial band syndrome—where do we stand? A systematic review. Arthroscopy, sports medicine, and rehabilitation, 2(4), e399-e415.
Miccio, S., Berardi, A., Tofani, M., & Galeoto, G. (2021). Conservative Rehabilitation Treatments of Iliotibial Band Syndrome: A Systematic Review. Muscles, Ligaments & Tendons Journal (MLTJ), 11(1).