Iliotibial Band Syndrome
Written by: Dr. Popovitz.
Board-Certified Orthopedic Surgeon | Fellowship-Trained Sports Medicine, NYU Langone Medical Center | FAAOS
Co-Founder, NY Bone & Joint Specialists | Lenox Hill Hospital - Northwell Health
Recognized: New York Magazine Best Doctor | New York Times Super Doctor | IAOS Leading Physician of the World | IAOS Top Orthopedic Surgeon in New York
Date Published: July 24, 2018
Last Updated: October 25, 2018
Last Medically Reviewed: October 25, 2018
This page has been written and reviewed by a fellowship-trained, board-certified orthopedic surgeon with over 20 years of clinical experience. All clinical claims are supported by peer-reviewed literature and current AAOS and AOSSM guidelines. See References section below.
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WHAT IS THE IT BAND?
The iliotibial band is a piece of fibrous tissue running from the hip to the knee. Mostly made out of collagen, it encloses and stabilizes the muscles surrounding the knee. The IT band also works with these muscles to enable extension, flexion, and rotation of the knee, making it an indispensable component of the joint.
WHAT IS IT BAND SYNDROME?
IT band syndrome is a condition caused by sustained friction between the IT band and the lateral femoral epicondyle, a bony protrusion at the side of the knee. It frequently affects runners, whose IT bands are particularly prone to overuse. The condition can cause debilitating pain and restrict the knee’s range of motion, significantly limiting the patient’s ability to function.
IT BAND SYNDROME SYMPTOMS
The most common symptom of IT band syndrome is moderate to severe pain on the outside of the knee. The pain most often arises when running, and it tends to worsen until the patient rests the joint. Other common symptoms include:
- A sense of stinging around the knee
- A snapping or popping noise
- Swelling
IT BAND SYNDROME DIAGNOSIS

IT BAND SYNDROME TREATMENT
Conservative

Most cases of IT band syndrome can be effectively treated with non-invasive methods. Some of the most common include:
- Physical therapy centered around stretching and strengthening the IT band
- Running a foam roller along the side of the leg
- Massage therapy
- Corticosteroid injections
Surgical
While it’s rarely necessary, IT band syndrome can also be treated with a short surgical procedure. During the procedure, your surgeon will make several small incisions into the skin surrounding the IT band, then proceed to slightly reshape the band and remove any source of scarring or inflammation. As an arthroscopic procedure, it offers a shorter recovery period and fewer surgical complications, with many patients able to resume normal activities within a few weeks.
With decades of combined experience in sports medicine, the orthopedic specialists at New York Bone and Joint are well-equipped to help any patient recover from an injured IT band. We’ll work with you to develop a specialized treatment plan that promotes swift healing, ensuring that you can return to your active lifestyle as soon as possible.
IT BAND SYNDROME RECOVERY

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EXPERIENCING PAIN? DO YOU HAVE AN INJURY?
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Medically Reviewed by Dr. Popovitz.
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