Iliotibial band is a thick section of connective tissue which runs on the outside of the thigh and acts like container for the whole thigh.  Technically it is a ligament, which attaches to the hip bone and blends into the knee capsule.

The ITB is crucial for stabilizing, flexing and extending the knee joint.  ITB syndrome occurs when the band rubs on the boney protuberance below the knee capsule.

ITB Syndrome Can Come From:

  • Common in runners, cyclist, rowers and hikers.
  • Runners who increase mileage too fast.
  • Running uneven surface.
  • Muscle/posture imbalances.
  • Weak hip muscles – such as gluts.
  • Flat feet/over pronation.
  • Different leg lengths.

Symptoms of ITB Syndrome:

  • Pain on the outside of the knee where the band attaches below the knee capsule.
  • Stinging sensation just above the knee joint.
  • Thickening of tissue where the band attaches to the knee capsule.
  • Pain after activity.
  • Pain will increase overtime.

The Cause:

There’s some controversy:

  • Some believe the ITB rubs against the knee causing inflammation. Others say the ITB is firmly attached to the knee capsule and not free to move against femur.  In the end, it’s a mystery.
    • Though most agree that there is a possibility of different subtypes of ITB friction
      • One type involving cyst, bursa or lateral synovial recess.
      • Another type involving compression by the ITB of the connective tissue between the lateral epicondyle and the knee joint line.
    • What is agreed upon – micro tears are occurring in the tissue resulting inflammation and thickening of the ITB.

I approach treating your knee pain to your presentation, which involves:

  • Analyzing your posture – how are muscle imbalances playing into your ITB issue?
  • Discussing potential lifestyle dynamics impacting the effected the leg.
  • Muscle testing the muscles for weakness and pain.
  • Targeting effected muscles, releasing motor points, trigger points and relaxing the fascia.

Providing exercises to continue treatment success between acupuncture treatments.

Call (914) 572-5137 today or click here to schedule an appointment & learn more about how we can help you.