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Iliotibial Band Syndrome !

Iliotibial band syndrome is overuse pain on the outer knee where the IT band rubs over the end of the femur, common in runners.

Updated 2026-10-23

Structures involved

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What it is

Overuse irritation where the iliotibial band rubs over the lateral femoral epicondyle, common in runners.

Risk factors

  • Sudden increase in running distance or intensity
  • Weak hip abductors
  • Excessive downhill running

Symptoms and signs

  • Sharp or burning pain on the outer knee
  • Pain that starts after a predictable distance
  • Tenderness over the lateral epicondyle

Diagnosis

Clinical
History and point tenderness
Imaging
Usually not needed

Treatment

Rehabilitation
Activity modification, hip and gluteal strengthening, and gradual return to running.

Educational information, not medical advice. For any symptom, see a health professional.

Sources: Iliotibial Band Syndrome (StatPearls (NCBI Bookshelf), 2024).

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Representative model, for educational purposes only.

IT band highlighted on the Durgical 3D model