The ITB running down the outer thigh.
What does the iliotibial band do?
The iliotibial band (ITB) and the muscles associated with it (gluteus maximus and tensor fasica lata) function to extend, abduct, and laterally rotate the hip.
....[The gluteus maximus and tensor fascia lata] muscles....directly insert (either partially or fully) into the ITB, contributing to the functional mechanics...."
Problems with the feet, like flat-footedness, may stress the ITB and cause pain on the outer side of the knee.
"....The mechanical importance of the ITB is highlighted by the prevalence with which it is injured, particularly in runners...."
Iliotibial band overuse injury
Repetitive bending and straightening activities of the knee, for example in running, may irritate a tight iliotibial band, leading to pain in the knee and possibly the hip.
Problems in the ankle and foot, eg flat feet, also cause strain in the ITB.
"Abnormal pronation of the subtalar joint may cause increased internal rotation of the tibia, which increases the tension on the ITB at its insertion point on Gerdy’s tubercle during each foot strike."
Management of iliotibial band problems
Management involves -
Other relevant links
Extension, Abduct, Pes planus, Iliotibial band friction syndrome, Overuse injuries
Forum discussions
- Wyn's Left TKR,HELP WITH Tendinopathy & Iliotibial Band Syndrome - After both osteotomy and total knee replacement, this patient developed problems with the ITB.