Ace Physiotherapy and Sports in Singapore
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ACE PHYSIO SPORTS
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Iliotibial Band Syndrome
What is iliotibial band syndrome?
Iliotibial band syndrome occurs when the iliotibial band repeatedly rubs against a bony prominence, leading to pain and irritation.
The iliotibial (IT) band is a strong band of connective tissue that runs along the outside of the thigh, from the hip to the outer side of the knee. Iliotibial band syndrome can develop when this band rubs over a bony prominence near the hip joint, causing irritation and discomfort. Recognising the symptoms early is important, as physiotherapy can play a key role in effective treatment and recovery.
How does iliotibial band syndrome happen?
When the upper leg moves—particularly in side-to-side motions—the iliotibial band slides over a bony prominence at the top of the leg. If this movement is repeated frequently, or if the band is excessively tight, it can lead to microscopic wear and tear within the tissue. In response, the body triggers an inflammatory process, which results in pain on the outer side of the hip.
What are the symptoms of iliotibial band syndrome?
Iliotibial band syndrome typically develops gradually, causing pain on the outside of the hip. This discomfort is often aggravated by activities that involve repeated movement of the upper leg—such as running. At first, the pain may present as a dull ache on the outer side of the hip, appearing toward the end of a workout and easing once the activity stops. Other symptoms may include:
- A dull ache on the outside of the hip during or after activity
- Sharp or burning pain on the outer hip with prolonged exercise
- Tenderness when pressing on the outer hip area
- Tightness along the outside of the thigh
- Discomfort when lying on the affected side
- Pain that worsens with running, climbing stairs, or repetitive leg movements
What should I do if I have iliotibial band syndrome?
If you have or suspect you have iliotibial band syndrome, you should consult a physiotherapist, as it is unlikely to resolve on its own. In the meantime, you can apply ice to the outside of your hip. Use a bag of frozen peas or crushed ice wrapped in a damp cloth, and place it over the affected area for 15–20 minutes every 1–2 hours.
Physiotherapy treatment for iliotibial band syndrome.
Physiotherapy is imperative in the treatment of iliotibial band syndrome. Initially, your physiotherapist can assist in diagnosing your problem and establishing its severity. Following your initial assessment, your physiotherapist will design an appropriate treatment plan. Treatment may involve:
- Activity modification to reduce movements that aggravate your symptoms.
- Ice therapy to help reduce inflammation and pain.
- Stretching exercises to improve flexibility of the iliotibial band and surrounding muscles.
- Strengthening exercises for the hip, gluteal, and thigh muscles to improve stability and reduce strain on the band.
- Soft tissue therapy such as massage or myofascial release to address tightness in the iliotibial band.
- Biomechanical assessment and correction to address poor movement patterns or alignment issues.
- Gradual return to activity with a structured progression plan.
What shouldn’t I do if I have iliotibial band syndrome?
If you have or suspect you have iliotibial band syndrome, you should not ignore the problem or continue with activities that aggravate your symptoms. Doing so may cause your condition to worsen, leading to increased pain, more frequent flare-ups, and a longer recovery period.
Could there be any long-term effects from iliotibial band syndrome?
If iliotibial band syndrome is properly diagnosed and treated, it usually does not cause any long-term effects. In rare cases where symptoms persist despite appropriate physiotherapy, surgery may be considered. Surgical intervention is only undertaken when all conservative treatment options have failed to provide relief.
To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.
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