Ilio-tibial Band Syndrome (Outside Knee & Hip Pain)

Ilio-tibial band syndrome is a common overuse injury in athletes. It’s caused by abnormal friction and torsion of the ilio-tibial band over the knee and hip joints.


This condition commonly causes a gradual but rather severe pain on the outside knee joint and less commonly on the outside hip section. Sometimes, simply walking up or down stairs may aggravate this condition. The pain usually subsides immediately upon rest but recurs with activity.


Excess pronation causes excess internal tibial rotation, which effectively causes the ilio-tibial band to shear over the lateral femoral condyle, resulting in friction, tightness, and secondary inflammation.