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ITB friction syndrome (runner’s knee)

ITB Friction syndrome is a very common complaint amongst elite and amateur runners alike. It is caused by the friction of the outside thigh muscle against the lateral aspect of the thigh bone (the lateral aspect of the end of the femur).

When does it occur?

  • Pain on the outside of the knee when running downhill, with stairs
  • Pain usually disappears with rest

What are the common causes?

  • The front hip muscles may lack flexibility
  • Running on cambered surfaces
  • Inappropriate footwear
  • Flat feet/ high arches
  • Pelvic stabiliser weakness

Early diagnosis is vital, and a graded rehab programme, including manual therapy and gait correction, can change the despondent runner into one who has renewed confidence to completing that marathon.