ITB Friction Syndrome

ITB (Iliotibial band) Friction Syndrome also known as “Runner’s Knee” is an overuse injury commonly seen in runners. Being an overuse injury, it is caused by repeated trauma rather than an acute specific incident.

The ITB attaches to a bony prominence (femoral condyle) on the outside of the knee. It slides across this bony point with movement. This repetitive sliding can create excess friction, especially when the knee is bent at 30 degrees, which commonly happens just as your foot strikes the ground in running.

Symptoms of ITB Friction Syndrome

  • Pain over the outside of the knee
  • Pain that refers along the outside of the leg
  • Swelling over the outside of the knee
  • Pain that worsens with continued running or repetitive activities


Causes of ITB Friction Syndrome

  • Poor running biomechanics/ technique
  • Poor foot arch control
  • Weakness in Hips/ Glutes
  • Weak core muscles
  • Incorrect footwear – either worn out or unsuitable
  • Endurance running – training for distance events e.g. Marathons
  • Sudden increase in running amount


Our Myotherapists are trained to thoroughly assess ITB Friction Syndrome and will put together an individualised treatment plan to help relieve pain and restore normal function back to your body. Furthermore they will assess your running patterns and footwear and make any recommendations that will improve your biomechanics for pain free running.

Depending on your presentation treatment may include a combination of the following techniques:

  • Soft and Deep Tissue Massage
  • Myofascial Cupping
  • Myofascial Dry Needling
  • Stretching
  • TENS
  • Hot and Cold Therapies
  • Postural and Corrective Exercises


If you are experiencing ITB Friction Syndrome or know someone who is call Essential Health on 9663 5134 to book an appointment today or to further discuss how Myotherapy will benefit you.