ITB Friction Syndrome

Let’s talk about ITB Friction Syndrome. This painful and irritating condition is commonly seen in runners, cyclists and even military personnel.

And what exactly does ITB mean? ITB stands for Iliotibial band. This is a long, thin band of fascia that runs down the outside of your thigh.

At the top of the thigh it is attached to the Tensor Fascia Latae muscle and Gluteus Maximus. It runs all the way down to your lower leg bone, also known as the Tibia and Femoral Condyle on lower outside portion of the thigh bone.

This band can become irritated and painful due to poor biomechanics. Your biomechanics are altered by factors such as different training techniques that can cause muscle weakness, fatigue and general muscle imbalances.

Some of the most common causes of ITB Friction Syndrome include:

  • Poor running technique
  • Weak hip rotators
  • Weak inner quadriceps
  • Weak core muscles
  • Weak hip / gluteal muscles
  • Old running shoes that are no longer suitable
  • Sudden increase in training / marathon training
  • Running downhill excessively

And here are some of the warning signs of ITB Friction Syndrome:

  • Swelling over the outside of the knee
  • Pain when you bend your knees (especially at the start of the bend)
  • Sharp or burning pan just above the outer of the knee
  • Pain that continually progresses when completing repetitive movements
  • Pain that interferes with sport or routine activities and persists

The good news is that physiotherapy can bring relief and manage this painful condition. Your physiotherapist will get to the cause of your ITB Friction Syndrome and work out a progressive treatment plan. Many patients with this condition feel better within just a few short weeks after commencing treatment.

Regular physiotherapy will reduce your acute pain and inflammation as well as strengthen your hip, knee and leg muscles. De-loading your IT band and assistance with modifying your training will also help to manage the condition.

Contact the Progressive team today on (02) 4721 7798 if you have any questions or queries in regards to ITB Friction Syndrome or would like to book in an initial assessment.

Elin, is an alumni of St. Edward’s University and holder of a Bachelor’s degree in Kinesiology, furthered her academic journey by attaining a Doctor of Physiotherapy from Macquarie University in 2022.

Her passion for sports, particularly football (soccer), is evident in both her academic pursuits and personal endeavors. Specialising in the comprehensive well-being of athletes, Elin focuses on restoring them to peak performance while actively preventing future injuries.

Elin’s professional expertise is centered on musculoskeletal rehabilitation, with a specific emphasis on addressing and preventing knee injuries. Her approach integrates expert treatment with a commitment to educating and empowering patients, fostering their active involvement in enhancing their health and overall quality of life.

As an active participant in NPL football with SD Raiders, Elin brings firsthand experience and a profound understanding of the sport’s demands. Beyond the field, she extends her influence by contributing sports coverage over the weekends.

Christopher (Chris) Han graduated from the University of Sydney with a Bachelor’s Degree in Occupational Therapy, and then completed the Doctor of Physiotherapy program at Macquarie University in 2018. Chris is currently undertaking his PhD at the University of Sydney and Institute for Musculoskeletal Health in the field of low back pain and is due to complete this in early 2024. 

Chris is currently an assistant Physiotherapist for the NRL Referees. Chris has previous experience as the head Physiotherapist at Panthers Premier League Netball and a number of elite sporting athletes in the private setting.

Through Chris’ experiences, he has a particular interest in all areas of the body and musculoskeletal physiotherapy, sports, vestibular rehabilitation, and Men’s Health (pre and post prostate surgery).

Suzanne graduated from Western Sydney University with a Bachelor of Health Science (Sports and Exercise Science) in 2015. She then went on to continue her studies at Macquarie University graduating from the Doctor of Physiotherapy post-graduate degree in June 2019.

Since graduating, Suzanne has worked in the local Penrith area in both private practice and Sports Physiotherapy. Suzanne has worked with sporting teams including Penrith District Netball Association, Mt Druitt Rangers (NPL), Penrith Valley Figure Skating Club, and local dance and cheer schools. 

Suzanne has a particular interest in working with artistic athletes including cheerleaders and dancers. She has a professional background in both cheer and dance and has previously worked as both a cheer coach and dance teacher. Suzanne’s previous experiences are an invaluable resource to her as a physiotherapist, as she has a thorough understanding of the level of physical fitness and skill acquisition that these athletes must have in order to be successful on stage and in competition.

Suzanne’s other areas of clinical interest reside in lower limb musculoskeletal injuries, spinal pathologies and women’s health.

Nathanial graduated as a physiotherapist in 2012 which saw him work in private practice and hospital settings gaining experience in all areas of physiotherapy including hand therapy, splinting/casting, pre/post-operative care, Men’s Health and general musculoskeletal, occupational and sports physiotherapy. Since then he has gone on to complete further studies in physiotherapy enabling him to be the only dual titled Musculoskeletal, Sports and Exercise Physiotherapist in Penrith.

Nathanial has a strong background in sports physiotherapy achieving accreditation with NSWIS as a service provider and working with many elite sports teams.

Nathanial has a particular interest in working with elite athletes, complex cases and in particular assessment and management of knee, hip and shoulder pain.

Andrea graduated from the Australian Catholic University completing her Bachelor of Exercise and Sports Science in 2018 and Master’s of Clinical Exercise Physiology in 2020. After graduating she attained accreditation with ESSA as an Exercise Physiologist.

During her studies she gained clinical experience in both hospital and private practice settings, in cardiac rehabilitation, neurological conditions, cancer and chronic musculoskeletal injuries.

Since working at Progressive, Andrea has a specialist interest in treating musculoskeletal injuries, helping people in the mid-late stage of rehab to get them to return to sport or work. As well as helping people manage chronic conditions such as arthritis, osteoporosis and diabetes.