Iliotibial tract friction syndrome (pain on the outside of the knee)

Iliotibial band friction syndrome is an injury that is common amongst runners and walkers. It is the most common cause of pain on the outside of the knee.

The iliotibial tract serves to provide stability to the outer side of the knee. When the knee bends, the position of the iliotibial tract shifts slightly backwards. When the knee straightens again, it snaps back forwards. This movement is usually responsible for irritation and inflammation of the iliotibial tract and bursitis.

Iliotibial band friction syndrome is often caused by overuse of the knee, for example whilst running or walking. This overuse can be caused by, amongst other things:

• Holvoeten: this foot type provides less shock absorption in the feet and ankles, placing greater strain on the knees.
• Weak gluteal and/or thigh muscles.
• Ankles that have turned inwards and Bow legs
• Leg-length discrepancy
• Weak knee ligaments

The pain is usually localised on the outside of the knee. The pain can range from a dull ache to a sharp, stabbing pain. The bursa (near the hip) may also be painful when walking or when local pressure is applied, for example, by lying on it.

Iliotibial tract friction syndrome is often confused with the runner’s knee or cyclist’s knee. Although both are common among runners, they are in fact different injuries. With iliotibial band friction syndrome, pain is felt on the outside of the knee, whilst with runner’s knee, pain is felt on the front of the knee.

Our podiatrists can investigate the cause of your knee problem and provide you with appropriate treatment, such as fitting (sports)insoles, providing a shoe advice, temporary relief via taping or treatment in conjunction with a physiotherapist.

Do you run a lot and experience pain in your knees? RondOm Podotherapeuten offers a gait analysis aan; a comprehensive movement and gait analysis that assesses your walking pattern and any injuries. This will help you train in a more targeted way so that you can walk better, faster and injury-free.