Iliotibial band syndrome

Because the iliotibial band is made up of tendon tissue, recovery can take a long time. For proper rehabilitation go under the supervision of a physical therapist.


The iliotibial band is a band made of tendon tissue. The ITB runs from the side of the hip/ thigh to the outside of the knee. In most cases, irritation of the iliotibial band causes pain on the side of the knee. Irritation of this ligament is often caused by overuse. This type of overuse occurs in runners but certainly also in cyclists. Because the iliotibial band is made of tendon tissue, recovery is different from muscle injuries. Without proper guidance, tendon tissue recovery can take a long time.

A tendon problem often develops gradually and increases in severity over time. The course of symptoms is often recognizable and goes as follows:

  • Complaints at the start of an activity that gradually disappear. This is followed by an after reaction when the activity is over.
  • Complaints at start of activity that gradually disappear but are now already recurring during the activity.
  • Complaints that do not go away after the start of an activity and may be present even at rest.
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As previously described, irritation of the iliotibial band causes pain on the side of the knee. There is often pain with slight flexion of the knee. This pain is often described as stabbing. In addition, while stretching and bending the knee, a clicking/snapping sensation or sound may be experienced. In some cases, the knee may be somewhat swollen. Sometimes a stiff feeling is present on the side of the thigh/hip.


To determine the diagnosis of iliotibial band syndrome, an interview is held during the initial treatment. Using a series of questions and tests, the physical therapist will know whether you have illiotibial band syndrome or another condition. The physical therapist will explain what is going on and how best to treat this condition.


For the treatment of ilotiobial band syndrome or other tendon complaints you have come to the right place at FysioFitaal Tilburg! After diagnosis, the physiotherapist will start by giving appropriate advice regarding work, sports and other daily activities. Then the therapist will work with you to restore the balance between load and load capacity. This is done through the use of exercise therapy. Going to the physical therapist once or twice a week is not enough. In addition to exercise therapy homework exercises are an important part of recovery. In addition, if the symptoms are severe, a decision may be made to employ muscle techniques that reduce the pain can dampen.

Are you suffering from a complaint to your knee or other complaints that you just can't seem to get rid of? Make an appointment with one of our physical therapists now.

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