Knee Pain While Running? Check Your Risk for Iliotibial Band Syndrome!
Published: Dec 08, 2023
Knowing the risk factors for Iliotibial Band Syndrome (ITBS) can help prevent this painful knee condition, especially for active individuals.
Contents
Intrinsic Risk Factors
Intrinsic factors like weak hip abductors can increase the risk of ITBS. This weakness can cause the knee to rotate improperly, putting stress on the iliotibial band. Other factors include tightness in the IT band itself and differences in leg length.
Extrinsic Risk Factors
External factors like running surfaces and footwear also play a role. Running on sloped surfaces or with incorrect footwear can exacerbate the problem. Sudden increases in running distance or intensity are also a risk.

Cycling-Specific Risks
Cyclists can suffer from ITBS due to improper bike fit. Incorrect pedal positions or saddle heights can increase tension on the band. Adjustments in cycling posture and equipment can help mitigate these risks.
Frequently Asked Questions
Weak hips, tight IT band, and improper running surfaces can raise the risk.
Yes, incorrect footwear can increase ITBS risk.
Yes, improper bike fit can lead to ITBS in cyclists.
Running on sloped surfaces increases ITBS risk.
The Bottom Line
Identifying your risk factors for ITBS is crucial to avoiding this common knee ailment.
References
- Fredericson M, Cookingham CL, Chaudhari AM, et al. Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med 2000; 10:169.
- Pinshaw R, Atlas V, Noakes TD. The nature and response to therapy of 196 consecutive injuries seen at a runners' clinic. S Afr Med J 1984; 65:291.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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