Iliotibial band syndrome causes

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Causes

Iliotibial Band Syndrome is the result of poor training habits, equipment and anatomical abnormalities.

Training habits:

  • Running on a banked surface (such as the shoulder of a road or an indoor track) bends the downhill leg slightly inward and causes extreme stretching of the band against the femur
  • Inadequate warm-up or cool-down
  • Increasing distance too quickly or excessive downhill running
  • In cycling, having the feet "toed-in" to an excessive angle
  • Running up and down stairs

Abnormalities in leg/feet anatomy:

  • High or low arches
  • Overpronation of the foot
  • The force at the knee when the foot strikes
  • Uneven leg length
  • Bowlegs or tightness about the iliotibial band.
    • Excessive wear on the outside heel edge of a running shoe (compared to the inside) is one common indicator of bowleggedness for runners.

Muscle Imbalance:

  • Weak hip abductor muscles

References

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