IT band syndrome

Iliotibial (IT) band syndrome is a common cause of pain on the outer side of the knee, especially in runners and cyclists. It's an overuse problem, often triggered by ramping up training too quickly, and typically causes a sharp or burning pain that worsens with continued activity.

Physiotherapy helps by managing load, addressing contributing factors like strength and training habits, and gradually returning you to activity. In this guide we cover assessment and evidence-based, load-based management of IT band syndrome — practical guidance for clinicians and clear advice so runners and cyclists understand how to settle symptoms and get back to training comfortably.