ITB Friction Syndrome

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Local pathways

Friction from the Iliotibial Band over the lateral epicondyle of the distal femur is a source of localised lateral knee pain, particularly in distance runners.
Activity modification and physiotherapy with stretches and correction of any muscle imbalances are the mainstay of treatment. Type of footwear and pronated feet have also been implicated and a podiatry or orthotics referral may be appropriate. Corticosteroid injection may help more severe cases, but this is unlikely to completely cure the problem.
There are no proven effective operations for ITB friction syndrome and therefore we do not offer surgical consultation for this condition.

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