Iliotibial Band Syndrome Current Evidence

Abstract

Purpose of Review: The goal of this paper was to synthesize the most up-to-date information on iliotibial band syndrome (ITBS). Recent Findings: Progression of running volume was not more significantly associated with ITBS incidence than progression of running intensity. Functional motor control exercises may be superior to traditional exercise. ESWT (extracorporeal shockwave therapy) is shown to be an effective treatment for ITBS. Summary: ITBS has the second-highest incidence rate of all knee pathologies in runners. The pathophysiology of ITBS is still unknown as recent studies have shown the original theory that the disease is caused by friction between the ITB and lateral femoral epicondyle is unlikely. Conservative management continues to be the main course of treatment for ITBS. Different exercise programs may yield different results, but a consistent program typically results in improvement of symptoms. More studies are required to evaluate the effectiveness of alternative therapies. Recent studies support the use of ESWT for the treatment of ITBS.