Iliotibial Band Syndrome - Symptoms

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What are iliotibial band syndrome symptoms and signs?

Pain on the outer side of the knee is the most common symptom of iliotibial band syndrome and is due to inflammation of the area where the band crosses back and forth at the femoral epicondyle. Initially, there may be a sensation of stinging or needle-like pricks that are often ignored. This can gradually progress to pain every time the heel strikes the ground and finally can become disabling with pain when walking or when climbing up or down steps.

Some patients may feel a snapping or popping sound at the knee, and there may be some swelling either where the band crosses the femoral epicondyle or below the knee where it attaches to the tibia. Occasionally, the pain may radiate along the course of the IT band all the way up to the outer side of the thigh to the hip.

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Comment from: SarahG_OT, 25-34 Female (Patient) Published: August 09

There was a sudden onset of symptoms. I woke up at 5 a.m. and realized the lateral portion of my left knee was very stiff and painful. I thought the pain was more localized at a tibial insertion point, but then I realized the pain was also noted when palpating higher up the leg, which led me to ITBS instead of a lower-leg muscle tendon inflammation. The pain was worse when the knee was extended fully when walking, as well as worse in the morning. The pain lessened with Advil and moderate walking/movement throughout my workday. I hope it subsides soon!

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