Iliotibial Band Syndrome - Diagnosis

Describe the events that led to a diagnosis of iliotibial band syndrome.

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How is iliotibial band syndrome diagnosed?

Often, the diagnosis of iliotibial band syndrome can be made by the patient's story of symptoms. The patient describes the progression of lateral knee pain that is made worse when the heel strikes the ground. Physical examination is helpful because the area of pain can often be palpated with tenderness and swelling felt over the femoral epicondyle where the bursa or sac is located.

The health care professional may also look for leg-length discrepancy and muscle imbalance in the legs and back. There is tenderness of the outer thigh just above the knee joint while the knee and hip joints are normal.

Usually, a full physical examination of the low back and legs, including the hips, knees and ankles, is performed to detect other potential causes of outer knee pain.

Blood tests and X-rays are usually not required.

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