ITBS is one of the leading causes of knee pain in runners. The iliotibial band (IT band) runs along the length of the outer thigh, from the hip to the knee.   Friction between the IT band and the knee joint causes the area to become inflamed. Resting will decrease the pain and inflammation, but resuming activity usually causes it to recur.  ITBS can be caused by many factors including muscle imbalances, hip weakness, myofascial adhesions (such as scar tissue), overtraining, or improper footwear.

To treat ITBS, manual therapies may include one, or a combination of, the following: