Iliotibial Band Syndrome - Causes

Causes

ITBS can result from one or more of the following training habits, anatomical abnormalities, or muscular imbalances:

Training habits:

• Always running on a banked surface (such as the shoulder of a road or an indoor track) bends the downhill leg slightly inward and causes extreme stretching of the band against the femur
• Inadequate warm-up or cool-down
• Excessive up-hill and down-hill running
• In cycling, having the feet "toed-in" to an excessive angle
• Running up and down stairs
• Hiking long distances
• Rowing
• Breaststroke

Abnormalities in leg/feet anatomy:

• High or low arches
• Supination of the foot
• Excessive lower leg rotation due to over-pronation
• The force at the knee when the foot strikes
• Uneven leg length
• Bowlegs or tightness about the iliotibial band.
  • Excessive wear on the outside heel edge of a running shoe (compared to the inside) is one common indicator of bowleggedness for runners.

Muscle imbalance:

• Weak hip abductor muscles
• Weak/non-firing multifidus muscle