From the Research
Iliotibial band syndrome treatment should prioritize a combination of rest, physical therapy, and anti-inflammatory measures, with a focus on stretching the IT band and strengthening hip abductor muscles, as supported by the most recent study 1. The treatment approach should be multifaceted, addressing the various factors that contribute to the development of iliotibial band syndrome. Initially, reducing or modifying activities that cause pain, particularly running on hills or uneven surfaces, is essential. Applying ice to the affected area for 15-20 minutes several times daily can help reduce inflammation. Over-the-counter NSAIDs like ibuprofen (400-600mg three times daily with food) or naproxen (220-440mg twice daily) can be used to manage pain and inflammation for short periods, typically 1-2 weeks.
Some key points to consider in the treatment of iliotibial band syndrome include:
- Rest and modification of activities to reduce stress on the IT band
- Physical therapy to stretch the IT band and strengthen hip abductor muscles
- Use of anti-inflammatory measures, such as NSAIDs and ice, to reduce inflammation
- Proper footwear, with running shoes typically needing replacement every 300-500 miles
- Consideration of corticosteroid injections or surgical intervention if symptoms persist beyond 4-6 weeks of conservative treatment
According to the study 1, hip abductor strengthening may correct excessive hip adduction but also increase ITB strain, and intermittent stretching interventions are unlikely to change the ITB's length or mechanical properties. Running retraining is a promising yet understudied intervention. The study 2 also highlights the importance of conservative management, including rest, stretching, and pain management, which can produce a significant cure rate. However, the most recent study 1 provides the most up-to-date guidance on the treatment of iliotibial band syndrome.
In terms of specific treatment recommendations, the study 1 suggests that physical therapy should focus on optimizing physiotherapy, and high-quality research is needed to directly test different physiotherapeutic treatment approaches. The study 3 also challenges the reasoning behind accepted means of treating ITBS, suggesting that future research must focus on stretching and lengthening the muscular component of the ITB/TFL complex. Overall, a comprehensive treatment approach that addresses the various factors contributing to iliotibial band syndrome is essential for effective management.