Top 5 Evidence-Based Tips for Managing IT Band Syndrome in Runners

IT band syndrome, or iliotibial band syndrome, is a common overuse injury among runners that can cause pain and discomfort along the outside of the knee.

As a physical therapist who works with the running community, I understand the frustration of dealing with IT band issues and the importance of evidence-based strategies for effective management.

In this blog post, I'll share five general tips backed by research to help runners effectively manage IT band syndrome and get back to pain-free running!

  1. Modify Your Training Routine:

    • Adjust your training volume and intensity to avoid overloading the IT band. Gradually increase mileage and intensity to allow your body to adapt and reduce the risk of overuse injuries.

    • Incorporate cross-training activities such as swimming, cycling, or strength training to maintain fitness while giving your IT band a break from the repetitive stress of running.

  2. Address Muscular Imbalances:

    • Focus on strengthening the muscles that support the hip and knee, including the glutes, hip abductors, and quadriceps, to improve biomechanical alignment and reduce strain on the IT band.

    • Incorporate exercises such as single-leg squats, lunges, side planks and plyometric training to target these muscle groups and promote balanced strength and stability.

  3. Improve Flexibility and Mobility:

    • Incorporate dynamic warm-up exercises and stretching routines to improve flexibility and mobility in the hips, hamstrings, and IT band.

    • Try dry needling to help restore proper muscle flexibility and expedite the healing process.

  4. Assess Running Mechanics:

    • Evaluate your running form and biomechanics to identify any gait abnormalities or movement patterns that may contribute to IT band syndrome.

    • Work with a running coach or physical therapist to address issues such as overstriding, excessive hip adduction, or inadequate hip and knee stabilization through gait retraining and form drills.

  5. Implement a Gradual Return-to-Running Program:

    • Gradually reintroduce running throughout the rehabilitation process using a structured return-to-running program with tailored cross-training to promote strength and stability with your run.

    • Start with short, easy runs on flat terrain and gradually increase distance and intensity over time while monitoring for any signs of pain or discomfort.

    • Listen to your body and prioritize recovery, ensuring adequate rest and recovery days between runs to allow for tissue repair and adaptation.

Managing IT band syndrome requires a comprehensive approach that addresses training modifications, strength and flexibility exercises, running mechanics, and gradual return-to-running protocols. By incorporating evidence-based strategies into your training routine, you can effectively manage IT band syndrome, reduce pain and discomfort, and continue to enjoy the many benefits of running. At Wildflower Physical Therapy & Wellness, we understand the importance of bridging the gap between rehab and performance as well as maintaining a high level of activity throughout the injury rehab process. We are here to provide guidance, support, and personalized treatment to help you overcome IT band syndrome and reach your running goals. We offer both in-person evaluations as well as virtual movement assessments to help you achieve your goals. Fill out the form below to get started!


If you are struggling with illness or injury and would like to get your body moving, schedule a physical therapy appointment with us today! At Wildflower Physical Therapy & Wellness, we can help you to get back to the life you want to live through pain management strategies, activity promotion and exercise. Our Cash Based Physical Therapy model allows us to deliver a highly individualized treatment plan without the fuss of insurance companies.  Interested in trying dry needling to support your exercise routine and maximize recovery? Reach out to us today!



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Evidence-Based Recommendations for Treating Shoulder Impingement: A Physical Therapist's Perspective