Illiotibial Band Friction Syndrome at a Glance

For many St. Louis runners, the time has come to lace up your shoes and hit the road running in preparation for a spring marathon or half marathon.  Three or four weeks into their new training program will be a tough time for some of those runners because that period is one of the likeliest for an injury to occur.  And one of the most common of those injuries will be Illiotibial Band Friction Syndrome (IBFS or ITB).

While IBFS is sometimes caused simply by the friction resulting from the the constant bending and straightening of the knee during the running motion, the most common root cause of friction on the illiotibial band is  an increased tilt in the pelvis.  In either case, the friction eventually results in the same localized irritation and inflammation of the illiotibial band.   IBFS-causing hip tilt can be caused by both internal and external geometries.   Internally, anatomical problems such as bowed legs, differences in leg length, excessive pronation (i.e., rolling inward) of the foot and ankle, and weak or tight glute or quad muscles can cause the tilt.  Externally, if a runner repeatedly runs on the same side of a sloped road, hip tilt is almost inevitable.    

What the runner will feel….


In the future...

If you have any further questions, please contact FLEET FEET Head Coach, Brandi Barbre, at or by calling 855-LUV-2-RUN ext. 5.

Connect With Us

see the latest from Fleet Feet St. Louis