ITB Syndrome

The Solution

icon Google 5 Star Reviews for Brunswick Health

Rated 4.9 stars from 365+ reviews

Expert Physiotherapist in Melbourne providing treatment to a patient at a clinic Brunswick Health

ITB Syndrome: What Is It and How Do You Treat It?

Struggling with pain on the outside of your knee or thigh — especially when walking, running, or cycling?

It could be Iliotibial Band Syndrome (commonly called ITB Syndrome), a frustrating condition that can quickly sideline your activities.

At Brunswick Health, our experienced chiropractors, physiotherapists and massage therapists work collaboratively to get to the root of ITB pain and keep you moving — without flares, frustration or endless rest.

What Is ITB Syndrome?

ITB Syndrome is an overuse injury that affects the iliotibial band — a thick band of fascia running from your hip down the outside of your thigh, attaching just below the knee.

When the ITB becomes tight or irritated, it can rub against the outer knee, causing inflammation, pain and limited movement.

 

Symptoms of ITB Syndrome

  • Sharp or burning pain on the outside of the knee

  • Pain that worsens with activity — especially running or walking downhill

  • Discomfort after prolonged sitting or repetitive leg movement

  • Tenderness along the outer thigh or hip

  • A feeling of “snapping” or tension in the lateral knee area

 

Left untreated, ITB syndrome can become chronic and begin to affect your hip, pelvis and gait.

Man holding outer side of knee indicating IT band syndrome or lateral knee pain

Common Causes of ITB Syndrome

  • Pelvic or spinal misalignment

  • Weak hip or glute muscles

  • Flat feet or poor foot biomechanics

  • Excessive running, especially on hard or uneven surfaces

  • Tight thigh muscles or lack of flexibility

  • Poor footwear or technique

A key underlying issue is often biomechanical imbalance, particularly around the pelvis, hips — and even the feet.

How Chiropractic Care Helps ITB Pain

Chiropractors don’t just treat the site of the pain — they assess your body as a whole.

They look at how your spine, pelvis, hips and even your feet may be contributing to the issue. One of the most overlooked causes of ITB Syndrome is poor foot posture, particularly flat feet (fallen arches) or overpronation. These conditions can cause:

  • Inward rotation of the knees

  • Uneven tension on the ITB and thigh

  • Added strain through the hips and pelvis

This chain reaction often leads to irritation of the iliotibial band — especially during walking, running or prolonged standing.

Our chiropractors use advanced TOG (The Orthotic Group) gait analysis, which maps your feet using over 4,000 pressure sensors while you stand and move naturally. This fully weight-bearing assessment sends data directly to a specialist orthotic lab to produce custom orthotics specific to your foot structure.

Compared to many standard podiatry consults, this method is not only more accurate, but often more affordable, too.

Treatment may include:

  • Spinal and pelvic adjustments to restore alignment

  • Targeted muscle release of the ITB, glutes and hip flexors

  • Shockwave therapy for chronic tension and inflammation

  • Custom orthotics to support proper biomechanics

  • Rehabilitation exercises to retrain movement and prevent recurrence

By addressing the body as a whole — from the ground up — chiropractic care provides a comprehensive solution to stubborn ITB pain.

Physiotherapist treating knee pain with therapeutic exercises
Physiotherapist massaging a patient's thigh with a red highlight, indicating iliotibial band (ITB) syndrome treatment

When to Seek Help

You should book an assessment if:

  • Your pain worsens with activity or hasn’t improved with rest

  • You’re compensating and now feel tightness in the hips, back, feet or other leg

  • Your knee pain is affecting your sleep, training or daily movement

You don’t need a GP referral. The sooner you start treatment, the faster you can recover and prevent chronic flare-ups.

Call Today 03 9380 8099 – Relief Is Possible

Don’t let ITB Syndrome stop you doing what you love.

start your path to lasting relief!

5.0
Rated 4.9 stars from 365+ reviews

Contact Us Today

Follow us on social media for the latest updates and health tips!
Registered Health Providers
Health fund logos showcasing the various organisations that provide claims for chiropractic, physiotherapy, podiatry, osteopathy, and massage services at Brunswick Health.
Health fund logos showcasing the various organisations that provide claims for chiropractic, physiotherapy, podiatry, osteopathy, and massage services at Brunswick Health.