Lateral Knee Pain Treatment - Pursuit Physical Therapy
Select Page

Lateral Knee Pain Treatment

  • No painful injections
  • No unnecessary surgery
  • No expensive medications
Book Your Evaluation

Lateral Knee Pain Treatment

  • No painful injections
  • No unnecessary surgery
  • No expensive medications
Book Your Evaluation
Iliotibial band syndrome (ITBS) is one of the most common causes of knee pain, particularly in individuals involved in endurance sports. It accounts for up to 12% of running injuries and up to 24% of cycling injuries. ITBS is typically managed conservatively through physical therapy and temporary activity modification.

What is Iliotibial Band Syndrome (ITBS)?

Iliotibial band syndrome (ITBS) occurs when excessive irritation causes pain at the outside (or lateral) part of the knee. The iliotibial band (ITB) is a type of soft tissue that runs along the side of the thigh from the pelvis to the knee. As it approaches the knee, its shape thickens as it crosses a prominent area of the thigh (femur) bone, called the lateral femoral condyle. Near the pelvis, it attaches to 2 important hip muscles, the tensor fascia latae (TFL) and the gluteus maximus. ITBS involves many lower extremity structures, including muscles, bones, and other soft tissues. Usually discomfort arises from:Irritation and inflammation arise from friction between the ITB and underlying structures when an individual moves through repetitive straightening (extension) and bending (flexion) of the knee. Typically, ITBS pain occurs with overuse during activities such as running and cycling.
  • Abnormal contact between the ITB and thigh (femur) bone
  • Poor alignment and/or muscular control of the lower body
  • Prolonged pinching (compression) or rubbing (shearing) forces during repetitive activities
The common structures involved in ITBS are:
  • Iliotibial band
  • Bursa (fluid-filled sack that sits between bones and soft tissues to limit friction)
  • Hip muscles
ITBS can occur in:
  • Athletes performing repetitive activities, such as squatting, and endurance sports such as running and cycling
  • Individuals who spend long periods of time in prolonged positions, such as sitting or standing for a long workday, climbing or squatting, or kneeling
  • Individuals who quickly start a new exercise regimen without proper warm-up or preparation

Signs and Symptoms Of Distal IT Band Syndrome

With ITBS, you may experience:
  • Stabbing or stinging pain along the outside of the knee
  • A feeling of the ITB “snapping” over the knee as it bends and straightens
  • Swelling near the outside of your knee
  • Occasionally, tightness and pain at the outside of the hip
  • Continuous pain following activity, particularly with walking, climbing, or descending stairs, or moving from a sitting to standing position
Pain is usually most intense when the knee is in a slightly bent position, either right before or right after the foot strikes the ground. This is the point where the ITB rubs the most over the femur.

How Is IT Band Syndrome or Lateral Knee Pain Diagnosed?

Your physical therapist will ask you questions about your medical history and activity regimen. A physical examination will be performed so that your physical therapist can collect movement (range of motion), strength, and flexibility measurements at the hip, knee, and ankle. When dealing with ITBS, it is also common for a physical therapist to use special tests and complete a movement analysis, which will provide information on the way that you move and how it might contribute to your injury. This could include assessment of walking/running mechanics, foot structure, and balance. Your therapist may have you repeat the activity that causes your pain to see firsthand how your body moves when you feel pain. If you are an athlete, your therapist might also ask you about your chosen sport, shoes, training routes, and exercise routine. Typically, medical imaging tests, such as x-ray and MRI, are not needed to diagnosis ITBS.

How Can a Physical Therapist Help Treat IT Band Syndrome?

Your physical therapist will use treatment strategies to focus on:

Range of motion

Often, abnormal motion of the hip and knee and foot joint can cause ITBS because of how the band attaches to hip muscles. Your therapist will assess the motion of your injury leg compared with expected normal motion and the motion of the hip on your uninvolved leg.

Muscle strength

Hip and core weakness can contribute to ITBS. The “core” refers to the muscles of the abdomen, low back, and pelvis. Core strength is important, as a strong midsection will allow greater stability through the body as the arms and legs go through various motions. For athletes performing endurance sports, it is important to have a strong core to stabilize the hip and knee joints during repetitive leg motions. Your physical therapist will be able to determine which muscles are weak and provide specific exercises to target these areas.

Manual therapy

Many physical therapists are trained in manual therapy, which means they use their hands to move and manipulate muscles and joints to improve motion and strength. These techniques can target areas that are difficult to treat on your own.

Functional training

Even when an individual has normal motion and strength, it is important to teach the body how to perform controlled and coordinated movements so there is no longer excessive stress at the previously injured structures. Your physical therapist will develop a functional training program specific to your desired activity. This means creating exercises that will replicate your activities and challenge your body to learn the correct way to move. Your physical therapist will also work with you to develop an individualized treatment program specific to your personal goals. He or she will offer tips to help you prevent your injury from reoccurring.

Can Distal IT Band Syndrome be Prevented?

Maintaining core and lower extremity strength and flexibility and monitoring your activity best prevents ITBS. It is important to modify your activity and contact your physical therapist soon after first feeling pain. Research indicates that when soft tissues are irritated and the offending activity is continued, the body does not have time to repair the injured area. This often leads to persistent pain, and the condition becomes more difficult to resolve.Once you are involved in a rehabilitation program, your physical therapist will help you determine when you are ready to progress back to your previous activity level. He or she will make sure that your body is ready to handle the demands of your activities so that your injury does not return. You will also receive a program to perform at home that will help you maintain the improvements that you gained during rehabilitation.

Solve the root cause of your pain

How Our Treatment is Different

We believe that working with a specific specialist for your care is the best way to solve the root cause of your pain. Work one-on-one with a Doctor of Physical Therapy every time your visit our office.

Book your evaluation

Exclusive one-on-one patient care

While most clinics will give you a limited amount of time with your Doctor, we believe that true results come from consistent one-on-one therapy.

Work with your specialist every visit

Stop being handed off to trainees or non-Doctors for your Physical Therapy. At Pursuit, you'll work exclusively with your Doctor of Physical Therapy that specializes in your specific needs.

24/7 messaging access to your specialist

Ever have an issue or questions? We're here to help. Get 24/7 access to your specialist while you're under our care. Physical Therapy doesn't just happen when you're in our clinic, so we're here for you when you need us.

No waiting periods

Get off that waiting list and get the treatment you need. We're always ready to accept new patients, so you can get better faster and get back to a pain-free life that you deserve.

Not limited by insurance

Don't let the insurance companies tell you how much treatment you need. Avoid the limitations of short sessions that insurance provides and work with our Doctors when you need it and for as long as you need it.

No painful injections, no expensive medications, no surgery

In order to truly solve your pain, we use a holistic approach to Physical Therapy, not relying on injections, medications, or surgery. Instead, we'll strengthen your body's weak points that are causing your pain.

MEET THE TEAM

Ron Miller

RON MILLER, DPT, OCS, Cert DN


Doctor of Physical Therapy | Board Certified Orthopaedic Physical Therapy Clinical Specialist | Post-Doctoral Orthopaedic Residency Trained | Certified in Dry Needling | Titleist Performance Institute Certified

Dr. Ron Miller is the owner and founder of Pursuit Physical Therapy. His core belief is that it is not about the physician, the physical therapist, or the insurance company: it is about what is truly best for the patient. Dr. Miller started...

Carey Rothschild

CAREY ROTHSCHILD, DPT, OCS, SCS, CSCS, CKTP


Doctor of Physical Therapy and Assistant Professor at the University of Central Florida | Board Certified Orthopaedic Clinical Specialist
| Board Certified Sport Clinical Specialist

Dr. Carey Rothschild is an Assistant Clinical Professor in the Doctor of Physical Therapy Program at the University of Central Florida.  Dr. Rothschild earned a Bachelor of Health Science in Physical Therapy in 1999 from the University of Florida and a Doctor of Physical Therapy from Boston University in 2005...

Carey Rothschild
Michael Fabrick

MICHAEL FABRICK, DPT, Cert. DN


Doctor of Physical Therapy | Certified in Dry Needling | Pursuit Sports Performance Specialist | Professional Tennis Tour Physical Therapist

Dr. Michael Fabrick was born and raised in Hanover, Pennsylvania and attended Slippery Rock University where he received his Bachelor’s degree in Exercise Science. He then went on to receive his Doctorate Degree in Physical Therapy in May of 2020. During his final tenure as a Doctoral intern, he trained underneath Todd Ellenbecker, who is one of the world’s leading experts on shoulder rehabilitation and is the Vice President of Medical Services for the ATP World Tour...

MARYANN DANIELS, PT, MCMT, IDN


Physical Therapist | Dry Needling Certified | Mastery Certified In Manual Therapy | Pelvic Floor And Post Partum Specialist

Maryann was originally born in Connecticut but moved to Florida with her family at the age of 9 and she grew up in Jupiter, Florida. She then went to college at the University of Central Florida...

BECOMING PAINFREE  IS EASIER THAN YOU THINK

step1

Step 1:

Call our expert team.

step 2

Step 2:

We’ll work with you to find and treat the root of your pain.

step 3

Step 3:

Get back to doing what you love.

Call us to schedule your appointment

(407) 494-8835
(407) 494-8835

Ask one of our Board Certified Specialists a question about your pain. Just fill out the form below.

    Name
    Email
    Phone
    How can we help?
    -

    SEND MESSAGE