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The Irish Society of Chartered Physiotherapists

Knee Arthrtisi

Causes Of Runners Knee

Iliotibial band syndrome is an injury that occurs with irritation of the tendon as it rubs against the bone at the side of your knee often during repetitive running or cycling. Inflammation may occur because of a lack of flexibility of the ITB resulting in an often results in tension in the knee area. ITBS can also arise as a result of muscle imbalances and weakness in the gluteal and core muscles.

The most common causes of ITBS are over exertion without enough recovery time, tight muscles (especially around the hip), weak hip / gluteal muscles and inappropriate footwear (investing in some orthotics can help alleviate this problem). At Galway Bay Physio we treat these weaknesses and tightness and can help with exercise routines to prevent recurrences.

Signs And Symptoms

There are varying degrees of severity of ITBS but the most common symptoms include sharp pain just above the outer part of the knee, pain that worsens with continuance of running or other repetitive activities, swelling over the outside of the knee and the gradual rather than sudden onset of symptoms i.e. no specific injury usually indicates ITBS.


Physiotherapy treatment for ITBS is vital to hasten the healing process, ensure an optimal outcome and reduce the likelihood of recurrence. At Galway Bay Physio we use deep soft tissue massage, joint mobilization, dry needling, progressive exercises to improve flexibility, strength, balance and biomechanics and core stability, prescribe orthotics and finally activity modification in order to get you back to activity as soon as possible.

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You can also book your appointment online for Athenry, Oranmore and Galway City Clinics

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If you are unsure of whether or not you are suitable to attend a chartered physiotherapist, feel free to contact us for a free telephone consultation.

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