Welcome to Carolina Pain & Performance, where we specialize in the treatment and management of IT band syndrome. If you’re experiencing pain on the outer part of your knee or thigh, you may be suffering from this band syndrome, a common condition especially among runners and cyclists. Let’s explore what IT band syndrome is, why it occurs, and how we can help you alleviate the pain and get back to your peak performance.

What is IT Band Syndrome?

IT band syndrome, or iliotibial band syndrome, occurs when the iliotibial band—a thick band of tissue that runs from your hip to the outside of your knee—becomes tight or inflamed. This can cause pain and swelling on the outside of the knee, making it difficult to engage in physical activities.


The main cause of IT syndrome is overuse, typically in activities that require repetitive knee movements, such as running, cycling, or hiking. Other factors can include:

  • Poor training habits or inadequate warm-up
  • Imbalances in muscle strength and flexibility
  • Incorrect alignment and biomechanics
  • Wearing worn-out shoes


The most common symptom of IT band syndrome is a stinging sensation just above the knee joint. Other symptoms include:

  • Swelling or thickening of the tissue at the point where the band moves over the femur
  • Pain during activity, especially when bending the knee
  • Tenderness in the area outside the knee

Diagnosis and Treatment at Carolina Pain & Performance

At Carolina Pain & Performance, we begin with a thorough assessment to diagnose IT band syndrome. This includes a physical examination and may involve imaging tests such as an MRI or ultrasound to rule out other conditions.

Once diagnosed, treatment options may include:

  • Physical therapy to stretch and strengthen the muscles around the hip and knee
  • Manual therapy to improve tissue mobility
  • Advice on activity modification and proper training techniques
  • Assistive devices such as orthotics or supportive footwear

Preventive Measures

Prevention is key to managing IT syndrome. At Carolina Pain & Performance, we recommend:

  • Proper warm-up and cool-down exercises
  • Regular strength and flexibility training
  • Gradual increase in activity levels
  • Regular replacement of athletic footwear


At Carolina Pain & Performance, we understand the frustrations that come with band syndrome. Our expert team is here to guide you through a personalized treatment plan to ensure you return to your activities without pain. Remember, early intervention is crucial to a quick and successful recovery. Contact us today to schedule your consultation and take the first step towards recovery.