Ilio-Tibial Strip Syndrome

Ilio-Tibial Strip Syndrome


Ilio-Tibial Strip syndrome is usually caused by excessive friction of the strip on the lateral femoral epicondyle causing tissue inflammation under the strip. This affects riders and cyclists more often.


The tape is a rather thick fibroelastic membrane that starts from the hip and attaches to the tibia. The majority of the time people will complain about pain in the lateral aspect of the knee. Sometimes it is the proximal portion that will become irritated and thus create a pain in the hip.

ilio-tibial strip


An aberrant biomechanics during exercise may be the main cause. It can be an excessive pronation of the foot, an internal rotation of the tibia or a retroversion of the hip. Sometimes only a lack of flexibility may be the cause. It is also possible that the person suffers from an imbalance between the flexors and the extensors of the knee. A weakness of the hip abductors can cause stress on the knee and create the syndrome. An overtraining or excessive increase in distance during running or cycling may be the cause.

Differential Diagnostics

  • The chiropractor should when evaluating should eliminate the following diagnoses to confirm that the person is suffering from a syndrome of the strip.
  • The Chiromedic advantage is that therapists will not only relieve you but also find the cause to avoid recurrences. By analyzing the entire biomechanical chain of the foot pelvis, they will be able to arrive at the right diagnosis and the most appropriate treatment.


  • Muscle tension can be treated by ART (Active Release Technique) or by the Graston technique.
  • Specific stretching of the muscles too tight and weak muscle strengthening.
  • Kinesiotaping.
  • Neurocryotherapy, a new approach to controlling inflammation.
  • Interferential current and / or ultrasound.
  • According to the analysis of manual treatments (adjustment or mobilization) to correct the biomechanical dysfunctions (retroversion of the hip, tibial torsion, pronation of the foot).
  • Recommendation for proper training to avoid overtraining.
  • Cortisone injections as needed.




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