Though recognizing the sharp, burning lateral knee pain of iliotibial band
syndrome isn't difficult, treating the condition can be a challenge because
underlying myofascial restrictions can significantly contribute to the pat
ient's pain and disability. The physical exam should include a thorough eva
luation to identify tender trigger points as well as tenderness and possibl
e swelling at the distal iliotibial band. After acute symptoms are alleviat
ed with activity restriction and modalities, problematic trigger points can
be managed with massage therapy or other treatments. A stepwise stretching
and strengthening program can expedite patients' return to running.