There are many reasons as to why ITB Syndrome may have been triggered. Some of the most common causes of ITBS are listed below:
Abnormalities in the individuals leg/feet anatomy:
- Supination of the athletes foot
- Excessive lower leg rotation due to over-pronation, which will cause friction and inflammation of the ITB
- High or low arches
- The force at the knee when the foot strikes (especially during endurance training)
- Uneven leg length causing strain
- Bowlegs or tightness about the iliotibial band
- Excessive wear on the outside heel edge of a running shoe (compared to the inside) is one common indicator of bowleggedness and poor form for runners
Common muscle imbalance causes are:
- Weak hip abductor muscles
- Weak/non-firing multifidus muscle
An individuals training habits:
- Always Running on banked or cambered surfaces (such as the shoulder of a road or an indoor track). This bends the downhill leg slightly inward and causes extreme stretching of the band against the femur
- Insufficient warm-up or cool-down period
- Excessive up-hill and down-hill running can cause additional strain and exaggerate the problem
- In cycling, having the feet “toed-in” to an excessive angle can cause friction of the IT band over the femur
- Excessive running up and down stairs
- Hiking long distances
- Longer distance Rowing
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