ITBS symptoms range between individuals – from a dull pain or stinging sensation just above the knee joint (on the outside of the knee or along the entire length of the Iliotibial band on the outer leg) to a swelling of the tissue at the point where the band moves over the femur.

In most cases the pain does not occur immediately upon starting physical activity, but intensifies over time, especially as the foot  strikes the ground. Pain can also persist after activity below the knee, where the Iliotibial band (ITB) actually attaches to the tibia.

Although less likely, especially as a sports injury, ITBS can also occur where the IT band connects to the hip. It commonly occurs during pregnancy, as the connective tissues loosen and the woman gains weight—each process adding more pressure and triggering the issues.

ITBS at the hip also affects the many elderly people and is fairly common. ITBS at the hip is studied less and few treatments are generally known, although stretching correctly is widely considered the best treatment.