Our expert says:
ITB is notoriously difficult, and it can be very long lasting. You have already had physio, which is good, and perhaps what you need to do now is consider what the cause of the problem is, rather than just treating it. For example, the reason you have been given stretching exercises is because one possible cause of ITB pain is tightness of the band, which then causes it to rub against the knee when walking and running. Stretching loosens it. However, this has not worked for you and so either the stretches must be changed or there is something else that needs to be done. The other common cause of ITB pain is weakness in certain muscle groups, most notably the gluteus muscles. You have to look at strengthening these, if this has not been shown to you already. I would suggest you find these exercise from a physio and then begin doing them regularly. finally, if you are absolutely despearate, consider the surgical route. Don't cringe in fear, the surgery for ITB is really brief and pretty painless. It's a matter of cutting the band to release some of the tightness, and requires some rest afterwards, but it is pretty effective in treating the condition. In the meantime you can continue to cycle, as this doesn't cause pain (the reason, by the way, is because the ITB only moves over the knee when the leg is in a certain position and this position is not reached in cycling, or when walking with straight legs), but consider the strength option and the surgery as a last resport.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.