Tractus Iliotibialis Friction Syndrome (Runners Knee)

What is Tractus Iliotibialis Friction Syndrome?

The Tractus Iliotibialis Friction Syndrome, often called the “Runners Knee,” is an overuse injury in which the tendon ligament on the outside of the knee (tractus iliotibialis) rubs the thighbone. This causes irritation and pain, especially during running, cycling or other repetitive knee bends. It is common in athletes, as well as in people who do a lot of stair climbing or long walks.

Complaints

The syndrome can lead to:

• Pain on the outside of the knee, often during movement or after exertion
• Swelling or tenderness at the level of the knee
• Decreased stability or strength when running or climbing stairs
• Sometimes pain with extended periods of sitting with flexed knee

What can a podiatrist do?

A podiatrist can help reduce overuse and correct movement patterns:

• Analysis of gait pattern, foot position and load during sports
• Advice on shoes, orthotics or cushioning to relieve knee strain
• Exercises for muscle balance, stability and flexibility of the hip and knee
• Collaboration with physical therapists or sports physicians for an integrated approach

Recovery

Rehabilitation focuses on pain reduction and prevention of recurring symptoms. With proper support, movement modifications and targeted exercises, pressure on the knee can be reduced, allowing the joint to recover and making sports more comfortable again.