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Causes of Iliotibial Band Syndrome. Causes of Iliotibial Band Syndrome. Iliotibial band syndrome is caused by irritation to the band of fibrous tissue that runs from the hip joint to the shinbone just below the knee joint. Risk factors include extensive running, a bowlegged stance, overpronation and leg length discrepancies.
The main symptoms of Iliotibial Band Syndrome are: 1) Lateral Knee Pain: pain over the outer side of the knee, especially when the heel strikes the floor. The pain is worse with running and stairs, especially when going down. It may also hurt to bend and straighten the knee.