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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.
Iliotibial band syndrome is an overuse injury of tissues of the outer thigh and knee. The iliotibial band stabilizes the leg, so when it flares up it can debilitate runners or bikers severely. The symptoms include a sharp pain or tightness on the outside of the knee just below the joint.