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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.
Cyclists may develop iliotibial band syndrome from overuse. Often changing the position of the cletes by rotating the heels inward can help. Be certain to check the bike seat to make certain it is not too high. â...an association with weak gluteus medius muscles has been found in many runners with ITB syndrome.