The Iliotibial Band (ITB) is a broad band of connective tissue down the outside of the thigh. The Tensor Fascia Latae, gluteus medius, gluteus maximus attach to the ITB helping to tighten the ITB and stabilise the knee during walking and running. If you have poor foot biomechanics, weak hip abductor muscles, torsion of your pelvis, poor proprioceptive control, or you increase your activity levels too quickly, you may develop pain in the ITB. It is a common problem in runners if they increase the distance they run too quickly, increase hill running or running pace. Treatment with a physiotherapist will usually involve deep tissue massage of the ITB, acupuncture/dry needling, strengthening of the hip abductor muscles, muscle energy techniques to balance the pelvis, proprioceptive (balance) exercises and assessment of your foot biomechanics to see if you need referral to a podiatrist for orthotic insoles. If you have ITB syndrome, book an appointment with e-physiotherapy Edinburgh.