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A less common cause of exercise-related leg pain is exercise-induced compartment syndrome. This condition is more often associated with a recent increase in leg muscle mass and causes intense leg pain, cramping, and a tight feeling in the leg muscles with activity.
Tightness in the IT band is usually the cause, but in some athletes it may be due to tightness in the hip muscles, pulling the IT band tight. Excessive use of the hip abductors and external rotators can result in muscle imbalances causing ITB tightness. leg length discrepancy causes a tilting of the pelvis forcing the IT band to stretch over the prominences of the higher hip. Muscle tightness in the gluteal muscles will pull the ITB tight. Treatment of iliotibial band syndrome and trochanteric bursitis.