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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.
What Is Iliotibial Band Syndrome? The iliotibial band (ITB or IT band) is a thick band of fascia that runs down the outside of the thigh from the pelvic bone to just below your knee on the tibia (shin) bone. Where the ITB passes the knee, there is a water-filled sac called a bursa.