In these cases, I see three major components that sometimes get overlooked.

Then what could possibly have an effect to cause the band to functionally shorten or cause the pain? Three Overlooked Components

The tissue is relatively rigid and doesn’t have the quality to length or shorten. But when you look at the tissue of the band and how it attaches, it becomes difficult to understand how the band itself could get ‘tight’ in the first place. The condition is frequently described as the ITB being ‘tight,’ and typical treatment often includes attempts at ‘stretching’ the ITB. The band becomes narrower as it descends toward the knee where its attachment broadly blends with tissues about the knee cap and into the tibia bone. The IT band is a stiff layer of tissue that blends from a broad attachment of muscles from the side and back of the hip. For many people it can be persistent or unresponsive to typical treatment. When the pain encompasses the lower half of the thigh towards the outside area of the knee, it often carries the diagnosis of Iliotibial Band (ITB) Syndrome. Having pain and tightness along the side of the thigh is quite common, especially for athletes. Now holding the extended position adduct the leg and apply overpressure with the other leg.Iliotibial Band (ITB) Syndrome Pain and Tightness Along the Thigh After this the patient abducts and then extends the affected leg. Patient bends the affected legs knee and then holding on to the foot tries to touch the foot to buttock. The Patient is in side lying position with the affected side up. Great stretch for runners, walkers, and cyclists. This stretch also targets the hard to reach fibers of the IT Band on the outside of the knee (lateral retinaculum). This stretch targets the hip flexors (psoas) and quadriceps, while concurrently placing tension on the iliotibial band. Holding the injured knee with opposite elbow twists upper body towards injured side. Patient Bends and crosses injured leg over other leg. This should produce a nice warming and lengthening effect of the hips and illotibial bands. And then after each leg go into medial rotation and then repeat the movements. Then brings the opposite leg over the opposite knee and gently stretch by flexing the lower spine, bringing the belly button towards to opening made by his legs. Holding that comfortably, he then releases the leg, bringing both hips into medial rotation. With the back straight, he gently flexes the lower spine, bringing the belly button towards the opening made by the legs. Patient is seated, with the back upright and then brings his right ankle over the left knee.

Now the patient rolls from hip to just above knee over roller stretching iliotibial band. Arms and top leg is used to support weight. A 6 inch firm foam cylinder is placed underneath the affected side hip. The patient lies on floor with the affected side touching ground. As the provider pushes down on the left hip, a stretch is felt in the lateral right thigh as the patient pushes the right hip toward the junction of the wall and the floor. The patient stands perpendicular to and 2–3 feet from a door or wall with the right hand on the wall for support and the right leg behind the left leg.

It band stretch