Lateral knee pain in runners is often caused by Iliotibial Band Syndrome (ITBS). The ITB is a thick band of tissue which runs from the outside of the pelvis (over the hip) down the thigh and inserts just below the knee (on the outside). The symptoms range from a stinging sensation on the outside of the knee (most common), or along the entire length of the ITB, to swelling. The pain will worsen with activity when the foot strikes the ground and overpronates (where the foot "spreads" to the floor), especially if you overstride or run downhill and may persist afterward. A single workout of excessive distance or increase in mileage can aggravate the condition.

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