Iliotibial band syndrome is one common injury-related hip disorder that affects the thick band that runs from your hip to the outside of your knee. It occurs frequently in runners and cyclists and is caused by a combination of overuse and biomechanical factors.

The condition can cause long-term sharp pain and swelling in some people, causing a cessation of exercise. The pain is generally worse in a standing position or when the knee is flexed to 30 degrees. Some people experience muscle tenderness and weakness, and most have swelling.

Iliotibial band syndrome can be challenging to treat, however, most people respond to conservative treatment that involves massage and stretching exercises and alternative training regimens. Surgery is often recommended only when the conservative treatment doesn’t work. People with iliotibial band syndrome should not resume their normal activities until they can perform strength exercises without pain.