Iliotibial band syndrome (ITBS) is a common injury in runners and other long distance athletes with the best management options\r\nnot clearly established. This review outlines both the conservative and surgical options for the treatment of iliotibial band syndrome\r\nin the athletic population. Ten studies met the inclusion criteria by focusing on the athletic population in their discussion of the\r\ntreatment for iliotibial band syndrome, both conservative and surgical. Conservative management consisting of a combination of\r\nrest (2ââ?¬â??6 weeks), stretching, pain management, andmodification of running habits produced a 44% complete cure rate, with return\r\nto sport at 8 weeks and a 91.7% cure rate with return to sport at 6months after injury. Surgical therapy, often only used for refractory\r\ncases, consisted of excision or release of the pathologic distal portion of the iliotibial band or bursectomy. Those studies focusing\r\non the excision or release of the pathologic distal portion of the iliotibial band showed a 100% return to sport rate at both 7 weeks\r\nand 3 months after injury. Despite many options for both surgical and conservative treatment, there has yet to be consensus on\r\none standard of care.Certain treatments, both conservative and surgical, in our review are shown to bemore effective than others;\r\nhowever, further research is needed to delineate the true pathophysiology of iliotibial band syndrome in athletes, as well as the\r\noptimal treatment regimen.
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