Cycling IT Band Syndrome, Technique Faults

Tyler Dumont, physiotherapist, discusses cycling techniques that lead to ITBS.

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Tyler Dumont, physiotherapist, discusses cycling techniques that lead to ITBS.
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Video transcript

Featuring Tyler Dumont, BPE, BScPT, MSc

Duration: 1 minute, 27 seconds

There are a few technique faults that a cyclist might be doing that would contribute to iliotibial band friction syndrome.

One common issue is poor core stability or poor lumbopelvic control. So they might be rocking through their pelvis, and that just leads to inefficient pedal stroke and potentially adds tension to the IT band as well.

The other is pedaling with the knee in towards the center of the bike, that also adds tension to the band. Or, pedaling at too low of a cadence, pushing too big a gear, just putting too much tension through the system adds load to the IT band.

In terms of bike fit faults, classically we think of the saddle or the seat being too high or too far back, so the cyclist is over-reaching for the pedal so that also adds tension to the IT band.

Also another bike fit fault is the cleat position on the shoe. If they're too toed in that will add tension on the band. Or if there's a lot of pronation in the foot and the shoe is not really controlling that well, that pronation movement will add tension to the band and contribute to iliotibial band friction syndrome.

If you suspect you have this problem I suggest seeing your physician or sports medicine physician or a physiotherapist who has some knowledge about cycling injuries. They'd be able to assess you and try to get an idea of what factors might be contributing to the injury. And then for bike fitting ideally I'd see a physiotherapist who has some training in that background.

Presenter: Mr. Tyler Dumont, Physiotherapist, Surrey, BC

Local Practitioners: Physiotherapist

This content is for informational purposes only, and is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare professional with any questions you may have regarding a medical condition.