Workup
Laboratory Studies
No specific laboratory tests are required in the workup of ITBS.
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Imaging Studies
Initially, radiographic studies are not indicated if the working diagnosis is completely consistent with ITBS. Radiographs are almost always negative. If the patient's history and physical are not consistent with the diagnosis of ITBS or the patient's response to treatment is unsatisfactory, radiographs are required. In some patients, the practitioner may elect to obtain radiographs on the first visit or before the athlete resumes competition.
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Media Gallery
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The Ober test.
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This illustration demonstrates active stretching of the iliotibial band (ITB). The athlete stands a comfortable distance from a wall and, with the contralateral knee extended, leans the proximal shoulder against the wall to stretch the ipsilateral ITB.
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This illustration demonstrates iliotibial band syndrome stretching that is performed in a side-lying position.
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