Iliotibial Band Syndrome (ITBS) is a common overuse injury in runners, characterized by pain along the lateral aspect of the knee or, less commonly, the lateral hip. The iliotibial (IT) band is a dense connective tissue extending from the pelvis to the tibia. Historically, ITBS was attributed to “tightness” of the IT band, leading to interventions like foam rolling or stretching. However, the IT band is a dense fibrous tissue and cannot be “rolled out”. Research shows ITBS is not caused by tight