Top 5 Exercises Every Runner Should Do for IT Band Pain

January

24

by Joe Armeli | Doctor of Physical Therapy

If you’ve ever dealt with that pesky tightness on the outer side of your knee while running, chances are you’ve encountered IT Band Pain Syndrome. It’s one of the most common complaints among runners and can make every step feel like a struggle. But don’t worry—you’re not alone, and there’s good news!

Targeted exercises can make a world of difference in reducing IT Band pain and preventing it from coming back.

By strengthening key muscles and improving mobility, you’ll not only ease discomfort but also run smarter and safer.

Here are 5 of my favorite exercises for IT band Syndrome.


1. Side-Lying Hip Abductions

Showing how to perform the exercise side lying hip abduction.

This exercise is a runner’s best friend when it comes to IT Band pain. Side-lying hip abductions target the gluteus medius, a critical muscle for stabilizing your hips during running. When this muscle is weak, the IT Band ends up taking on extra strain, leading to pain and discomfort.

How to Do It:

  • Lie on your side with your legs straight and stacked on top of each other. Rest your head on your lower arm for support.

  • Slowly lift your top leg straight up toward the ceiling, keeping your hips stacked and your toes pointing forward.

  • Pause at the top for 1–2 seconds, then slowly lower your leg back down.

  • Aim for 2–3 sets of 12–15 repetitions on each side.

Why It Works: By strengthening the gluteus medius, you’re reducing the load on the IT Band and improving your overall hip stability. Think of it as building the foundation for pain-free running.


2. Clamshells

Showing how to perform the clamshell exercise.

Clamshells are a small but mighty exercise that strengthens your glutes, particularly the gluteus medius, which plays a vital role in keeping your hips stable and your IT Band happy.

How to Do It:

  • Lie on your side with your legs bent at a 90-degree angle, feet together, and head resting on your lower arm.

  • Keeping your feet touching, lift your top knee as high as you can without moving your hips or pelvis.

  • Hold the position for 1–2 seconds at the top, then slowly lower your knee back down.

  • Complete 2–3 sets of 12–15 repetitions on each side.

Why It Works: Clamshells are fantastic for isolating and strengthening the glutes, which in turn reduces strain on the IT Band. When your glutes are strong, they help absorb the impact of running, preventing overuse of the IT Band.


3. Foam Rolling the IT Band

Image showing how to correctly foam roll the TFL.

Ah, foam rolling—the love-hate tool of every runner. While foam rolling the IT Band won’t magically fix everything, it’s a powerful way to reduce tension and improve mobility in the surrounding tissues.

How to Do It:

  • Sit on the floor and position a foam roller under your outer thigh. Extend the leg you’re working on and cross your opposite foot in front for balance.
  • Use your arms to slowly roll the foam roller from the top of your hip down to just above your hip joint. Avoid rolling directly over your knee or hip bone.
  • Spend 1–2 minutes on each side, pausing on tender areas for 20–30 seconds to release tension.

Why It Works: Foam rolling helps release tightness in the IT Band and surrounding muscles, improving flexibility and circulation. While it’s not a standalone solution, it’s an excellent addition to your routine for managing IT Band pain.


4. Single-Leg Deadlifts

Single-leg deadlifts are a powerhouse exercise for runners. They improve balance, strengthen the glutes and hamstrings, and promote stability—all crucial for reducing IT Band strain.

How to Do It:

  • Stand tall with your feet hip-width apart. Hold a dumbbell or no weight for balance in one hand.

  • Slightly bend your standing knee and hinge at the hips, lowering your torso as your other leg extends straight behind you.

  • Lower the dumbbell (or your hand) toward the floor, keeping your back flat and your core engaged. Stop when you feel a stretch in your hamstrings.

  • Slowly return to the starting position by driving through your standing leg. Perform 2–3 sets of 8–12 repetitions per leg.

Why It Works: Single-leg deadlifts target the posterior chain (glutes, hamstrings, and lower back) while challenging your balance and core. This helps improve running mechanics and reduces compensatory stress on the IT Band.


5. Lateral Band Walks

Showing how to perform the Lateral Band Walks

Lateral band walks are a go-to exercise for strengthening the hip stabilizers, particularly the gluteus medius. These muscles are essential for keeping your pelvis level and preventing overuse of the IT Band during running.

How to Do It:

  • Place a resistance band around your thighs, just above your knees. For more challenge, move the band lower to your ankles.

  • Stand with your feet hip-width apart, knees slightly bent, and core engaged.

  • Take a small step to the side, keeping tension on the band. Follow with your other foot to return to hip-width stance.

  • Perform 2–3 sets of 10–12 steps in each direction.

Why It Works: Lateral band walks activate and strengthen the smaller stabilizing muscles in your hips, reducing excess strain on the IT Band and preventing future pain.


Bonus Tip: Pair These with Stretches

For best results, combine these strengthening exercises with IT Band stretches, like the standing IT Band stretch or pigeon pose. Stretching helps maintain flexibility and complements your strengthening routine.

  • Glute Stretch

  • Kneeling Hip Flexor Stretch

  • Standing IT Band Stretch

Glute Stretch

Showing the glute stretch being performed

Difficulty:

Beginner

Target Areas:

Glute

Quick Guide:

    Cross one ankle over the opposite knee and pull your bottom leg toward your chest.

Summary

There you have it—five powerhouse exercises every runner should incorporate into their routine to manage and prevent IT Band pain. By strengthening your hips, improving balance, and enhancing mobility, you’ll not only run pain-free but also improve your overall performance.

Want more tips like these? Check out the free resource hub for runners here—your one-stop shop for injury prevention and recovery advice. Let’s keep you running pain-free!

About the author, Joe Armeli DPT

I'm Joe Armeli, a Doctor of Physical Therapy, Certified Athletic Trainer and Certified Strength and Conditioning Specialist, a movement enthusiast, and a fellow runner. I'm here to help you achieve your physical health and performance goals, whether you're just starting to run or are a seasoned vet. For questions or concerns, email me at [email protected]. Look forward to hearing from you!

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