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  • I don't know of any published evidence to suggest that this happens. It is true that many patients compensate for gluteal weakness with increased TFL use but I don't think this would have a significant effect on increasing ITB friction over the lateral epicondyle. Clinically I find a combination of increased ITB flexibility and increased gluteal strength yield excellent outcomes. To compliment this I may target the TFL to reduce it's activity and tension with trigger point treatment such as acupuncture.

    There is a bit published but poor quality. My question was poorly put though. What I meant to say was do you treat TFL as well. So ta for that! Have you ever come across ITB and hip pain together bearing in mind the ITB's deeper firbers blend into the lateral aspect of teh hip capsule?

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