IT Band Pain: Safe Stretches and Tips for Hip and Knee

July 1, 2026
OrthoNJ

IT Band Stretches: What They May Help and How to Do Them Safely

Tightness or pain along the outer side of the hip or thigh can make walking, running, and other exercise uncomfortable. The iliotibial band, often called the IT band, works with nearby muscles and soft tissues to help stabilize the leg. The stretches below are commonly used to target the muscles and soft tissues around the outer hip and thigh that can contribute to IT band-related discomfort. If symptoms continue, OrthoNJ can help evaluate the cause of your pain.

adult woman practising yoga at home
Picture of adult woman practising yoga at home

What the IT band is

The IT band is a thick band of connective tissue that runs along the outside of your thigh. It starts near the hip and travels down to the outside of the knee.

It works with muscles around the hip to help stabilize your leg during walking, running, and other movements. When the tissues around this area become irritated, overloaded, or limited by movement patterns, you may notice discomfort at the outer hip, outer thigh, or outer knee.


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Why this area may feel tight or painful

Symptoms are often linked to how the hip, pelvis, and leg work together during activity. In some people, higher training volume, repeated bending and straightening of the knee, weakness in the hip muscles, or changes in movement patterns may add stress to the outer part of the leg.

Often, the issue is less about a single tight band of tissue and more about how much load the outer hip and thigh are handling, how strong the supporting muscles are, and how you move during your activities. Many people describe the problem as an "IT band issue," but the discomfort may involve several nearby tissues, not just the band itself. That is one reason a full evaluation matters if pain keeps returning.

Before you stretch

Stretching should feel gentle, not sharp or intense. Move slowly, breathe normally, and stop if the stretch causes worsening pain, numbness, or a feeling of instability.

If you have recent injury, significant swelling, or pain that limits walking, it is best to speak with a medical professional before starting a new stretching routine.

Helpful IT band stretches

These stretches are commonly used to target the muscles and soft tissues around the outer hip and thigh that can contribute to IT band-related discomfort. Hold each stretch gently and repeat on both sides unless your doctor or therapist tells you otherwise.

  • Standing cross-over stretch
    Stand upright and cross the leg you want to stretch behind the other leg. Lean your torso away from the side being stretched until you feel a pull in the muscles and tissues along the outer hip and thigh.
  • Wall-supported side lean stretch
    Stand near a wall for balance. Cross one leg behind the other and shift your hips sideways while leaning your upper body away from the tight side. You may feel a stretch in the outer hip and thigh muscles.
  • Supine strap stretch
    Lie on your back and loop a strap or towel around your foot. Raise the leg and gently guide it across your body while keeping the opposite hip on the floor. This may stretch the muscles and tissues along the outer hip and thigh.
  • Figure four stretch
    Lie on your back or sit in a chair and place one ankle over the opposite knee. Gently draw the leg toward you until you feel a stretch in the outer hip and buttock area.
  • Side-lying stretch
    Lie on the side that is not painful and let the top leg move slightly backward and downward with control. This may create a stretch along the outer hip and thigh.

Simple stretching guide

StretchWhere you may feel itGeneral tip
Standing cross-overOuter hip and outer thighKeep your chest upright and avoid bouncing
Wall supported side leanSide of the hip and thighUse the wall for balance if needed
Supine strap stretchOuter thigh and hipMove only to a mild stretch, not pain
Figure four stretchOuter hip and buttockKeep your neck and shoulders relaxed
Side lying stretchOuter hip and upper thighUse slow, controlled movement

Other ways to support recovery

Stretching is only one part of the picture. Studies and clinical guidelines suggest the best results usually come from combining activity adjustments and strengthening exercises with stretching, rather than stretching alone.

Many people do better when they also address load management, strength, training habits, and recovery time. Hip and core strengthening, along with changes to running or movement technique when needed, can be important parts of the plan.

  • Warm up before exercise
  • Increase running or training volume gradually
  • Give sore tissues time to recover
  • Work on hip and core strength
  • Check footwear if symptoms appear during walking or running
  • Modify activities that repeatedly trigger pain

When stretching may not be enough

Persistent pain on the outside of the knee or hip is not always caused by tight soft tissue alone. Load, movement patterns, and strength deficits can play a role, and problems involving the hip joint, knee joint, lower back, tendons, or bursae can sometimes feel similar.

If the same symptoms keep coming back, an exam can help determine the real source of the problem. At OrthoNJ, we look at your symptoms, activity level, movement, and areas of tenderness to guide treatment.

When to call a doctor

  • Pain that does not improve with rest or simple stretching
  • Swelling around the knee or hip
  • Pain that affects walking, climbing stairs, or sleep
  • Locking, catching, or giving way of the leg
  • Numbness, weakness, or pain that travels below the knee
  • Symptoms after a fall or other injury

What treatment may involve

Treatment depends on the cause of your symptoms. Your doctor may recommend activity changes, a guided therapy program, strengthening work, gait or technique changes, or other measures based on your exam. Stretching may be one helpful part of that plan, but it is rarely the only treatment needed for persistent symptoms.

The goal is not just temporary relief. We want to help you move better and reduce the chance that the pain will keep returning.

A practical next step

If outer hip, thigh, or knee pain is limiting your routine, OrthoNJ can evaluate the problem and help you decide what to do next. The right plan may include stretches, strengthening, activity adjustments, or a closer look at another source of pain.

This article is for general education and is not a substitute for personal medical advice.

This treatment info is for informational purposes only. Treatment and recovery vary person to person, and you should consult with your treating physician and team for details on your treatment and recovery process.

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