How Does Active Release Technique (ART) Help in Treating Chronic IT Band Syndrome in Runners, and What Are the Success Rates?

By Chiropractors.Media Editorial · September 9, 2026

Understanding Active Release Technique (ART) and IT Band Syndrome

Active Release Technique (ART) is a soft tissue therapy designed to address issues caused by overuse, injury, or repetitive strain. It focuses on breaking down scar tissue and adhesions in muscles, tendons, and ligaments, restoring normal function. Iliotibial Band Syndrome (ITBS) is a common overuse injury among runners, characterized by pain on the outer side of the knee. The IT band, a thick fascia strip running from the hip to the knee, can become tight or inflamed due to repetitive motion, leading to discomfort. ART may offer targeted relief by addressing the root cause of ITBS, such as restricted movement in the IT band or surrounding muscles.

How ART Addresses IT Band Dysfunction

During an ART session, a chiropractor or therapist uses their hands to apply pressure while the patient moves the affected area. This technique helps release adhesions and restore mobility in the IT band and surrounding tissues. For runners, this can alleviate tension that contributes to ITBS. The therapist may also assess and treat related structures, such as the gluteal muscles or hip flexors, which can refer pain or contribute to IT band strain. By improving tissue elasticity and reducing restrictions, ART aims to decrease pain and enhance biomechanical efficiency, allowing runners to train with less discomfort.

Benefits of ART for Runners with Chronic ITBS

Chronic ITBS can be frustrating, as traditional treatments like rest, ice, or stretching may provide only temporary relief. ART offers a more direct approach by targeting the specific soft tissue restrictions causing the issue. Many runners report reduced pain and improved range of motion after ART sessions. The technique may also help prevent future flare-ups by addressing underlying muscle imbalances or compensatory patterns. Additionally, ART is often used alongside other therapies, such as strengthening exercises or gait analysis, to create a comprehensive treatment plan tailored to the runner’s needs.

Success Rates and Patient Outcomes

While specific success rates for ART in treating ITBS are not widely documented in large-scale studies, clinical observations and patient testimonials suggest positive results. Many runners experience significant pain reduction and functional improvement after a series of ART sessions. The effectiveness often depends on factors like the severity of the condition, adherence to complementary therapies, and the skill of the practitioner. Some studies indicate that soft tissue techniques like ART can enhance recovery when integrated with other interventions. However, individual results may vary, and it’s important to consult a qualified chiropractor to determine if ART is suitable for your specific case.

What to Expect During an ART Session

A typical ART session for ITBS begins with a thorough assessment to identify areas of restriction or tension. The practitioner will then apply precise pressure to the IT band and surrounding tissues while guiding the patient through specific movements. This process may cause some discomfort, as it targets tight or adhered tissues, but it should remain within a tolerable range. The number of sessions required varies, with some patients noticing improvement after a few visits. Your chiropractor may recommend additional strategies, such as stretching, foam rolling, or strength training, to maintain progress. Open communication with your provider is key to ensuring the treatment is effective and comfortable.

Considering ART as Part of Your Treatment Plan

ART can be a valuable tool for runners struggling with chronic ITBS, but it’s not a one-size-fits-all solution. It’s essential to work with a licensed chiropractor experienced in soft tissue techniques to ensure proper application. While ART may provide relief, it’s often most effective when combined with other approaches, such as physical therapy or biomechanical assessments. Always discuss your medical history and current symptoms with a healthcare provider before starting any new treatment. For runners seeking long-term solutions, ART offers a non-invasive option to address the root causes of ITBS and support a return to pain-free activity.