Iliotibial band syndrome (ITBS) is a common knee injury that usually presents with pain and/or tenderness on palpation of the lateral aspect of the knee, superior to the joint line and inferior to the lateral femoral epicondyle. The current theory is that this condition is likely to be caused by compression of the innervated tissues beneath the iliotibial band (ITB), leading to inflammation.

There were effects of clamshell exercises on gluteus medius, quadratus lumborum and anterior hip flexor. However their effect was limited on iliotibial band tightness. Hip/knee coordination and running style have also been identified as key factors in the treatment of ITBS, highlighting the complexity of the condition. The present study will focus on effect of clamshell techniques with electrical muscle stimulation versus Conservative treatment in iliotibial band tightness for pain and function.The goal is to determine which technique is more effecient in improving function and reducing pain and soreness of Iliotibial band.

Inclusion Criteria:

• Adults aged 45-65 years old (Jeong et al., 2019)
• Both genders will be included (Jeong et al., 2019)
• Diagnosed with iliotibial band tightness (ITBT) based on clinical examination and positive Noble compression test (Hutchinson et al., 2022)
• Reporting lateral knee pain aggravated by activity (Hutchinson et al., 2022)

Exclusion Criteria:

• Recent history of knee surgery or other knee injuries (Peterson et al., 2022)
• Presence of other musculoskeletal conditions affecting the knee (Peterson et al., 2022)
• Inflammatory conditions such as rheumatoid arthritis or gout (Peterson et al., 2022)
• Neurological conditions affecting leg function (Peterson et al., 2022)
• Pregnancy (Jeong et al., 2019)