I am a triathlete and in 2007 during an Olympic triathlon I started having some ITB problems on the bike. It then worsened on the the run about mile 4 and I hobbled to the finish line. I had only done Sprint tri's to this point.
I went to an orthopedist who diagnosed it as ITB. He recommended stretching and taking Aleve to prevent the swelling. He did not recommend any surgery and said I was good to go as long as I could take the pain.
In 2008, I continued training and started using The Stick Roller and using the ITB straps that went around your knees. In 08 I did a Half Ironman and Marathon using this techniqued, but I still had pain throughout the 08 race season. It usually happened after long bike rides (50-60 miles) or long runs (15-20 miles).
In Feb 2009 I was determined to do an Ironman so I hired a Trainer who had done quite a few Ironmans. I told him about my ITB and my prior history. He laughed at my staps and said he didn't like them. He put me on a regular stretching program, a foam roller, alot of core strenghtening exercises and a lower body weight training program. I continued to take Aleve before training. I ran a Marathon in April 2009 and at mile 20 my ITB swelled up and I limped to the finish line. At my wife's insistance, I did not take Alleve before the race because they are NSAID's and she read they were bad to take before exhaustive exercise...even though I had done all my long runs using Alleve. By September 09 I ran the same Half Ironman and cut 45 minutes off the 08 half Ironman with no ITB pain. In November 09, I completed my first Ironman in 12:17 with no ITB pain and in December 09 I went to Australia and completed my second Ironman with no ITB problems. Since the Marathon in 09, I have been free of ITB problems. I feel the lower body strength training along with the core exercises and stretching helped the most. I still continue to take Alleve every day. Two on long workout days...don't tell my wife.