Neuromuscular Inhibition Technique on Iliotibial Band Friction Syndrome

Inclusion Criteria: * Body mass index from 25-30 kg/m2 * Both males and females will be included their age from 30-50. * The subjects that will be included in the study will be referred from orthopeadic physician with iliotibial band friction syndrome with these signs and symptoms * local tenderness of the lateral knee inferior to the epicondyle and superior to the joint line * Pain with ITBS can be reported anywhere along the iliotibial (IT) band from the lateral thigh to the lateral femoral condyle and Gerdy's tubercle. * Pain is most intense at approximately 30 degrees of knee. * A sharp, burning pain when the practitioner presses on the lateral epicondyle during knee flexion and extension associated with one of these cases: * Tibiofermoral knee pain. * Patellofemoral knee pain. * osteoarthritis with medial knee joint pain * Lateral patellar pressure syndrome. * Medial meniscus degeneration. * Excessive lateral pressure syndrome Exclusion Criteria: * Traumatic injury to the knee joint within 6 months. * Surgical procedure on the affected knee within the last 12 months. * Meniscus injury * knee ligaments injury * Malignancies, tumors or infections associated with the knee joint. * Impaired thermal sensation over the knee. * Subject with psychiatric disorder. * Peripheral vascular disease. * Severe joint deformity. * Current back or ankle pain. * Rheumatoid arthritis. * Lower extremity fracture. * Neurological defecit or movement disorder. * Athletes. * Menopause * Pregnancy * Auto immune disease * Chronic disease (Diabetes mellitus and Hypertension)