Nick Monczakowski
Sports Massage Therapist · New Malden
★★★★★5.0 · 66 reviews
💬 WhatsApp Nick 📞 07517 335358
Conditions · Knee Pain & IT Band

Knee pain & IT band treatment — New Malden KT3.

Targeted treatment for knee pain, IT band syndrome and patellofemoral pain at Beverley Road, New Malden KT3 4AW. BTEC Level 5, 66 five-star reviews. First session £80.

Nick treating the lower leg and knee complex at the New Malden KT3 practice
Knee Pain & IT Band Syndrome

Why the knee is rarely the real problem.

Most knee pain is not caused by damage inside the joint. IT band syndrome, patellofemoral pain (runner's knee) and lateral knee pain are almost always driven by soft tissue imbalances above and below the knee: tight TFL and iliotibial band, weak hip abductors, quad dominance and restricted ankle mobility forcing the knee into abnormal tracking patterns.

Treating the knee itself rarely resolves these presentations. The approach here targets the structures actually driving the problem: TFL, glute med, the lateral quad and the hip abductor chain, which changes how the knee loads with every step. This makes it especially relevant for runners, where IT band syndrome is the most common overuse injury, and for cyclists, where the fixed pedalling position loads the lateral knee continuously.

Knee pain frequently clusters with hip pain and tight hamstrings, all part of the same posterior chain loading pattern.

What treatment addresses

The structures driving the knee problem.

🦵TFL & iliotibial band

The tensor fasciae latae is the primary driver of IT band syndrome. When tight, it increases tension through the iliotibial band and creates friction at the lateral femoral condyle with every stride. The IT band itself cannot be stretched; releasing TFL and glute max at the top of the band is what actually changes the tension.

🔄Gluteus medius & hip abductors

Weak or inhibited glute med allows the hip to drop during the stance phase of running (Trendelenburg pattern), forcing the knee inward under load. This is one of the most consistent findings in runners with IT band syndrome and patellofemoral pain. Restoring glute med function changes knee tracking immediately.

🎯Lateral quadriceps & vastus lateralis

Tightness in the lateral quad tilts the patella laterally, creating patellofemoral compression on the outer aspect. This is the primary driver of pain behind the kneecap on stairs and squatting. Releasing the lateral quad allows the patella to track centrally in the groove.

What to expect

What a session for knee pain involves.

The session starts with a conversation about your symptoms, training and history, followed by hands-on assessment of the TFL, iliotibial band, lateral quad and glute area to feel where the tension actually sits. That identifies whether the problem is being driven from the TFL and IT band, the glutes, or the quads.

For runners with longstanding IT band syndrome, the 90-minute session allows enough time to address the full hip-knee chain. For cyclists, the hip flexors and lower back are also treated, as the cycling position loads the knee in a different pattern from running. See also: hip pain, tight hamstrings and calf strain, which commonly present alongside knee problems.

First session £80 (usually £100) · view all rates · 🏛️ MSMA member; private health insurance may cover sessions, receipt provided on request.

Client reviews

What clients say about their results.

★★★★★

"Having been in tears thinking my Copenhagen Marathon was over with a calf injury four weeks out, Nick was incredibly thorough. I was able to make it to the start line and finished in 3 hours 6 minutes."

CharlieMarathon Runner · Google Review
★★★★★

"I found Nick nearly a year back. At 42 I couldn't jog without pain. With a tailored treatment plan Nick changed all of that. Nick is honest, considerate, knowledgeable and methodical in his approach."

MattRunner · Google Review
★★★★★

"Nick helped me cross the London Marathon finish line happy and injury-free. He provided tailored therapy to support my performance, recovery and alignment throughout training."

LucyMarathon Runner · Google Review

Read all 66 reviews on the reviews page.

Common questions

Before you book for knee pain.

Yes. Most knee pain, including IT band syndrome, patellofemoral pain and runner's knee, is driven by soft tissue imbalances in the TFL, iliotibial band, quadriceps and hip abductors rather than damage within the joint itself. Targeted release of these structures reduces the tension pulling on the knee and restores normal tracking. Most clients see clear improvement within 2 to 3 sessions.

IT band syndrome is caused by repetitive friction of the iliotibial band over the lateral femoral condyle. The IT band itself doesn't stretch; what drives the syndrome is tightness in the TFL and gluteus maximus at the top of the band, combined with weak hip abductors that allow the knee to track inward. Treatment targets the TFL, gluteus medius and lateral quad rather than the IT band itself.

Most clients notice significant improvement within 2 to 3 sessions. IT band syndrome in runners typically resolves within 3 to 5 sessions when combined with appropriate load management and hip strengthening. You will receive a specific recommendation after the first session.

Beverley Road, New Malden, KT3 4AW. A short walk from New Malden railway station with free street parking nearby. Open Monday to Friday 10am to 7pm and Saturday 10am to 3pm.

Stop working around your knee.

First session £80 (usually £100): assessment and treatment in the same appointment at Beverley Road, New Malden KT3 4AW.

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