These articles have quotations from film adaptations of J.R.R. Tolkien's novel The Lord of the Rings and related works: 1  The Lord of the Rings.  J.R.R. Tolkien's The Lord of the Rings (1978)
This causes a twisting on the tibia and changes its relationship to your kneecap. This can cause tracking problems as well. If your quadriceps or hamstring muscles are too tight, they also will affect the mechanics of the knee and lead to compensation patterns that cause pain.
Chrondromalacia Patella Causes. Chrondromalacia patella is caused by overuse or abnormal force on the knee, probably from a trauma or injury. But it may also occur if the patella (or knee cap) is out of alignment. Chrondromalacia Patella Symptoms. The main symptom is knee pain that worsens: After being seated for a long time; When getting out of a chair ; When going up and down stairs; When kneeling or squatting; Chrondromalacia Patella Diagnosis. To diagnose chrondromalacia patella, a doctor will perform a physical exam and discuss medical history and symptoms.