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.
Overpronation causes excessive internal rotation of the lower leg and knee and can affect the alignment of entire lower body. Overpronation places extra strain on the lower body and can cause foot pain (pain in arches, heels and ankles), knee pain, leg pain, and lower back pain. Overpronation can cause or contribute to poor knee tracking and knee pain. The kneecap slides over a groove on the thighbone as your knee bends and straightens. When the kneecap is pulled to the left or right of the groove while walking or running, it causes friction and knee pain on the underside of the kneecap.