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.
Varus alignment causes the load-bearing axis of the leg to shift to the inside, causing more stress and force on the medial (inner) compartment of the knee. If your doctor has said you have varus alignment of the knees (bow-legs), keep in mind that studies show that weight plays a critical factor.