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.
Foot, Hip and Knee Pain Foot, knee and hip pain can be the result of biomechanical foot imbalance. Excessive pronation (feet rolling in too far, very low arched feet on weightbearing) or excessive supination (feet rolling out, very high arch on weightbearing) creates poor foot and leg alignment when walking, creating an unstable and inefficient base of support for your body.