Rotational Knee Problems

A local knee issue may involve a rotational mismatch. A knee facing forward while the foot points outward suggests tibial external rotation with femoral internal rotation. Tibial internal rotation with a different femoral orientation can create a pigeon-toed appearance from the knee down. Restoring movement variability should precede placing the leg into positions that provide missing movement options. Both rotational presentations can create abnormal knee loading. A forward-foot lunge can help someone with tibial external rotation and femoral internal rotation.