Tibial Derotation Exercises

For an internally rotated tibia, outside heel loading encourages calcaneal inversion, foot supination, and tibial external rotation. For an externally rotated tibia, foot pronation is used to help drive tibial internal rotation. Pronation with the knee brought back toward center helps restore tibial internal rotation relative to the femur. When correcting an externally rotated tibia, the knee should not collapse inward as the foot pronates. Tibial derotation exercises use the opposite rotational bias while coordinating knee and foot control. Split squats and lunges are preferred for tibial rotation work because they make knee position easy to observe and coach.