Hi, I am a newly qualified physio but have just been trained up by, who I believe, is the best outpatients physio in the country. (This is based on the fact that after 2 surgeries and seeing 23 medical people he is the only person that could fix my shoulder). Obviously without seeing you it is difficult to say, but it doesn't sound as though you have had a lot of the treatment route I would go down. Firstly, do your feet overpronate? If they do this is often tibialis posterior insufficiency. There are many exercise you can do trying to build up this muscle to hold up your medial arch. It is also likely that your flexor hallucis longus has got tight in an attempt to hold up the arch and this will need to be stretched out. More proximally it is often the case that posterior glut med/anterior glut max are weak and tensor fascia lata/glut min overactive causing the knee to internally rotate. This imbalance would need to be sorted out with strenghtening post glut med and deep manual work on ITB/TFL. And also exceptionally deep tissue work would need to be done on the inflamed area next to the tibia. Obviously all of this is conjecture without seeing you, and to be honest if it has completely disattached from the tibia you will prob need surgery and then address all these biomechanical issues afterwards, as this is probably the reason the problem occurred in the first place. Hope this helps, Nick