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  1. #1
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    Brief Medical History Overview

    Age: 25, Male, Presenting Problem Since: 4 Years, Symptom Behaviour: Remaining constant, Aggravating Factors:: Sitting, No Investigations, No Diabetes, No history of High Blood Pressure, No Medications, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues

    Internally Rotated Knee

    Physical Agents In Rehabilitation
    int-knee.jpg

    I've attached a picture of me sat with my legs extended in front of me. As you can see, my right knee is rotated inward more than the left.

    I think this is the root cause of some imbalances further up my body, so I was wondering how I would be able to correct this internally rotated knee.


    ###Cause###

    About 4 years ago I hurt my right lower back doing bent over rows in the gym. I don't think I gave myself enough time to recover from this injury, so I took the injury with me to the gym and continued to lift weights.

    I used to do squats, and I think I compensated for this injury awkwardly by turning my right foot outward as I squatted. This would cause my right knee to track inward instead of in the direction of my foot. I continued to squat like this for about 2 years, and I think that's what has embedded a muscular imbalance, causing the internally rotated knee.

    I didn't know what I was doing at the time. Only now I realise, and so I haven't been squatting since.


    ###Other Effects###

    I think walking around with this internally rotated knee has had some knock-on effects. For example:

    - The right side of my pelvis has a tendency to rotate backwards in a relaxed stance.
    - My right QL is usually tender.
    - My left adductor and left inner hamstrings (semiten and semimem?) feel tight.

    So my theory is that the knock-on effect goes like this:

    internally rotated knee > pelvis rotation > muscle compensation due to the rotation


    ###My Questions###

    1) Does this sound like it makes sense? Is this problem fixable?

    2) If so, what exercises can I do to help correct this problem?

    Any advice would be tremendously appreciated. I've had this problem for a while and it plays on my mind, as my body doesn't quite feel "balanced" like it should.

    What do you think?

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  2. #2
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    Re: Internally Rotated Knee

    Aircast Airselect Short Boot
    You photo looks pretty symmetrical to me. I would suggest perhaps you are functionally rolling in on one site. If you are a runner get someone to video you running and this might show more about what is going on and where. You need to look carefully at both sides as often an issue presenting on one side may be due to an insufficiency on the other. Callous formation under the foot (bug toe area) and show wear may also highlight what is going on over time.

    Aussie trained Physiotherapist living and working in London, UK.
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