Tibiofemoral Rotation Syndrome with Varus

Tibiofemoral Rotation Syndrome with Varus (Rare)


Your knee pain is associated with excessive rotation of the knee joint and the knee falling out during weightbearing activities.  Specifically, the tibia (shin) turns out and the femur (thigh) turns in.  Usually these symptoms occur when your knee is bent and you are putting weight on it – going up and down stairs, squatting, kneeling, lunging.


  • Activate and strengthen the muscles that turn your femur out (external rotators) and rotate the shin in (tibial internal rotators).
  • Use those muscles during weightbearing activtities.  Correct your alignment and maintain it during weightbearing activities.
  • Identify tightness in and loosen up the IT Band (because it turns the tibia out).
  • Diagnose and treat other impairments that may contribute to this knee pain.

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