Do you check tibial internal rotation? Knee flexion isn’t just a hinge movement. It also requires relative tibial internal rotation (IR) which is also an important component in foot pronation mechanics. Limited tibial IR can contribute to: • Knee discomfort with flexion. • A feeling of “spinning” when standing on that leg. • Improper foot and hip mechanics. • Chronic tightness and discomfort at the pes anserine (where the sartorius, gracilis, and semitendinosus muscles insert). Potential causes:
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