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Knee Pain and Internal Rotation of The Femur


Did you know that your knee is the most significant and most robust joint of the human body? The three bones that make it special include the distal femoris or femur, tibia, and patella. These bones shielded with cartilage provides a cushion during your movements.

What Is Internal Rotation of The Femoris?

The femur is a major bone of your thigh that links your knee with the hip. Sometimes, this bone can diverge from its standard degree of rotation. While the interior rotation or external rotation of the knee can reveal this. Like most people, you may have extreme anterior pelvic tilt when your femurs are internally rotated.

The two particular wedge-shaped parts of fibrocartilage function as a shock absorber between femur and tibia bones. Their toughness and elasticity help reinforce and stabilize the joint. And the surrounding membrane lubricates the cartilage and minimizes friction. Apart from this, various tendons cross your cruciate and collateral ligaments and the joints.

How Do I Know That I Have an Internally Rotated Femur?

Principally, if you position your feet under your hips and direct them straight ahead, your knee should point onward. And if your knees point inwardly, you have internally switched femurs.

Try This Out

If you practice this and are not accustomed to directing your feet straight ahead and then shifting one aspect of the system, everything will feel odd. Hence, walking with feet pointed straight forward usually feels unusual. It can be performed by tensing your gluteal as it will enable you to point your knee joints straight. If you feel the same, there is a possibility that you may have internally switched femurs.

Thomas Test

Doctors may also suggest the Thomas Test to evaluate the flexibility of your hip flexor. This may comprise of:

  • iliopsoas muscles

  • rectus femur

  • pectineus

  • gracilise

  • tensor faà ade latae

  • sartorius muscle

So, if your results indicate short tensor fascia latae, then you may suffer from internally switched femurs.

How Can You Treat Interior Rotation of the Femur?

Did you know that interior rotation of the femurs is triggered due to brief abductors, short tensor fascia latae, and short semitendinosus?

Which Exercises help fix the Internal Rotation of the Femur?

Following exercises help improve the internal spin of femur condition:

Exercise 1
  • Like you perform other exercises, never allow your lower backbone to round while keeping your chest upright.

  • Try to move the foot up and grasp it instead of bending down to pull it.

  • This exercise effectively develops firmness in the opposite foot as you are required to balance your weight.

  • The best way to perform this exercise while you are barefoot.

Exercise 2
  • Another effective workout is to mobilize and reinforce your hip is to lift your leg while lying sideways.

  • In this exercise, you will not be required to shift from the lower backbone but exclusively from the hip.

  • You need to keep your core constricted and only move the leg. And if you have a partial range of motion at the start, that is ok, you need to keep exercising on it, and gradually you will improve your condition.

  • As this is a fortifying exercise, you will be doing yourself no help if you drain yourself here.

  • So, try your best not to exhaust yourself, instead take sufficient time to improve between sets before you perform another one.

  • You will be better off practicing this daily rather than opting for maximum repetitions twice every week.

Exercise 3
  • Another highly effective exercise is the side-lying clam. It is an activation workout that implies that it is primarily regarding teaching the neural system and how to use the targeted muscles.

  • Still, if you are skilled at doing this drill, you can make it more challenging by wrapping a bank around your thigh muscles.

Monkey Wrench

You can try the monkey wrench to enjoy excellent results for femoral anteversion. Suppose you suffer from femoral anteversion or regression. In that case, you will need to hunt for the correct position for your feet and the right interior and external rotation of your femur bone. Hence, the natural bone is switched inwards while it is rotated outwards in regression. For this, you should visit a knee-pain doctor near me to get your condition examined. They might suggest you an imaging test, most preferably an x-ray, to help determine the degree of anteversion or regression.


Stretching will help you relax in the normal posture, implying that feet point forward, knees point forward, and no extreme anterior pelvic incline. When the stretching effect disappears, the usual posture will feel constricted and odd again.

It implies that struggling for the correct posture involves two steps forward and one step backward. Hence, it is a constant change. And it would help if you felt your body signals to achieve success. It is the most accessible approach to figure out the proper alignment if you suffer from potential anteversion or regression instead of having an x-ray examination. The indications will help you determine how to proceed further. Hence, you need to stretch, move and observe how it goes. It will help if you choose what makes you comfortable not to feel knee pain or discomfort.


By performing this strengthening exercise program, you can get three massive jumps closer to regain your usual posture. However, for best results, any misaligned movement patterns should be examined by a doctor before choosing a strengthening program.

This article is a helpful guide for mobilization exercises. Hence, the eventual goal is to empower you to regain your natural motion without the support of these exercises. But one thing is sure that nothing is instant. It will take some time to attain these results.

However, sometimes these traditional treatments might not be successful. Hence, it would help if you immediately visited a doctor.

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Knee Pain and Internal Rotation of The Femur

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