This Rare Diagnosis Is Easily The Biggest Reason For Inner Knee Pain

This rare diagnosis is the most common reason for so many knee problems like meniscus tears, knee arthritis, loss of knee cartilage, and knee ligament injuries like an ACL tear.
It's called a Tibial Shift. And healthcare professionals rarely ever know about this.
But it is easy to find on yourself and it's even easier to treat on your own.
This is not the reason for ALL knee pain, so if this doesn't help you then you probably have a different type of problem causing your inner knee pain.
You can learn more about other reasons for inner knee pain here:
"Inner Knee Pain Help"
• Inner Knee Pain Help
Looking for the next step in keeping your tibial shift under control...check out this video next:
We recommend starting the glute exercises in this video to help with your inner knee pain:
Top 5 Glute Muscle Exercises For Knee Problems
• Top 5 Glute Muscle Exe...
Drop a comment and let us know if this helped out your knee pain 👇
00:00 This Rare Diagnosis Is Easily The Biggest Reason For Inner Knee Pain
00:33 What is a TIBIAL SHIFT?
03:34 How to Find it?
07:04 How to Fix it?
#elpasomanualphysicaltherapy #drdavidmiddaugh
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DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.

[@jessicaflores2667]

My daughter went in to see Dr. David with pain on her knee, she was unable to walk normally. She said her pain was at an 8/9 (she has a high pain tolerance). She was diagnosed with a tibial shift. After treatment with Dr. David she is back to playing collegiate volleyball! Thank you Dr. David for treating my daughter and sharing your knowledge with everyone!

[@epmanualphysicaltherapy]

Hey Jessica!!! It was great seeing your daughter! We're soooo happy we were able to help her out!!! You're welcome!!!!

[@lindaross1846]

I live in PA But thinking about Moving to El Paso TX Too Receive this Non-traditional approach to helping me with my knee Injury 😁🙏🏽❤️

[@kingauning18]

I think that's what I got . You have exercise or stretches for that Doc. It's been 7 months I can't walk without crutches my First orthopedic doctor told me that I got slightly arthritis but he gave an injection it doesn't help and he said I got nothing with my in meniscus and the second doctor told me I got No arthritis but I got slightly tear in my meniscus but he said the paid it's not from my meniscus. I felt like tibia shifted.

[@lisahawthorne5008]

I had a knee scope and they did a menisectomy. They injured my nerve. I'll get a EMG test next week

[@beautyandnature4074]

Thank you sir

[@006aranganathan8]

THANK YOU DOCTOR FOR SHARING AND FOR YOUR TIME 🙏

[@reggiedeleon2007]

Thank you for teaching as your champ you help us a lot

[@user-uc4pf2rt4j]

Amazing.

[@randyhall44]

Worked like a charm. Was glad I viewed this vid and it was such a simple fix. Thanks,

[@kimtia1091]

Im going to try this on my knee ,thanks for all you're vids you are so helpful

[@shamalajadhav9927]

Thank q fr ur valuable videos,this is watching frm pune,India 🙏

[@SudsNSkinNaturals]

I use the first video to actually help once I listen to the doctor and this really helps a lot. I’m going to continue with this treatment with my minor injury from my tibia.

[@bluelotus7257]

wow this is my sore spot.. on both knees… No one ever mentioned I could have Tibial mal allignment… this adjustment and exercise has helped me SO MUCH

[@stevenbuckley1416]

Thank you sir this has help me in no time with the pain on the inside of my knee I’m getting some sleep now . The Extreme pain uses to wake me up during the night thank you again 🤝🇬🇧

[@sigridtidmore6984]

Thank you. This is the most amazing therapy. My knee pain developed because my balance got thrown off when I had a bad break on my left ankle. Hobbling around for a year, I stressed out my right knee. My doc wanted to use pain meds and meniscus surgery…but this therapy gave me instant relief. The more days I do this exercise the less often I have pain. Now I can go for 3-mile walks, as long as I do these therapies regularly. And over time my knee is improving. Such a relief!

[@davidfellows6250]

i saw this in another video a few weeks ago, pushed it back in place with a big crack and ive been able to sleep ever since. i still have some duel knee pain but nothing like i did .it works

[@MyfynwyMyfynwy]

Amazing.. I've had that sore inner knee for over 2y and the pain is gone after one session. No doubt, I need to keep at it to get it really sorted but your explanation makes sense because my inner hamstring is also sore when I massage it. Thank you for your videos. So much of what you describe fits with my experience of what I have learned to avoid by trial and error but what you are offering is real improvement.

[@minookalantari]

Thank you

[@epmanualphysicaltherapy]

You're welcome minookalantari!!!

[@victorsr6708]

Been having inner knee paid I could feel that my knee just wasn’t bending normal. I just tried this and I can walk normal now, I’ll do this alignment thing again in the morning. This exactly what I felt was wrong. Thank you 🙏🏽

[@Running4lyfe1997]

I have this tibial shift bilaterally, not sure if it’s common to be on both sides when it’s a malalignment issue, but just doing the last exercise for 30ish reps has helped relieve some pressure/stress in that area, so I’m hoping with doing it each day that I’ll be able to run pain free again soon!

[@chowmarina008]

I wish we all lived in El Paso so we could all be your patients! I live in Canada and there is no one here like you.

[@BernadetteKong]

Doctor i wish i live in the states you are the best

[@ubtrippin9980]

It works! I’ve been in pain for 10 days since getting out of my truck and putting my foot on the ground, having pain, and unable to put weight on it. I pushed on the bones and didn’t feel any difference. Then did the toe in foot drag exercise. The pain left after 10 reps. Another 10 reps and there was a click. The third 10 reps and a little click. Then I stood up and no pain. I could put weight on it. I then realized that the toe in foot drag is the opposite of what I was doing while driving the truck for an hour: right legs out, foot toed out, pushing on the gas pedal. I’m exercising it every hour and feeling way better. Thanks Doc!

[@merkel6117]

After a short walk a couple of years ago (I knew that my knee was aching for a couple of days beforehand), my knee just seemed to twist/lock up. 🤔 It was impossible to put any weight on it. My friend had to go back to the car and bring it to me. My knee would not bend at all. I could not even get myself up off of a chair! The MRI showed a torn meniscus. I had surgery; my knee was so swollen! The surgery proved that my knee had two meniscus tears. My doctor said that my knee caps are not aligned, but both knees show that the kneecaps are slightly pointing towards the outside areas of my knees. My inner knee hurts. Even though I can walk four miles a day, it is painful. I thought that it must be painful due to scar tissue from the surgery. But this video has given me new insight on my situation. I will try these exercises. Thank you so much for this insight!!! My misalignment of the knees must be the issue. My doctor also said that I had arthritis though. Hmm, I am already trying to build up my gluts by turning out my feet a little during my daily walks. Walking backyards also helps, right? Thanks again for this most important information. 😁

[@faithbanda9455]

Hi Thank you for this .God bless youI just had a scope surgery . Dr said is a meniscus tear and cartilage is wearing But still in pain I've started your exercises today😊. I also have sort of a bumb on the lower thigh before the knee which feels like a muscle .I will continue with the exercises,am doing physio as well

[@AndreyBiletskyChannel]

thank you for the video. most likely I have this problem. already 3 years :((( a year ago I even had to have an operation on the meniscus, but nothing has changed

[@thejedioutcast804]

I had a knee problem for about 4 weeks, and just extending my leg hurt a lot, and it especially hurt if I bent my leg all the way and sat on knees with my butt to my calves. my leg went from 30% functionality (and a shitload of pain) to 80% (still relatively painful but much better) over the 4 weeks of taking hot baths, stretching, sleeping with my leg straight using a muscle relaxing icy hot type cream, and all types of mindfulness but it still never healed quite right. I just had this nagging feeling like " I NEEDED TO POP THE INSIDE OF My KNEE " and no matter how much I tried to pop it, IT JUST WOULDNT POP. I came across this video. It had me doing some of the exercises and then it started to feel better 10 minutes later. But then I decided to put my left leg on top my other leg (think of the way a guy would sit with his left leg ankle crossed on his right thigh, not the way girls sit with legs crossed) I decided to just put my left elbow into side of my left knee, then lightly but kind firmly press down with my body weight while my right hand was on my left shin. Then felt something in my leg just shift (my tibia) and I think I put it back in place. lmao And I immediately went from 80% mobility to 99% healed in a matter of 1 minute. LOL Almost like a miracle. And now that I think about it, when I think back to the first day this all started in september, I was sitting very weird my legs pressed up against a bar on my desk leaning all my weight into my left leg while gaming and I didn't really move my legs for a whole 30 minutes so they felt like jello after being in that awkward position, then sure enough my leg started hurting like crazy that night. I GUESS THAT IS WHAT SHIFTED MY TIBIA and started giving me pain on top of my tibia and just below the knee joint (So basically it felt like the pain was coming from inside my knee unable to pop) Now my leg doesn't hurt at all and its been 2 days later, still no pain.

[@mocha6768]

Thank you so much, this is my exact problem.would taping or wearing a brace help?

[@paulineclark2743]

Thank you so much for your videos for the knees. I'm watching from the UK. Wish I could find someone as good as you. Best physiotherapist on you tube. Best wishes.

[@epmanualphysicaltherapy]

Awwwe!!! Thanks for the kind words Pauline! We'll pass this on to Dr. David!! 🇬🇧❤️

[@lupearteaga9791]

Dr. David I just subscribed to your channel today and started doing the exercises dragging the foot but the pain is on the outside of the knee. Do you have a video for that?? Please please answer me ..

[@patrickshropshire2790]

I went to an orthopedist for medial knee pain. I was sent for an MRI and it showed no tear in my meniscus. The orthopedist was going to do a scope to see if there was a tiny tear not showing up on the MRI. I decided to wait and rest. I watched this video and had immediate relief. I will continue to perform this therapy. Thank you Dr. David!

[@epmanualphysicaltherapy]

WHEWWWWW!!!!!! It looks like you dodged a bullet Patrick!!!! Thank you for updating us on your success!!!!

[@Funky5.0]

Great video...im a powerlifter..im 55 years old...does a flat foot cause this also.. thank u

[@hetrelumineux6888]

Thanks so much for this video. I've seen many specialists and no one knew what I had. An MRI scan revealed maltracking on the hurting knee. Surgeon said I was probably born like this and other knee is probably the same even though no pain there. Are the exercises you're showing in this video aimed at correcting maltracking or is this a different problem? I do feel like I have this tibial shift as I can feel a pointy bone on inner side of hurting knee which is where it's painful. Thank you.

[@rulethesea]

I had my ACL operation done in March 2023. I was told that my ACL was broken for a long time. Every time I would try to do a complete squat my damaged knee would buckle as if unhinged and the pain when straightening was excruciating. I thought that after the ACL Surgery the knee would not do that when squatting, but it happened again. I guess it could be the inner hamstring muscle not strong enough. It’s so difficult as I have to stop workouts and my mind is always thinking if the knee would get unhinged again.

[@sapna57]

Thank you very much for this informative video .I recently developed this shift and was in really in bad pain and unable to walk. The very first day of these exercises made me feeling much better, Thanks a lot

[@likhithshivaji5173]

Can you please say me how many days this should be performed.? Please reply asap

[@deborahharris793]

My condition seems to started suddenly ! My life has changed! Your health is Everything !!!

[@epmanualphysicaltherapy]

Hi Deborah, We are so sorry to hear that you've been dealing with inner knee pain! 🥺 We have a playlist for inner knee help you might find helpful. You can access it here: "Inner Knee Pain Help" kzbin.info/aero/PLJVIPiFvv1ma8eg9DwBsl5IRgnLdKCcHs

[@KathyKeba-ey9bh]

Oh, my, been watching this and Dr David's other videos about this and knock kneed, which I have, and this morning realized that I have a reverse of this tibial shift on both legs. Just did this push thing in reverse and can see the angle (18%) getting smaller right in front of my eyes. 😳

[@debralee1973]

That last exercise was very painful but praying that this will help thank you I love you videos!

[@epmanualphysicaltherapy]

Hey Debra! Sorry to hear that you're having pain on the exercise :-( It could be a variety of reasons: -your technique is off a bit (review the video and make sure you're doing it exactly as shown) -your doing it too aggressively (lighten up on your force with your hands and when dragging your foot) -you have a tibial shift going the other way (you'll have to try switching your hand placement to push the bottom part of your knee joint inward rather than outward, but do the same exercise) -you might have another condition that needs to be addressed first (check out this video to learn what else could be causing your inner knee pain kzbin.info/www/bejne/gnzcoYmhgbl0p9U ) We hope this helps!

[@greganikin7003]

That's exactly what i have after excess running indoor track during winter preparation season. Couldn’t find out what it is for a 2 months. done mri, vent to doctor, got misdiagnosed. Tried tibia shift and bent knee and all the pain is gone, after realising that inward-outward pushing momento the pain is coming back so i tried few more time while bending my knee and no pain again. Probably tibia touches nerve and causes inner knee pain

[@joshmcclellan6118]

It fucking worked. I love you man

[@kissncook]

What in the world! 😮 I’ve had arthritis for over 20 years. Just recently had to go to Dr because I couldn’t bend left knee. Right knee is actually is worse bone on bone they said. I did get injections which helped immensely! I was no longer able to walk without extreme pain and couldn’t bend it to get in car! But I’ve noticed the big bumps on inside of knees where it hurts now. I assumed the bone on bone issue since most water came off of them. I tried this movement on my right knee and the big bump is gone! I cannot believe this lol I mean it might not be permanent right now but my goodness! I will keep watching and following your instruction! I definitely do not want surgery at 62! Thank you so much!

[@epmanualphysicaltherapy]

Great to hear Sonia!!!

[@manoharpatwardhan4522]

- Thank you very much Dr. David for your secret diagnosis on shift of tibia. - I found my tibia has been shifted due to seating on floor with crossed legs in Padmasana , which is followed in ayoga. - But after realising this fac, I stopped seating in that posture. And now doing the exercise as suggested in this video. - I am finding myself relieved from internal knee pain thrue this rear technic of shifting the tibia at its proper position. Thank you once again for this video.

[@epmanualphysicaltherapy]

Wooohoooo!!! This is great to hear Manohar!!! We’re so glad you got relief from your knee problem!!!

[@orientaldancernoorie]

I have the same problem after sitting in padmasana and crossed legs. In how many days did you get relief? I try to do it and get instant relief but it starts again.

[@vijaydatar2669]

I have a right leg , bone over bone problem and meniscus tear .But right leg is curved outside,so should I do shifting of the upper and lower leg like u showed in this Video? I am a woman 76 years old.

[@loristratton5800]

I had knee replacement and problem with inner knee pain a year after replacement after I broke that foot. Would I still have a meniscus? The tibial shift correction has helped immediately and held for awhile and then the pain comes back. The exercise feels like it exacerbates my foot/ankle pain. I sprained that foot three months ago, and wonder if I should do that exercise.

[@sudarshnabhalla603]

Hello David .I have inner knee pain on oth the knees tell how long I perform at a time and how many times. Thanks u

[@Ganpatibappa2010]

Medial knee pain more during sleep. Having lots of pain when I straighten the knee

[@vyouakim7836]

Dr D are the same exercise(s) used for a lateral tibia shift (if such a diagnosis)?

[@KathyKeba-ey9bh]

18 degrees

[@bailey309]

I tried both and the inner knee pain was greatly reduced. I’ll keep on with these until the pain disappears. Many thanks.

[@epmanualphysicaltherapy]

Hey Bailey, you are so welcome! Keep us updated on how your knee pain progresses over time!

[@justwondering3800]

Ok this is amazing. I’ve lived with inner pain on my left knee for years. I just did the tibia realignment exercise and I feel relief. What?!? I’m bending my knee with no catching. What?!? Also watched your how to walk for knee pain and cannot believe the relief on my knees. Unbelievable. Why didn’t the ortho doctor tell me about this? Right away with the surgery talk. Thank you so much!! ❤️

[@epmanualphysicaltherapy]

Wooohoooo!!!! This is great news! We’re so happy this worked for you JustWondering!!!

[@manoharpatwardhan4522]

After watching this video, I did the exercise to shift tibia outword. Within 3 - 4 days, I am comfortable from internal knee pain of my right leg. This secret diagnosis is amazing. ! Secondly, I revealed that, the inward shift of my tibia is due to a wrong practice of seating on the floor with cross legs and that too in a ' Yogas posture called as ' padmasana.' Now I have stopped seating in Padmasana and see as how can I shift my tibia outword with respect to thi bone. ( Femur )

[@obieee4311]

After my ACL reconstruction I frequently have a " lateral tibial shift" the rare variant. I was wondering if the same exercises apply or should I do other exercises? What can I do to prevent this in the future, train the hamstrings, hips etc? Looking forward to your response. Best regards, Rik

[@xrobsyx]

Is there a way to check which way you should be doing the shift? Eg how do I know if I need to do it the other way round ? Thanks Doctor David!

[@cathi7610]

Could you have this inner knee pain regarding the tibia shift if you do have severe arthritis, bone on bone, hardly any meniscus either? Is it okay, then, to do this exercise?

[@diannebedford2571]

I just came across this and thought it might apply. I was 2months post op TKR, and doing my recovery walking. I had a tweak where my knee overextended a bit as I was stepping down off a curb. Since then, strong pain on the medial side, a twanging of my knee in flexion and extension, and lateral/posterior pain (less than medial). Increased pain with interior rotation. X-ray is ok, bone scan shows accumulation of radioactive isotope in the same areas paired with swelling on the lateral distal femur. I feel a slight edge in the medial tibial palpating, but the interior rotation exercise is agony for me. Thoughts and suggestions appreciated for relief or possible injury root causes.

[@thomashenry3284]

WOW, THANK YOU!!!! I just got this pain from doing Bulletproofing my knees exercises and thought it was meniscus. After doing a few pushes back to the slot the pain reduced immediately by 97%. THANK YOU DAVID!!! You are a God sent blessing!!! 🙏🙏🙏❤️❤️❤️❤️

[@epmanualphysicaltherapy]

Hey Thomas, you are so welcome! We appreciate the kind words!

[@robhughes8198]

Still on the workout plan? Curious how it's going pain and joint strength wise.

[@kokilarathod6459]

Ur vedios r so helpful. Thx. I'm in chicago anyone u can recommend that I can go to

[@epmanualphysicaltherapy]

You're welcome Kokila! In the US, you can find a physical therapist trained similar to Dr. David at this website: aaompt.org/Main/Public_Resources/Find-A-Fellow/Main/Member_Resources/Find-A-Fellow.aspx?hkey=108c9a56-f793-45e4-b3ed-cefe5d871a94 Dr. David is a fellow of the American Academy of Manual Physical Therapists. His specialty is orthopedic manual physical therapy, which is the ideal specialty for helping someone avoid surgery, injections, and medications. Normal physical therapists are best trained to help people right after surgery.

[@GX901]

How do you prevent this. It happens when I bend down sometimes.

[@jonathantillett6419]

Did your therapy but now I have medial tibial nerve impingement could it be caused by doing this? My knee got better then I just got the medial impingement out of no where!!!

[@jinfield]

Ideally how many times a day should the first exercise be done (I know the 2 minutes total just how many times a day)? Or does it correlate with the 2nd exercise doing it hourly (ideally)?

[@nancysmyth-gray1698]

In pain for 6mos. Good day / Bad day 🤷‍♀️ 2mos in PT with okay progress then it reversed and I went like this until I hit $2000 out of pocket and had to stop. Just didn’t help. My chiropractor would reset my knee but not stay. I’m hoping this is my ticket to actually moving forward. Looking forward to contacting you regarding your health routines because this might be it. 🙏

[@darlingly3130]

Did you get it fixed?

[@rollingstone3017]

You mean it's a rare condition, or that it's rarely diagnosed (i.e. missed).?

[@JustSylBeauty]

would this show on xray? I feel like this is exactly my problem but xray came back looking normal. will this cause walking to worsen this condition? during the initial injury I was kneeling/squating twisted my knee and something felt out of order so I had to kick my leg out for it to snap back in place 😕

[@jillcresey-gross8202]

Great information, exactly where I have pain, not where the doctor insists where it should be (Pes anserine bursitis). All this explains it well, trouble is, bring something like this up to the doctor and its instant attitude. How dare anyone even make a suggestion about what might be going on with thier own body.

[@zeinabali1411]

Whats the reason for this Tibial shift? Can I run with this injury on?

[@eiseneisen5115]

I can't bend my left knee properly. Which exercise should I do to get my knees bending normal.From India.

[@joshuamartin6659]

You said to do the exercise every hour 30 reps, do you also do the tibia shift as well every hour?

[@triciaskiles]

Do I need to take my brace off to do the exercise or can I leave it on?

[@viperviper5]

My question what causes the knee to shift

[@thebestever333]

Can you manually align it on another person?

[@tarekzayn1674]

What if you have a bump and pain on the outside and you got a tibial shift, because I have it on the outside of my knee

[@johngibson540]

Hi David. I have had a pain on my inner knee for about 2 years. I had an ultrasound and was told that I had a cyst and advised to use physio. I have been searching the internet and all I can find is references to Bakers Cysts. Can you advise of best exercises for the kind of cyst I have been diagnosed with?

[@epmanualphysicaltherapy]

Hey John, that's a unique situation. Cysts on the inside of the knee are not common. You'll need to see an expert physio in your area to get the best help.

[@Theo.1515]

My knee started making like crack sounds for a while. And then the pain started when i bend or walk. It is not constant but is there. Also at the same time both my hips hurt after i sit then wanna stand up. You mentioned they were related in your previous video. How so? Thank you for all the info. It is very beneficial.

[@epmanualphysicaltherapy]

Hey Anna! Sorry to hear about the cracking sounds and pain you've had to endure in your knees when bending and walking :-( Here is a video explaining how hip and knee pain are connected: "3 Reasons Knee Pain Is Coming From Tight Hips" kzbin.info/www/bejne/opvFZ6h4l9uZotE

[@linhpham1270]

Dr Davis, I have had this inner knee pain for a long time for 5 years. It comes and goes for a while. I am a swimming 20 laps in 1 hr x3 a week. I have been dx for left knee osteoarthritis 4 years ago. Last 4 weeks, I have my L knee swollen, unable to bend. Had X ray showing arthritis. I had to stop swimming. I swim both breaststroke and backstroke. I think I have had injury from swimming too much.Just found your channel last night, I have learning a lot from your teaching. I think I have both sephanous nerve and shin bone shift. I am trying your tech tech nique, feeling pain is better 40% already. Also I practice walking with glut muscles, feeling better already. Many thanks for your channel. Also , I have pain when go up stairs. But i have no choice. Your channel is life saver for us. God bless your heart.

[@Lunaalove]

I did the exercises and it worked but after playing with my dog on the floor it returned. What can I do to stop it from returning? Because now the exercise works instantly but the way I walk causes it to come back (I flop my ankle because I’m scared of the pain to come back it’s now a habit )

[@bowler8]

why dont PT's know about this?

[@mitkooskov2854]

Can computer designed orthotics cause tibial shift?

[@yousifabduelal3161]

I tore my mcl and I can’t straighten my leg and there was no tears on my meniscus and I have that sore and tender bump I’m gonna try and continue this but I hope it works

[@epmanualphysicaltherapy]

Hey Yousif, sorry to hear about your torn MCL 😞 But that’s good news that your meniscus is okay. With a torn MCL, you need to treat it like a torn ACL. Use a brace otherwise it’s going to keep hurting and likely get worse. Take a look at these videos to get an idea for how to proceed. “Knee Pain ACL Injury Help” kzbin.info/aero/PLJVIPiFvv1mY5egV7qX8PHh-kEeL6y1wP

[@yousifabduelal3161]

Thank you but Is that little bump normal ?

[@angiehornshaw3680]

I've told my physiotherapist that this is working for me but she doesn't believe me. She told me not to do anything other than what she says. I have to go to her because it's a work injury. Can I get a doctors recommendations note from you? Lol Just kidding! I'm going to try and get her to watch this video. Thanks! again!

[@epmanualphysicaltherapy]

Hello Angie! We are glad to hear it is working for you. Yes, let your phsio know about us !!. We love when therapists join in.

[@darrellmihara6094]

Would a tibial shift show up on an xray?

[@sirhoopalot1125]

No

[@user-zv8ps3zm1l]

Thanks a lot ! Doctor, Can i possible to contact personally? If possible send me any contacts of you.

[@loisg1092]

I don't like to post negative comments, but I self-diagnosed myself after watching this video thinking this is what I had. Doing the exercises for a few days aggravated my situation and made it worse with throbbing pain now on day #5:-(

[@epmanualphysicaltherapy]

Hey Lois! We are terribly sorry to hear that your knee pain has been aggravated and you are dealing with throbbing pain. It is possible that perhaps this might not be the right exercise for you if a tibial shift isn't what you were dealing with. It could also be that your knee didn't react well to the amount of exercise you did - maybe the intensity was to high or you possibly overworked the knee joint with too much too soon. This isn't uncommon, when dealing with injuries as such it is important to keep in mind that you have to start small and build tolerance and strength in the knee joint little by little. We would suggest that you continue to rest until the throbbing pain in your knee has ceased a significant amount before trying anything else. Once you feel confident its healed enough, it is up to you if you'd like to give the exercises in this video another try - this time with less reps and les time throughout the day. Here are some additional exercises you could consider doing to potentially help, here are the videos for you: “Top 5 Glute Muscle Exercises For Knee Pain” kzbin.info/www/bejne/hInHdJ2KZ7angKM “Top 6 Standing Glute Exercises To Help Knee Pain” kzbin.info/www/bejne/oHWaeoV4m69go68 “3 Big Reasons Your Glute Muscles Won’t Work Well For You” kzbin.info/www/bejne/ipLQiaKopt12d80 Also, here's a whole playlist for you on the topic of inner knee pain: "Inner Knee Pain Help" kzbin.info/aero/PLJVIPiFvv1ma8eg9DwBsl5IRgnLdKCcHs We'd love to hear more about your progress! 🙌

[@likhithshivaji5173]

​@@epmanualphysicaltherapyHow many days should the exercises be performed for the tibial shift you have shown in this video. Please reply asap. It would be of great help. Thank you

[@itgoesmyway]

Can doing a lot of gluteus medius clamshells cause the tibia shift Dr David mentioned?

[@epmanualphysicaltherapy]

Hey there, many things can cause a tibial shift! For instance, while doing the clamshells, it is possible you are using the Tensor Fascia Lata muscle. This muscle crosses the knee and can cause a tibial shift if it becomes too tight. So, it is very important to make sure that you are only using the Gluteus Medius for this exercise. Hope this helps!

[@itgoesmyway]

@@epmanualphysicaltherapy thank you for the reply!

[@marilynfigurel4670]

Can tibial shift be a factor in knee valgus ?

[@epmanualphysicaltherapy]

Hey Marilyn, It could be but we would not be able to give you a definitive answer without a proper evaluation. If you are experiencing a lot of inner knee pain, we would recommend our inner knee help playlist: “Inner Knee Pain Help” kzbin.info/aero/PLJVIPiFvv1ma8eg9DwBsl5IRgnLdKCcHs In the event that you would like more personalized guidance on this we would highly recommend a virtual consultation. By opting for a Virtual Consultation, you'll have the opportunity to have a one-on-one conversation with our doctors, where they can delve into the details of your condition and provide you with tailored guidance and coaching. This personalized approach ensures that you receive the individualized support and direction you need to make informed decisions about your health. To learn more about our Virtual Consultations including cost please click here: www.epmanualphysicaltherapy.com/virtual-visit/ We hope you find this information helpful, we wish you all the best. Please keep us updated on how you are doing on your progress!

[@darlingly3130]

Can't orthopedist or a sport medicine doctor see a tibial shift on x-ray?

[@debralee1973]

I am having outer knee pain when doing this any thoughts??

[@epmanualphysicaltherapy]

Hey Debra, you may have over-corrected your knee joint alignment. This is possible especially if you're generally a flexible person. It may also be a sign that your knee joint is shifted the opposite way that we show this correction for. That happens very rarely.

[@melissatonini9734]

Hi - how many times/day should I do the self adjustment/rotation for tibial shift?

[@epmanualphysicaltherapy]

Hey Melissa! Great question, there isn't an exact amount of times that you should be doing a tibial shift adjustment per say. It would depend on your given situation and we don't have enough info to say what might work for you. A general rule of thumb would be to do it a few times a day and taper off if you do happen to see some improvements. This isn't something you want to over do over the longterm. We do have a ton of info on Knee Meniscus Pain, here's the playlist for you: “Knee Meniscus Help” kzbin.info/aero/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a

[@melissatonini9734]

@@epmanualphysicaltherapy Thanks so much for your reply. I would SO totally come see you, but I live in Northern California. Know anyone of your caliber in San Francisco Bay Area?

[@epmanualphysicaltherapy]

Hi again Melissa! you can find a physical therapist trained similarly to Dr. David at this website: aaompt.org/Main/Public_Resources/Find-A-Fellow/Main/Member_Resources/Find-A-Fellow.aspx?hkey=108c9a56-f793-45e4-b3ed-cefe5d871a94 Dr. David is a fellow of the American Academy of Manual Physical Therapists. His specialty is orthopedic manual physical therapy, which is the ideal specialty for helping someone avoid surgery, injections, and medications. Traditional physical therapists are best trained to help people right after surgery.

[@robhughes8198]

If you're watching this, GET UP! Be active! Your knees and body hurt from NOT using it(properly), NOT the other way around!!! While other things worsen with use, our bodies do the opposite(kind of)... Get up, go outside.

[@jonathantillett6419]

Hello...I had pain for like a week then it cooled down but I feel like air in my knee and the inner part feels tender but the pain is gone I don't feel the pain when I press on it but I feel like air inside...can you please help? I was kicking a heavy bag and my toe gets swollen too

[@jonathantillett6419]

Can u please help Dr David I've had it for about 2 months now I've tried different exercises for inner knee pain but Im not so sure and here in Belize we don't have good therapist so all I count on is hoping I can find a video that is most likey sharing what I have and this is as close as I've gotten to fixing myself PLEASE HELP!

[@cathi7610]

@@jonathantillett6419, email him.

[@suzannemckitterick2781]

The low sitting height sounds like I could do when seated on my toilet. I will attempt this with each potty break.

[@layzy24]

I take my shirt off and use that as a sock and glide it on my tile and it's like butter. I think sock on carpet might be too tough.

[@epmanualphysicaltherapy]

Great suggestion Layzy. Thank you for sharing.