Can you guess why she has knee pain?

Take a good look at the two photos. In the second photo you can see that when her knee is straight in the sagittal plane her foot is externally rotated. Yes, she has external tibial torsion to a pretty severe degree. The normal angle is 12 to 18° and hers is 45. When you try to line the feet up, and knee falls to the inside and creates patellofemoral problems.

In orthotic with an aggressive arch and support under the sustentaculum tail can make a big difference with her progression angle.
#ett #externaltibialtorsion #kneepain #tibialtorsion