These articles have quotations from film adaptations of J.R.R. Tolkien's novel The Lord of the Rings and related works: 1  The Lord of the Rings.  J.R.R. Tolkien's The Lord of the Rings (1978)
This causes a twisting on the tibia and changes its relationship to your kneecap. This can cause tracking problems as well. If your quadriceps or hamstring muscles are too tight, they also will affect the mechanics of the knee and lead to compensation patterns that cause pain.
When wrong, they will put you in the shop! Yes, your orthotics are wrong for a runner and yes, they are probably the cause of your knee pain because they have not corrected your biomechanical problem. Running magnifies every biomechanical flaw with each step.