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.
Tracking Disorder: All joints can make noise. If the noise hurts, that may indicate a problem. Most people without a history of trauma and pain with stairs is usually a patellar tracking disorder. The knee cap can rub against the femoral groove when going up/down stairs causing inflammation and pain. This is often resolved with consistent rehab.