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.
Runnerâs knee can be the result of overuse or a direct injury to the knee. The pain stems from the improper movement of the kneecap where the thigh bone and shin bone come together while running. People with weak thigh muscles, poor flexibility, and flat feet are more susceptible.