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.
Because other knee problems cause similar symptoms, your doctor may order imaging tests to help confirm the diagnosis. X-rays. Although x-rays do not show meniscus tears, they may show other causes of knee pain, such as osteoarthritis. Magnetic resonance imaging (MRI).