Tibial Internal rotation is often limited with conditions like patellofemoral syndrome - what I call "knee pain" 😂 - and a functional mobilization, or in weight bearing with the rotation force applied during the painful activity, like a lunge, squat, or step up/down often makes it pain free.
In this case, simultaneous tibial IR and distal femoral lateral glide was applied which abolished lateral knee pain and also improved ankle dorsiflexion. As a bonus, the patient can make sure the knee tracks over the 2nd metatarsal in closed chain. A high dosage of this mobilization performed hourly for a few days should help restore pain free function and get the patient ready for loading/strengthening.
Functional Mobilization for Lateral Knee Pain
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