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if we get the patient here just to do a single leg squat okay what were looking for is where the knee goes generally we want the need to come out here in this kind of direction towards a third toe but what classically happens is the knee goes in there okay and tracks more inside the big toe and then stand up and relax and then what that does is it collapses down and over pronates the foot which then puts a lot of stress at the medial part of the lower leg here along the tibia and into the medial tibial muscles if the patient is to do more running or more exercise and theyve been accustomed for to do before then this can be one of the main reasons for bringing on this kind of injury another is change of weight if if whatever reason youve put on weight sometimes again the more load that goes through the the tibia here can have a can be one of the causes of bringing on this this syndrome essentially were looking at what happens between the knee and the ankle and if you can imagine eve
