Rotational stresses acting on the proximal tibia (where the large bone in the lower leg, the tibia, articulates at the knee) are common in people who drive a lot, e.g. for a job.
The tibia is not meant to rotate at this joint, but will tolerate some rotational stresses for short periods of time or if the stress is not repetitive or chronic.
Patients whose work requires a lot of driving often come in with aberrance and pain in their right (gas / brake foot) knee. Usually I find, and adjust to relieve / correct, rotational stress of the involved proximal tibia.
