If your base of support (your feet) is not stable then the muscles of the lower limb, pelvis and back are overworking to compensate. A pronated foot is likely to overwork the lateral compartments of the calf and thigh hence resulting in micro trauma, soft tissue fibrosis and overall loss in elasticity. Myofascial tightness in the ITB, Tensor fascia late and vastus lateralis tend to pull the knee cap out of its groove. Patella Maltracking causes pain, cartilage wear and a felling of giving way. Patella Maltracking Treatment requires a series of soft tissue releases to reverse the myofascial restriction, orthotics to stabilize the pronated foot and strength program to reestablish medial control of the kneecap.