Thank you for your detailed message. Based on what you’ve described, it sounds like you may have a congenital or developmental condition often referred to as tibial torsion (outward rotation of the shin bones) combined with femoral anteversion (inward rotation of the thigh bones), which has led to your unique alignment over time. You mentioned you’ve been forcing yourself to maintain a “straight” alignment, which is likely outside your natural anatomical range. Doing this consistently, especially under load (like during leg press or walking with altered posture) could’ve caused joint stress, especially at the knees, and can absolutely lead to pain or swelling over time.

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Hi I would suggest you to start with the basic stretching and strengthening exercises for knee muscles before resuming to the gym exercises. Once your knee pain and swelling is gone. Then you can start with leg presses, squatting , lunges etc. Impact of leg presses on your knee can only told after examination. After physical examination only we can know the Degree of your knock knees and your posture during leg press and other workouts.

Consult in person with nearby physiotherapist for proper assessment to get proper treatment.

Take online consultation for better treatment and diagnosis

You need to visit online so that real position can be assessed

Hi please take an online consultation for best diagnosis and treatment.