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And have just completed the second surgery to untwist my femurs. So yeah. twisted femurs CAN cause you a great deal of pain. So I would try and find an OS who specializes in both knees AND hips. My current OS is the first one I'm seeing who does more then just knees and he diagnosed the problem in one office visit. A month after I saw him and had the needed tests we deicded to untwist the femurs.