Re: Genitic or Just a Muscule issue-twisted
I don't know if this will be much helpful, but I'll share my experience.
My knees kind of face each other, my legs are a bit bowed, and my feet face straight ahead. So my knees and my feet are not lined up with each other. When I was younger and more active, I had a lot of trouble with pain in my knees (still do if I go hiking once in a while or walk long distances- like more than a couple miles). My pediatrician at the time had asked if I could sit on the floor in kind of the opposite of indian style- with my legs outward (i don't know how well I'm explaining this). I sat that way often, and demonstrated it to her, and she said that that showed that my legs were situated in my hips the wrong way, and that was the reason for my knee pain. My brother has this same problem, so I think it's hereditary.
So it's similar to your problem in that my knees face a different direction from my feet, and my legs aren't in my hips the correct way...