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I have been having pain on the outside of my knees. My Dr. told me it was from riding my horses. I was not going to stop riding. A friend suggested getting crooked stirrups. But the were all so ugly. When I found the Angled aluminum stirrup here at Rods I decided to give it a try. After my first ride I noticed less pain in my knees. I went on a 5 hour ride and had no pain after riding. They are great stirrups.