The back squat is one of the most widely used exercises in strength training. It is often treated as a benchmark for strength, function, and even athleticism. There is no debate that it builds muscle and improves one’s ability to squat. For athletes training specifically for strength sports or Olympic lifting, that outcome may be appropriate. The issue is not whether the back squat works. The issue is the assumption that loading a back squat should be a priority in training and a meaningful metric for function, athletic performance, or longevity.

Most people come to physical therapy because they’re in pain. That makes sense. Pain is disruptive. It affects how you train, how you work, and how you move through daily life. The issue is that most rehab models stop at pain relief, even though pain relief and long-term change are not the same goal.

When you’re dealing with pain or an injury, the “normal” path people take through the medical system rarely leads to real resolution. You see a doctor, maybe get an X-ray or MRI, maybe try medication, rest, or an injection. You’re told to “avoid what hurts” or “give it time.”