03/09/2026
If your knees hurt when you squat, the problem might not actually be your knees.
One thing we commonly see is limited tibial internal rotation (the shin bone’s ability to rotate inward). During a squat, your tibia needs a small amount of internal rotation to allow the knee to track properly over the foot. If that motion is restricted, the knee often compensates with extra stress on the joint — which can show up as pain in the front or inside of the knee.
By improving tibial internal rotation mobility and control, you can often restore better knee mechanics, reduce stress on the joint, and make squatting feel smoother and stronger.
Sometimes the solution isn’t avoiding squats… it’s restoring the movement your knee was designed to have.