Perfect Squats – Technique Advice From A Physio

Whether you are new to the gym or a long term veteran, the squat should be a key part of your weights program. The squat is one of the best exercises you can perform to develop total body strength, power and overall athleticism. However, there are still some common myths, misconceptions and overall confusion amongst gym goers which can dispel some from performing this exercise and reaping the raft of benefits the squat provides. This blog post will drive away some of those myths and get you squatting in no time.

Should your toes be forward or angled out?

You may have been told that you should be able to squat with your toes facing forwards, whereas you may have also been told that you should turn your feet out slightly. So who should you believe?

…The answer is both!

Toes Forward Or Angled Out For Squats

Toes Forward Squat

There are pros and cons to each foot position. A pro of squatting with your toes facing forward is that is requires a greater amount of hip and ankle joint mobility, which is going to be great for your overall joint health long term.

However this can also be a con, in that a lot of people do not have the required mobility, so squatting with their toes facing forwards places undue load through areas such as the lower back and knees which try to compensate for this.

Toes Angle Out Squat

A pro for turning your toes out slightly (about a 30° angle) is that it opens up the hip and ankle joint and takes the emphasis off mobility slightly. It also gives us a slightly a wider base of support and places some muscles at a greater mechanical advantage, meaning we can lift more weight (who doesn’t want to lift more weight, right?).

A con is that because it takes out the greater need for mobility, those specific joint ranges aren’t getting trained so the mobility can deteriorate further over time. 

Summary

  • Try both! Squat with whatever foot position allows you to gain a suitable range of pain free motion.
  • Which foot position suits best will differ greatly between everyone.
  • If you are getting pain, something is not right!

Should knees go past your toes?

This is probably the most common myth between gym-goers. Someone somewhere along the way has probably told you that if your knees go past your toes, then you are risking hurting your knees.

So let’s break down the facts.
It is true that when your knees go past your toes there is an increase in load through them, but this was found to be roughly a 28% increase. Your knees are very robust and can handle this increased torque quite easily. The real problem actually comes when you DON’T let your knees travel past your toes! When research later looked into the effects on the rest of the body when you don’t let your knees go over your toes in the squat (Fry et al. 2003), they found that the shear load through your lower back actually increases by over 1000%! 

So the real question is this: Would you rather increase knee stress slightly with a full squat, or would you rather increase lower back stress significantly by not allowing your knees to pass your toes? Probably best to let those knees travel past your toes…

Squatting With Knees Past Toes

Summary

  • Your knees must go past your toes in the squat to make sure you are loading your entire body appropriately.
  • A trade off of 28% increased knee torque seems reasonable to save a 1000% increase in lumbar spine forces

Shoulder we fear deep squatting?

Will Deep Squats Ruin My Knees?

Another common myth that goes around the gym is that deep squats will ruin your knees and cripple you with arthritis. This originated a long time ago, when a certain doctor linked deep squats with traumatic knee injuries in football. The doctor’s rationale was that deep squats stretched and loaded the important ligaments in the knee, making them at higher risk of injury. This has been shown time and time again with more modern research however to be completely false.

Another thought is that the deeper you go, the more compression is placed through the knee which wears away your cartilage and gives you arthritis. If this was the case, powerlifters and Olympic lifters who squat with weight sometimes close to 3 x bodyweight daily in training would be crippled with arthritis. Long term studies show that the rate of arthritis are no higher in powerlifters/oly lifters compared to the normal population, and sometimes are even lower!

Front Squat Olympic Lifter

Additionally, recent research not only shows that there is there nothing wrong with deep squatting and your knees passing toes, but this actually helps to protect us against injuries rather than cause any!

Summary

  • Your knees are seriously robust joints that are made to be loaded through a full range of motion.
  • Deep Squatting will not cause ligament damage or Arthritis!

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Rachel effectively diagnosed and provided suitable treatments for my very stiff neck and shoulders. Pain was gone in roughly 5-6 weeks.
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I have been going to Physio fit since 2018 and had been seeing Ryan ongoing for many different ailments and always found him to be thorough, he is big on education and it was always a joy to see him because he has a great sense of humour...which is a great distraction when your in pain. I have always trusted him and like his approach to physiotherapy. Recently I have started seeing Corey because of an injury from a car accident and find him to be very empathetic and caring. He listens keenly and gives a great shoulder and neck massage and is so gentle with needling. I highly recommend either!! Also- special mention to the reception unicorns.... always friendly and helpful
I have been going to Physio fit since 2018 and had been seeing Ryan ongoing for many different ailments and always found him to be thorough, he is big on education and it was always a joy to see him because he has a great sense of humour...which is a great distraction when your in pain. I have always trusted him and like his approach to physiotherapy. Recently I have started seeing Corey because of an injury from a car accident and find him to be very empathetic and caring. He listens keenly and gives a great shoulder and neck massage and is so gentle with needling. I highly recommend either!! Also- special mention to the reception unicorns.... always friendly and helpful
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Maryam Ayinde
2 years ago
I had an amazing experience with Rachel. She made sure to hear my complaints and gave me the best solutions possible. I am aware of how to manage my pain now. Thank you xx
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Maryam Ayinde
2 years ago
I had an amazing experience with Rachel. She made sure to hear my complaints and gave me the best solutions possible. I am aware of how to manage my pain now. Thank you xx
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2 years ago
I would without hesitation recommend PhysioFit to anyone. Specifically, Trent Schoenmakers provided exceptional care for my little brother, Harry, who had a back injury. Over the course of the year, Trent offered personalised treatment that continuously adapted as Harry’s recovery progressed. He also referred Harry to a sports physician and worked closely with them to develop a comprehensive recovery plan. Thanks to Trent’s dedication, Harry was able to fully recover and return to sport.

What really stood out was Trent’s constant communication. He regularly checked in via email and was always happy to answer any questions we had. His personable nature and genuine care made a tough situation much easier for us. I highly recommend Trent to anyone in need of a physio who truly cares about their patients’ well-being.
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William Choeun
2 years ago
I would without hesitation recommend PhysioFit to anyone. Specifically, Trent Schoenmakers provided exceptional care for my little brother, Harry, who had a back injury. Over the course of the year, Trent offered personalised treatment that continuously adapted as Harry’s recovery progressed. He also referred Harry to a sports physician and worked closely with them to develop a comprehensive recovery plan. Thanks to Trent’s dedication, Harry was able to fully recover and return to sport.

What really stood out was Trent’s constant communication. He regularly checked in via email and was always happy to answer any questions we had. His personable nature and genuine care made a tough situation much easier for us. I highly recommend Trent to anyone in need of a physio who truly cares about their patients’ well-being.
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I received support from Trent for my ACL reconstruction rehabilitation and I couldn't be happier with the results. Over the last 12 months, my progress has been incredible, thanks to the consistent, personalised care and expert guidance I received. Trent has been amazing, always encouraging and attentive to my needs, ensuring my recovery was smooth and successful. I highly recommend Physio Fit for anyone needing professional and supportive physiotherapy!
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Schlinda Boothby
2 years ago
I received support from Trent for my ACL reconstruction rehabilitation and I couldn't be happier with the results. Over the last 12 months, my progress has been incredible, thanks to the consistent, personalised care and expert guidance I received. Trent has been amazing, always encouraging and attentive to my needs, ensuring my recovery was smooth and successful. I highly recommend Physio Fit for anyone needing professional and supportive physiotherapy!
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I was 32 when I first visited Ryan at PhysioFit and had been suffering from crippling back pain for 14 years. Having previously given up hope after numerous other physios, doctors and chiropractors were unable to help me I was recommended to Ryan and worked with him for about 6 months to try and better understand my injury and what I could do improve the pain I was experiencing. Ryan quickly sent me off for an MRI that no previously professional had yet suggested and in turn we were able to get a better understanding of my injury. Now knowing better what we were working with, Ryan made several recommendations, from stretches to strength work to back supports. After following his advice and working hard at changing my routines, I can honestly say the last 2 years of my life have been the most pain free years I've had since I was a child. I really feel like I've been able to get my life back. I'll always be thankful for the help I received and highly recommend Ryan and PhysioFit.
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Tim
2 years ago
I was 32 when I first visited Ryan at PhysioFit and had been suffering from crippling back pain for 14 years. Having previously given up hope after numerous other physios, doctors and chiropractors were unable to help me I was recommended to Ryan and worked with him for about 6 months to try and better understand my injury and what I could do improve the pain I was experiencing. Ryan quickly sent me off for an MRI that no previously professional had yet suggested and in turn we were able to get a better understanding of my injury. Now knowing better what we were working with, Ryan made several recommendations, from stretches to strength work to back supports. After following his advice and working hard at changing my routines, I can honestly say the last 2 years of my life have been the most pain free years I've had since I was a child. I really feel like I've been able to get my life back. I'll always be thankful for the help I received and highly recommend Ryan and PhysioFit.
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2 years ago
I was recommended to Zydan at Physio Fit Modbury for pain in my knee (which ended up being patellofemoral). He was excellent! Always professional, and very thorough in his assessments and prescription of rehab exercises. The program included active recovery through resistance training, regular stretching exercises, plyometrics and massage. I saw him for about three months, and at the end of the program, I now have no pain at all.
I would 100% recommend Zydan to anyone looking for an effective active recovery physiotherapy program - and already have! Thanks Zydan.
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Ben Kempster
2 years ago
I was recommended to Zydan at Physio Fit Modbury for pain in my knee (which ended up being patellofemoral). He was excellent! Always professional, and very thorough in his assessments and prescription of rehab exercises. The program included active recovery through resistance training, regular stretching exercises, plyometrics and massage. I saw him for about three months, and at the end of the program, I now have no pain at all.
I would 100% recommend Zydan to anyone looking for an effective active recovery physiotherapy program - and already have! Thanks Zydan.
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I highly recommend Physio Fit! Zydan was able to fix my ongoing knee issues and for the first time in years, I’m pain free. He explained the issues and outlined the goals/timeline clearly, so I left each session feeling confident and had a good understanding of what was going on. The clinic itself is also nice and the reception staff were very friendly. Definitely the best experience I’ve had with a physio.
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meagan jacobs
2 years ago
I highly recommend Physio Fit! Zydan was able to fix my ongoing knee issues and for the first time in years, I’m pain free. He explained the issues and outlined the goals/timeline clearly, so I left each session feeling confident and had a good understanding of what was going on. The clinic itself is also nice and the reception staff were very friendly. Definitely the best experience I’ve had with a physio.
Zydan has been a huge help with my recovery from a shoulder injury caused by the gym and he has shown me multiple ways to keep training while also letting my shoulder heal he’s very professional and knows his stuff and the receptionist team are super friendly and are really easy to deal with would 100% recommend to anyone I’ll always be coming back here
Zydan has been a huge help with my recovery from a shoulder injury caused by the gym and he has shown me multiple ways to keep training while also letting my shoulder heal he’s very professional and knows his stuff and the receptionist team are super friendly and are really easy to deal with would 100% recommend to anyone I’ll always be coming back here
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I see Zydan and have found him to be very friendly and helpful. He explains everything clearly. Zydan has really helped me with my issue. I am extremely happy. I am also pleased with the reception staff - always polite and efficient. Highly recommend Physio Fit Modbury.
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Saiyan Cookie
2 years ago
I went to see Ryan with a chronically bad shoulder which was holding me back from my strength goals. Over 5 visits, he got me back to being pain free and high mobility. His knowledge and guidance has been awesome for me and given me the confidence to complete my challenge by the end of the year. Highly rate him and Physio Fit.
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Saiyan Cookie
2 years ago
I went to see Ryan with a chronically bad shoulder which was holding me back from my strength goals. Over 5 visits, he got me back to being pain free and high mobility. His knowledge and guidance has been awesome for me and given me the confidence to complete my challenge by the end of the year. Highly rate him and Physio Fit.
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2 years ago
Pretty good and professional service! My daughter got torn ligament around the ankle. Zydan has thoroughly checked her and gave instructions of exercises throughout the sessions. After a few weekly sessions, her ankle has been restored and she is able to be back to sports . We are quite happy with the progress and result.
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Linda Khojasteh
2 years ago
Pretty good and professional service! My daughter got torn ligament around the ankle. Zydan has thoroughly checked her and gave instructions of exercises throughout the sessions. After a few weekly sessions, her ankle has been restored and she is able to be back to sports . We are quite happy with the progress and result.
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Mana Nankivell
3 years ago
I highly recommend Trent and the Physio Fit team.
I sustained a knee injury (fat pad impingement) in a half-marathon around 18 months ago, and after 12 months of seeing a (different) physio and sports doctors without any improvement, I was told by the doctor that I would "probably just have to put up with the pain".
I booked in with the team at Physio Fit for another opinion, and it was the best decision I ever made. Trent put together a very manageable rehab plan for me and was quick to respond and adapt when something didn't work out. In the past 6 months, I've gone from not being able to walk without pain or even think about hiking, running or cycling without my knee flaring up, to running my first post-injury 5.5km trail run and hiking 10km with a 10kg pack!
Mana Nankivell profile picture
Mana Nankivell
3 years ago
I highly recommend Trent and the Physio Fit team.
I sustained a knee injury (fat pad impingement) in a half-marathon around 18 months ago, and after 12 months of seeing a (different) physio and sports doctors without any improvement, I was told by the doctor that I would "probably just have to put up with the pain".
I booked in with the team at Physio Fit for another opinion, and it was the best decision I ever made. Trent put together a very manageable rehab plan for me and was quick to respond and adapt when something didn't work out. In the past 6 months, I've gone from not being able to walk without pain or even think about hiking, running or cycling without my knee flaring up, to running my first post-injury 5.5km trail run and hiking 10km with a 10kg pack!
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Laura O'Connor
4 years ago
This clinic is the pinnacle of physiotherapy in Adelaide. Ive seen a couple of different physios at physiofit over the years for different injuries and the experience has been absolutely amazing each time! Highly recommend seeing the team here for all your physio needs!
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Laura O'Connor
4 years ago
This clinic is the pinnacle of physiotherapy in Adelaide. Ive seen a couple of different physios at physiofit over the years for different injuries and the experience has been absolutely amazing each time! Highly recommend seeing the team here for all your physio needs!
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Ryen Archer
4 years ago
Corey is absolutely fantastic, worked out my issues and we have been working to improve them for a few months now and all I can say is I am feeling a million times better! thanks physio fit! Keep up the great work!
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Ryen Archer
4 years ago
Corey is absolutely fantastic, worked out my issues and we have been working to improve them for a few months now and all I can say is I am feeling a million times better! thanks physio fit! Keep up the great work!
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Amy Szyndler
4 years ago
I attended Physio Fit to get my tennis elbow treated. Always a friendly greeting from the lovely reception staff, and my physio, Corey, was fantastic; very friendly, knowledgeable and provided treatment that was personalised and holistic. Following Corey's advice and exercise regime helped me get back to the activities I enjoy, pain-free. Highly recommended.
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Amy Szyndler
4 years ago
I attended Physio Fit to get my tennis elbow treated. Always a friendly greeting from the lovely reception staff, and my physio, Corey, was fantastic; very friendly, knowledgeable and provided treatment that was personalised and holistic. Following Corey's advice and exercise regime helped me get back to the activities I enjoy, pain-free. Highly recommended.
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Debbie Moss
4 years ago
Have been taking my daughter here for quite a few months now for ongoing back issues. The care that she has been given through her Physiotherapist Corey, has been fantastic. Everything has been explained and if exercises have needed to be modified he has. Would thoroughly recommend this place for any Physio needs. All staff that we have dealt with have been friendly and professional. A great team and environment.
Debbie Moss profile picture
Debbie Moss
4 years ago
Have been taking my daughter here for quite a few months now for ongoing back issues. The care that she has been given through her Physiotherapist Corey, has been fantastic. Everything has been explained and if exercises have needed to be modified he has. Would thoroughly recommend this place for any Physio needs. All staff that we have dealt with have been friendly and professional. A great team and environment.
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