Most orthopedic conditions can be broadly classified into two categories: acute trauma and overuse injuries. While clinicians have limited influence over the prevention of acute trauma—and treatment outcomes are largely dictated by the extent of tissue damage—we play a disproportionately large role in the prevention and treatment of overuse conditions. Focusing on lower-limb overuse injuries, this workshop examines why many prevailing tissue- loading leg-strengthening protocols—even those supported by current research—often result in more pain with no meaningful functional gain. Through a critical review of the historical studies underpinning such approaches, participants will be guided to identify key assumption gaps and internal inconsistencies within these frameworks. Participants will be introduced to a new clinical lens—Core Stability Asymmetry—as an emerging paradigm for understanding, assessing, and treating these prevalent conditions. Rather than emphasizing isolated tissue capacity, this model explores how symmetry in core motor control is a primary driver of load transfer during human gait activities. The practical component will cover foundational topics including core stability principles, physical examination strategies, treatment sequencing, dosage prescription, progression parameters, and real-world case application. Participants will leave with a turnkey clinical framework for managing common lower-limb overuse injuries, along with a clear understanding of its indications, strengths, and limitations.