It is a moderately paced tune, concerning an adolescence as a rebellious New Jersey teen, with lyrics[4] written in the first-person. The lyrics feature a chorus that is progressively modified as the song continues, with the first chorus being "I hid in the clouded wrath of the crowd but when they said 'Sit down,' I stood up," while the second chorus switches to "clouded warmth...'come down,' I threw up" and the third finishes the song with "mother breast...'pull down,' I pulled up."
An acoustic version of the song, part of Springsteen's 1972 audition for CBS Records, appears on Tracks, 18 Tracks, and Chapter and Verse.
During the Born to Run tours and following Darkness Tour, Springsteen often performed an extended version of this song, extending it with a long, sometimes exaggerated and/or fictional biographical narration of his youth and his passion for guitar playing.
The song was featured on the soundtracks of the films Big Daddy (1999) and Gracie (2007).