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ROBERT PETTIT, MD
Restoring Function. Maximizing Performance.
Orthopaedic Sports Medicine  ·  Beacon Orthopaedics & Sports Medicine
CINCINNATI, OH  ·  FORT THOMAS, KY
(513) 354-3700
Fellowship-Trained  ·  Board Certified (ABOS)  ·  Mako Robotics Certified  ·  Cincinnati Reds Team Physician
Home Exercise Program

Foot & Ankle Home Exercise Program

A complete conditioning program — flexibility, strength, and balance

This program restores flexibility, strength, and balance to the foot and ankle — the progression used in physical therapy after sprains, fractures, and tendon problems. Warm up for 5–10 minutes first. Stretch before and after the strengthening work, and progress the balance exercises as you feel steadier.

Pain-monitoring rule (used in tendon and joint rehab research). Discomfort up to 3–4 out of 10 during an exercise is acceptable if it settles by the next morning. Pain above 5, pain that lingers into the next day, or new swelling means reduce the load or reps next time — don't stop the program.
Match the exercises to the problem. For Achilles tendinitis the eccentric heel-drop program (Alfredson) is the best-supported treatment — 12 weeks of twice-daily work. For plantar fasciitis the plantar-fascia-specific stretch plus high-load calf raises beat generic stretching. After an ankle sprain, balance training is what prevents the next one.
Flexibility
Do these daily. Hold each stretch steady without bouncing.
Heel Cord Stretch — Knee Straight — exercise illustration
Heel Cord Stretch — Knee Straight
2 sets × 30-sec holds, daily

Face a wall with the affected leg straight behind you and the heel flat. Press your hips toward the wall until you feel a stretch in the upper calf.

Heel Cord Stretch — Knee Bent — exercise illustration
Heel Cord Stretch — Knee Bent
2 sets × 30-sec holds, daily

Same position as above, but slightly bend the back knee while keeping the heel down. This targets the deeper (soleus) calf muscle near the Achilles.

Towel Stretch — exercise illustration
Towel Stretch
2 sets × 30-sec holds, daily

Sit with the leg straight. Loop a towel around the ball of the foot and gently pull it toward you until you feel a stretch in the calf and arch. Excellent first thing in the morning.

Strengthening
Do these most days. Move slowly and keep the ankle controlled.
Ankle Alphabet (Range of Motion) — exercise illustration
Ankle Alphabet (Range of Motion)
2 times through, daily

With the leg supported and foot in the air, slowly "write" each letter of the alphabet with your big toe. This moves the ankle through its full range.

Calf Raises — exercise illustration
Calf Raises
2–3 sets × 10, most days

Hold a chair and rise onto the balls of both feet as high as comfortable. Lower slowly. Progress toward one leg as you get stronger.

Band Dorsiflexion — exercise illustration
Band Dorsiflexion
3 sets × 10, 3 days/week

With a band around the top of the foot and anchored in front, pull your toes up and toward you against the resistance, then return slowly.

Band Eversion — exercise illustration
Band Eversion
3 sets × 15, 3 days/week

With a band looped around the forefoot and anchored to the opposite side, turn the sole of the foot outward against the band, then return slowly.

Towel / Toe Curls — exercise illustration
Towel / Toe Curls
20 reps, daily

Sit with the foot flat on a towel. Use your toes to scrunch and pull the towel toward you. Marbles picked up with the toes work well too.

Golf Ball Roll — exercise illustration
Golf Ball Roll
2 minutes, daily

Seated, roll a golf ball or frozen water bottle under the arch of your foot. Especially helpful for plantar fasciitis and arch soreness.

New in this edition
Eccentric Heel Drop — Knee Straight (Alfredson)
3 sets × 15, twice daily, 12 weeks · Eccentric

Stand on the edge of a step on the balls of both feet. Rise up on both legs, shift your weight to the affected leg, then lower that heel slowly below the step over 3–4 seconds. Use the good leg to return to the top — never push up with the sore side. Add a backpack with weight once 3 × 15 is easy.

New in this edition
Eccentric Heel Drop — Knee Bent (Alfredson)
3 sets × 15, twice daily, 12 weeks · Eccentric

Same as above with the knee bent about 30° throughout, which loads the soleus. Do both versions each session. Tendon soreness during the exercise is expected; it should not worsen day to day.

New in this edition
Plantar Fascia Stretch
10 reps × 10-sec holds, 3×/day, before the first steps of the morning

Sit and cross the affected foot over the other knee. Pull the toes back toward the shin until you feel a stretch in the arch, and confirm the fascia is taut with your other thumb. Hold, then release. Do this before getting out of bed and after sitting.

New in this edition
Band Inversion & Plantarflexion
3 sets × 15 each, 3 days/week

With the band anchored to the outside of the foot, turn the sole inward against it (inversion); then loop the band under the ball of the foot and point the foot down against it (plantarflexion). Together with the dorsiflexion and eversion exercises this completes the four-direction ankle program.

Balance & Return to Activity
Retrain the ankle to react and protect itself. Progress as you feel steadier.
Single-Leg Balance — exercise illustration
Single-Leg Balance
3–5 reps × 30-sec holds, most days

Stand on the affected leg near a counter for safety. Hold your balance for 30 seconds. Progress by closing your eyes or standing on a pillow or cushion.

Stop and call the office at (513) 354-3700 if any exercise causes sharp pain, new swelling, numbness, or symptoms that worsen into the next day. This general program is patient education and does not replace an individualized plan from Dr. Pettit or your physical therapist. If you are recovering from surgery, follow your specific post-operative protocol first.

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