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Foot exercises for runners: a short routine and what the research shows

A good foot routine for runners trains four things: the small muscles of the arch (the short foot exercise), calf and soleus endurance (heel raises), toe strength and single-leg balance. It takes about 10 minutes, two to five times a week, after an easy run or on a rest day. In one trial of 118 recreational runners, those who did not do a foot core program were 2.42 times more likely to get a running injury over 12 months (Taddei and colleagues, 2020). That is one trial, so read it as promising, not settled.

This page is for runners who are not injured, or who have a niggle that lets them keep running. If your heel already hurts when you run, start with heel pain from running. For the full progression of every foot exercise, from seated to single leg, see foot strengthening exercises. Stiff ankles are common in runners; see ankle mobility exercises.

Do foot exercises help runners avoid injury?

Key findingIn a 2020 trial of 118 recreational runners, those without foot core training were 2.42 times more likely to be injured over 12 months (Taddei and colleagues).

One good trial says yes, and it is still only one trial. In 2020, Taddei and colleagues in Brazil randomly split 118 recreational long-distance runners into a foot core group (57 runners) and a control group (61 runners). The foot core group did about two months of supervised training on the foot and ankle muscles, then kept going with remote supervision. Everyone reported their running and any injury each week for a year.

Over 12 months, the control group was 2.42 times more likely to get a running injury. The difference showed up after four to eight months of training, not in the first weeks. Runners whose foot strength went up the most went longer before an injury.

An earlier, smaller trial from the same team, with 28 runners, found that about two months of foot training made the small foot muscles bigger and increased push off force while running (Taddei and colleagues, 2020).

What this does not tell us: both trials come from one research group, in experienced recreational runners who were not injured at the start. The trials did not include beginners or runners who already had pain, so we do not know if the results apply to them.

Taddei 2020 (Am J Sports Med): control group 2.42 times more likely to have a running-related injury (95% CI 1.98 to 3.62), p = 0.035, single-blind RCT, 12-month follow-up. Taddei 2020 (Phys Ther Sport): proof-of-concept single-blind RCT, 28 runners, muscle volume by MRI, after about two months.

Taddei UT, Matias AB, Duarte M, Sacco ICN. Foot core training to prevent running-related injuries: a survival analysis of a single-blind, randomized controlled trial. American Journal of Sports Medicine. 2020;48(14):3610–3619.

Taddei UT, Matias AB, Ribeiro FIA, Bus SA, Sacco ICN. Effects of a foot strengthening program on foot muscle morphology and running mechanics: a proof-of-concept, single-blind randomized controlled trial. Physical Therapy in Sport. 2020;42:107–115.

What should a runner’s foot routine include?

Four parts, each with one or two exercises. The doses below are Walkito’s starting doses. Do them barefoot, and stop for the day if pain goes above 6 out of 10.

  • Foot core: the short foot exercise, standing and then on one leg. It trains the small muscles that hold up the arch.
  • Calf and soleus: heel raises with a straight knee for the calf, and with a bent knee for the soleus, the deeper calf muscle.
  • Toes: big toe lifts. The big toe is the last part of the foot to leave the ground when you push off.
  • Balance: standing on one leg, because running is a series of one-leg landings.

This mirrors the idea behind the Taddei program, which trained the small foot muscles first and then used them in standing and loaded positions. It is not a copy of that program. For more toe work, see toe strengthening exercises.

Short foot, standing. Two bare feet on the floor with the arches lifting and the toes flat
Drawing of the same move, with the working area highlighted
Short foot, standing: the arch lifts, the toes stay flat

Short foot, standing

In the exercise library: Short foot exercise

Stand with your weight on both feet. Without curling your toes, pull the ball of the foot toward the heel so the arch lifts a little. Hold, then relax. If the toes grip the floor, ease off.

Evidence: Moderate. Part of the foot core program in the runner trials (Taddei 2020). Not tested on its own for injury.

Cramp that does not ease, or pain above 6 out of 10

Short foot, one leg. A figure standing on one bare foot with the arch lifted
Drawing of the same move, with the working area highlighted
Short foot on one leg: hold the arch while you balance

Short foot, one leg

Stand on one foot, a hand near a wall. Lift the arch as above and hold it while you balance. This is closer to what the foot does when you land.

Evidence: Early. The single-leg step of the short foot progression. Not tested on its own in runners.

Pain above 6 out of 10, or you lose balance on every rep

Double-leg calf raises. A figure holding a wall and rising onto the balls of both feet
Drawing of the same move, with the working area highlighted
Calf raises: slow up, slow down, weight over the big toe

Double-leg calf raises

Hold a wall. Rise onto the balls of both feet over about 3 seconds, keeping the weight toward the big toe, then lower over 3 seconds. When this is easy, move to one leg. More on the calf raises page.

Evidence: Early. Calf endurance was lower in athletes with shin splints (Madeley 2007). Not tested as injury prevention in runners.

Pain at the heel or Achilles above 6 out of 10, or worse the next morning

Seated heel raises. A seated figure lifting both heels, the lower calves highlighted
Seated heel raises: knee bent to load the soleus

Seated heel raises

Sit with your feet flat and press up through the balls of the feet. With the knee bent, the soleus does most of the work. A backpack or weights on the knees add load as it gets easy.

Evidence: Early. Works the soleus with the knee bent. Not tested on its own in runners.

Pain above 6 out of 10

Big toe lift. A bare foot with the big toe lifted and the other toes flat
Drawing of the same move, with the working area highlighted
Big toe lift: only the big toe comes up

Big toe lift

In the exercise library: Big toe lift (toe yoga)

Keep the four small toes on the floor and lift only the big toe. Then try the reverse: big toe down, small toes up. A small movement is enough at first.

Evidence: Early. An MRI study shows it activates the small foot muscles (Gooding 2016). Not tested alone in an outcome trial.

Pain at the big toe joint

Single-leg balance hold. A figure standing on one leg next to a wall
Drawing of the same move, with the working area highlighted
Single-leg balance: knee soft, a wall within reach

Single-leg balance hold

Stand on one foot, knee soft, near a wall. When 30 seconds is easy, close your eyes or stand on a pillow. More on the single-leg balance page.

Evidence: Early. Part of most foot programs. Not tested on its own as injury prevention in runners.

You cannot stay up without grabbing the wall

Taddei UT, Matias AB, Duarte M, Sacco ICN. Foot core training to prevent running-related injuries: a survival analysis of a single-blind, randomized controlled trial. American Journal of Sports Medicine. 2020;48(14):3610–3619.

Madeley LT, Munteanu SE, Bonanno DR. Endurance of the ankle joint plantar flexor muscles in athletes with medial tibial stress syndrome: a case-control study. Journal of Science and Medicine in Sport. 2007;10(6):356–362.

Gooding TM, Feger MA, Hart JM, Hertel J. Intrinsic foot muscle activation during specific exercises: a T2 time magnetic resonance imaging study. Journal of Athletic Training. 2016;51(8):644–650.

Why do runners need calf and soleus strength?

Key findingUp to about 7 metres per second, faster running mostly comes from pushing harder into the ground, and the soleus and gastrocnemius play a key role in that push (Schache and colleagues, 2014).

The calf muscles do much of the pushing when you run. A 2014 review of how leg muscles work in running found that at speeds up to about 7 metres per second, which covers nearly all recreational running, runners go faster mainly by pushing harder into the ground for a longer stride. The two calf muscles, the soleus and the gastrocnemius, have a particularly important role in that push (Schache and colleagues, 2014).

The soleus sits under the gastrocnemius and works most when the knee is bent, which is why the routine has a seated, bent-knee heel raise as well as the standing one. If your calves often feel tight after runs, tight calves covers stretching and the soleus stretch.

Calf endurance also comes up in shin pain. In a case-control study, athletes with shin splints did fewer heel raises to fatigue than athletes without them (Madeley and colleagues, 2007). That shows a link, not that weak calves cause shin splints. More in shin splints exercises.

Schache AG, Dorn TW, Williams GP, Brown NA, Pandy MG. Lower-limb muscular strategies for increasing running speed. Journal of Orthopaedic & Sports Physical Therapy. 2014;44(10):813-824.

Madeley LT, Munteanu SE, Bonanno DR. Endurance of the ankle joint plantar flexor muscles in athletes with medial tibial stress syndrome: a case-control study. Journal of Science and Medicine in Sport. 2007;10(6):356–362.

How many calf raises should a runner be able to do?

Key findingIn 566 adults aged 20 to 81, the median was 24 single-leg heel raises on the right and 23 on the left (Hebert-Losier and colleagues, 2017).

There is no runner-specific norm, so use the general adult numbers as a floor. In a study of 566 adults, the median was 24 single-leg heel raises on the right leg and 23 on the left, at a pace of one beat up and one beat down at 60 beats per minute. Counts fall with age, and more active people did more (Hebert-Losier and colleagues, 2017). An older study proposed 25 as the reference for normal (Lunsford and Perry, 1995).

Compare your legs too. A gap of more than 10 percent between sides is the usual threshold for a meaningful difference in leg rehabilitation (Silbernagel and colleagues, 2010). The full protocol, a home version and a calculator are on the calf raise test page.

Median single-leg heel raises by age, moderate activity (Hebert-Losier 2017)
AgeMenWomen
203730
303327
402825
502422
601919

These are model estimates for a moderately active adult with a body mass index of 24.2, not pass or fail lines. Retest every few weeks and watch the trend and the left to right gap.

Hebert-Losier 2017, Table 4: model estimates for BMI 24.2 and physical activity level 4, average of both legs, rounded. Lunsford and Perry 1995: 203 adults aged 20 to 59.

Hébert-Losier K, Wessman C, Alricsson M, Svantesson U. Updated reliability and normative values for the standing heel-rise test in healthy adults. Physiotherapy. 2017;103(4):446–452.

Lunsford BR, Perry J. The standing heel-rise test for ankle plantar flexion: criterion for normal. Physical Therapy. 1995;75(8):694–698.

Silbernagel KG, Nilsson-Helander K, Thomeé R, Eriksson BI, Karlsson J. A new measurement of heel-rise endurance with the ability to detect functional deficits in patients with Achilles tendon rupture. Knee Surgery, Sports Traumatology, Arthroscopy. 2010;18(2):258–264.

When should runners do foot exercises, and how often?

No study has compared doing foot exercises after a run against doing them on a rest day, so the timing below is practical, not tested.

  • After an easy run or on a rest day. The exercises tire the small foot muscles, so they fit better after a short, easy run than before a hard session or a long run.
  • Not right before speed work or a race. You want fresh calves for those.
  • Calf raises 2 to 3 days a week, with a day off between them, like any strength work.
  • Foot core, toes and balance 2 to 5 days a week. In the 2019 trial, runners did foot exercises at least five times a week and gained strength in about two months (Ridge and colleagues, 2019).

Give it time. Muscle size changed within about two months in the trials, but the drop in injuries in the Taddei trial only showed after four to eight months. A routine you keep for months matters more than a hard one you drop after three weeks.

A sample week for a runner
DayRunFoot routine
MonRestFull routine
TueSpeedNone
WedEasyFoot core, toes, balance
ThuRestFull routine
FriEasyFoot core, balance
SatLongNone
SunEasy or restFull routine

Ridge ST, Olsen MT, Bruening DA, et al. Walking in minimalist shoes is effective for strengthening foot muscles. Medicine & Science in Sports & Exercise. 2019;51(1):104–113.

Taddei UT, Matias AB, Duarte M, Sacco ICN. Foot core training to prevent running-related injuries: a survival analysis of a single-blind, randomized controlled trial. American Journal of Sports Medicine. 2020;48(14):3610–3619.

Can you do foot exercises with a niggle?

Usually yes, if the niggle is mild and stable, and if you adjust. Use the same rule as the rest of this site: some discomfort is fine, but stop for the day if pain goes above 6 out of 10, and go lighter if it is worse the next morning.

A few niggles change the plan:

  • Heel pain on the first steps in the morning points to plantar fasciitis. Calf raises and stretches matter more there: see heel pain from running and plantar fasciitis exercises.
  • Pain at the back of the heel or in the Achilles tendon needs a more gradual calf plan, often with slow heel drops: see Achilles tendonitis exercises.
  • Pain along the inner shin may be shin splints: see shin splints exercises.
  • Pain in one spot on a bone that grows with each run is a stress fracture warning sign. Stop running and get it checked.

What foot exercises do not do

They do not replace sensible training. Across studies of long-distance runners, between 19.4% and 79.3% got a leg injury, and a long weekly distance in men and a previous injury were among the clearest risk factors (van Gent and colleagues, 2007). In a Danish study of 874 novice runners, those who raised their weekly distance by more than 30% seemed more prone to some overuse injuries, though the result fell just short of statistical significance (Nielsen and colleagues, 2014).

Strength work is not automatic protection. In a trial with 720 first-time New York City Marathon runners, a self-guided 10-minute program for the hips, thighs and core, three times a week for about three months, did not lower the overuse injuries that stopped runners from finishing the marathon: 7.1% in the strength group against 7.3% in the others (Toresdahl and colleagues, 2020). That program did not train the feet, but it is a reminder that a routine on paper is not the same as a result.

They change arch shape only a little. In a small study of 21 people without a control group, the arch sank 1.8 mm less after a month of short foot training (Mulligan and Cook, 2013). Expect a stronger, steadier foot, not a new arch. Shoes and barefoot running are a separate question, covered in barefoot shoes.

Toresdahl 2020: randomized, 720 enrolled, risk ratio 0.97 (95% CI 0.57 to 1.63), p = 0.90. Program targeted quadriceps, hip abductors and core; written and video instruction.

van Gent RN, Siem D, van Middelkoop M, van Os AG, Bierma-Zeinstra SM, Koes BW. Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. British Journal of Sports Medicine. 2007;41(8):469-480.

Nielsen RØ, Parner ET, Nohr EA, Sørensen H, Lind M, Rasmussen S. Excessive progression in weekly running distance and risk of running-related injuries: an association which varies according to type of injury. Journal of Orthopaedic & Sports Physical Therapy. 2014;44(10):739–747.

Toresdahl BG, McElheny K, Metzl J, Ammerman B, Chang B, Kinderknecht J. A randomized study of a strength training program to prevent injuries in runners of the New York City Marathon. Sports Health. 2020;12(1):74-79.

Mulligan EP, Cook PG. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Manual Therapy. 2013;18(5):425–430.

Questions people ask

What are the best foot exercises for runners?

A short set that covers four things: the short foot exercise for the arch, heel raises with a straight and a bent knee for the calf and soleus, big toe lifts for push off, and single-leg balance. A foot core program built on the same idea lowered running injuries in one trial of 118 runners.

Do foot strengthening exercises prevent running injuries?

They may. In a 2020 trial of 118 recreational runners, the group without foot core training was 2.42 times more likely to be injured over 12 months, with the effect appearing after four to eight months. It is one trial from one research group, so the evidence is promising but not settled.

How often should runners do foot exercises?

Two to five days a week for the foot core, toe and balance work, and two to three days a week for calf raises, with a day off between them. In a 2019 trial, runners who did foot exercises at least five times a week gained strength in about two months.

Should I do foot exercises before or after running?

After an easy run or on a rest day is the practical choice, because the exercises tire the small foot muscles. No study has compared timing. Avoid a full routine right before speed work, a long run or a race, when you want fresh feet and calves.

How many single-leg calf raises should a runner do?

There is no runner-specific number. Healthy adults do a median of about 23 to 24 per leg at a set pace, and 25 has been proposed as normal. Many active runners do more. A gap of more than 10 percent between legs is worth tracking. The calf raise test page has the full protocol.

How long until foot exercises make a difference?

Foot muscles got bigger and stronger in about two months in the trials. The drop in injuries in the runner trial took longer, showing after four to eight months. Plan to keep a short routine going for months, not weeks.

Can I keep running while I do foot exercises?

Yes. The routine is meant to sit alongside your running. If you have a niggle, stop an exercise for the day if pain goes above 6 out of 10, and keep runs easy if pain is worse the next morning. Pain that grows with each run, or sits on one spot of bone, needs a clinician.

Do barefoot running or minimalist shoes strengthen the feet?

Walking in minimalist shoes built foot strength about as well as exercises in a 2019 trial of runners, with a slow, gradual increase. Switching your running shoes quickly is a different matter and carries its own risks, so build up slowly if you try it.

See a clinician first if

  • pain sits on one spot of a bone in the foot or shin and gets worse with each run, which can be a stress fracture
  • you cannot put weight on the foot, or you limp when you walk
  • the pain started with a pop, a fall or a twisted ankle
  • the foot or ankle is swollen, red or hot, or you have a fever
  • you feel numbness, tingling or burning in the foot
  • the heel or foot hurts at night or at rest
  • pain keeps getting worse over two to three weeks despite easier running

Doing it as a plan

Walkito is a heel and foot exercise app with the exercises on this page: the short foot from seated to one leg, heel raises, big toe lifts, toe spreads and single-leg balance. It does not plan your running, so keep your own training plan and fit the sessions on easy days.

Before each session you rate how your feet feel, and the plan adjusts to it. A short test every 14 days checks calf raises, arch hold and balance, left against right. Walkito does not diagnose.

Updated

Start with a 3-minute session.