EXERCISES FOR FOOT DROP

If you have foot drop, you may not be able to raise the front part of your foot. When you walk, your toes may drag, or you may adopt an unnatural gait to try and compensate. 

If you are suffering from foot drop, performing safe and suitable exercises can help. This post will introduce you to some of the best exercises for foot drop. First, let’s talk a little bit more about what causes foot drop, and why PT and certain exercises are beneficial for those with this condition.

The most common cause of foot drop is injury to the peroneal nerve, according to Penn Medicine. This nerve can be damaged from a knee injury, from frequently wearing high and tight boots, from having a cast that is too tight on the lower leg, or from other immobilization. 

Foot drop also can be caused by a range of health conditions, including multiple sclerosis, stroke, traumatic brain injury (TBI), amyotrophic lateral sclerosis (ALS), or muscular dystrophy.

Finally, habits such as squatting, kneeling, or sitting for too long of a time in one position could produce foot drop. 

If you have an underlying condition that predisposes to foot drop, you will need to treat it. If bad habits are contributing to foot drop, you will need to change those habits.

To restore a normal foot position and gait, it is necessary to increase the strength and flexibility of your muscles. Evidence suggests that physical therapy exercises for foot drop are a gentle, but effective way to increase strength and flexibility. Your physical therapist can also use electrical stimulation to help improve your condition. 

https://www.youtube.com/watch?v=xrsV4ybwavc 

Exercises for foot drop fall into a few different categories: strengthening exercises, stretching exercises, and exercises to improve balance and coordination. 

Gentle stretching exercises are a good starting point for improving your foot drop.

Calf Stretch

1. Stand in front of a wall. Place one leg back behind the other in a “lunge” position. 
2. Rest your palms on the wall.
3. Lean toward the wall to stretch your back calf. 
4. Switch your legs around and repeat to stretch the other calf.

Plantar Fascia Stretch

1. Sit on a chair with one foot on the floor. Rest the other foot on top of your knee.
2. Gently pull your toes backward to stretch the plantar fascia.

I Massaging the bottom of your foot when you are performing this stretch can help loosen the plantar fascia

Hip Rotations

1. Lie on your back with your knees bent in a neutral position.
2. Slowly and gently rotate your hips, lowering both knees toward the floor on one side of your body. 
3. Bring your knees and hips back to a neutral position.
4. Do the same thing again, but this time, rotate to the opposite side. 

Note that your knees should not be close together when performing this exercise. There should be some space between them.

Now that you know how to do some basic stretches for foot drop, let’s go over some strengthening exercises you can try.

Toe Tapping

1. Stand in front of a step.
2. Raise one foot and place the toes on top of the step.
3. Bring the foot back down to the floor.
4. Raise the other foot and touch the toes to the step.
5. Lower that foot back to the floor.

Repeat as many reps as you want. 

Ankle Dorsiflexion

1. Sit on the edge of a chair in an upright position, with your weight slightly forward and your feet flat on the floor.
2. Keeping your heels on the floor, raise your toes as much as you can.
3. Lower your toes back down.
4. Perform as many reps as you want. 

Tip: Do not use your upper body to help you lift your toes!

Ball Lifts

1. Sit in a chair in an upright position. Place your feet flat on the floor.
2. Place a small ball between your feet, holding it off the floor by keeping your feet together.
3. Lift your feet off the floor, bringing the ball with them. You can do this by straightening your knees to extend your legs.
4. Lower your feet and the ball back to the floor. Do additional reps as desired. 

Ankle Adduction and Abduction

1. Sit on the floor with one leg straight and flat in front of you. Pull the other ankle in toward your torso. 
2. Loop a resistance band around the foot that is straight in front of you.
3. Rotate your toe outward toward the floor, keeping your heel on the floor. Rotate it back.
4. Do a number of reps you are comfortable with.
5. Rotate your toe inward toward the floor, keeping your heel in contact with the floor. Rotate it back. Repeat this as many times as you wish as well. 

Heel Raises 

1. Stand with a chair in front of you and both feet flat on the ground. Grasp the back of the chair with both hands.
2. Rise up on your toes, lifting your heels off the floor.
3. Lower your heels back down.
4. Repeat as many times as needed.

Now that you have done stretching and strengthening exercises for foot drop, let’s take a look at a couple of exercises that can boost your balance and coordination. We suggest you do these exercises next to a wall so that you can grab it for balance if needed. 

Heel-to-Toe Walk

In this exercise, you walk in a straight line with your arms held out to either side for balance (one hand can rest on a wall or railing if you wish).

Each time you place one foot in front of the other, the heel of that foot needs to be right against the toe of the other foot. 

Standing on One Leg

1. Stand with both feet on the floor. 
2. Lift one of your feet up off the floor, and hold that position for 10 seconds.
3. Put your foot back down.
4. Switch sides, doing the same with your other foot.
5. Repeat as many times as you want. 

In addition to performing exercises for foot drop, you may be told to wear a brace or splint. In addition, you can take oral medications and/or apply topical analgesics to reduce your pain as you heal. 

If the condition producing your foot drop causes numbness, you might be prone to scrapes and ulcers. Should that be the case, your doctor may recommend measures to help you protect your skin.

As your foot drop begins to improve, you may notice your balance and coordination getting better. Walking may feel easier, and your gait could begin to look and feel more natural. When your mobility increases, you are able to live more independently with less effort.

If you are doing the heel-to-toe walk outside, or if you are just taking a regular walk, you need to choose footwear that is safe and supportive for people with foot drop.

Cadense Original Adaptive Shoes for men and women are designed especially for those who cannot fully lift their feet while walking.

The patented variable friction technology in these shoes makes it possible to “glide” over uneven surfaces smoothly.

You can maintain a more natural gait while staying safer and more comfortable as you walk. As an added plus, these shoes are very stylish.